Levels of Urinary Trypsin Inhibitor and Structure of Its Chondroitin Sulphate Moiety in Type 1 and Type 2 Diabetes

Background. Diabetes mellitus is a global health problem representing the fifth leading cause of mortality and a major risk factor for cardiovascular diseases. In the last years, we reported an association among urinary trypsin inhibitor (UTI), a small proteoglycan that plays pleiotropic roles in ma...

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Main Authors: Antonio Junior Lepedda, Gabriele Nieddu, Silvia Rocchiccioli, Nadia Ucciferri, Michela Idini, Pierina De Muro, Marilena Formato
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2018/9378515
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author Antonio Junior Lepedda
Gabriele Nieddu
Silvia Rocchiccioli
Nadia Ucciferri
Michela Idini
Pierina De Muro
Marilena Formato
author_facet Antonio Junior Lepedda
Gabriele Nieddu
Silvia Rocchiccioli
Nadia Ucciferri
Michela Idini
Pierina De Muro
Marilena Formato
author_sort Antonio Junior Lepedda
collection DOAJ
description Background. Diabetes mellitus is a global health problem representing the fifth leading cause of mortality and a major risk factor for cardiovascular diseases. In the last years, we reported an association among urinary trypsin inhibitor (UTI), a small proteoglycan that plays pleiotropic roles in many inflammatory processes, and both type 1 and 2 diabetes and developed a method for its direct quantitation and structural characterization. Methods. Urine from 39 patients affected by type 1 diabetes, 32 patients with type 2 diabetes, and 52 controls were analysed. UTI was separated from the main glycosaminoglycans physiologically present in urine by anion exchange chromatography, treated for chondroitin sulphate (CS) chain complete depolymerisation, and analysed for both UTI content and CS structure. UTI identification was performed by nano-LC-MS/MS analysis. Results. We evidenced increased UTI levels, as well as reduced sulphation of its CS moiety in association with diabetes, regardless of both age and medium-term glycaemic control. Furthermore, no association between UTI and albumin excretion rate was found. Conclusions. Evidences suggest that UTI levels are not directly correlated with renal function or, otherwise, that they may increase before the onset of renal impairment in diabetes, representing a potential marker for the underlying inflammatory condition.
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spelling doaj-art-29b1acb4db5544468ad02c2f08cc09c12025-02-03T01:24:15ZengWileyJournal of Diabetes Research2314-67452314-67532018-01-01201810.1155/2018/93785159378515Levels of Urinary Trypsin Inhibitor and Structure of Its Chondroitin Sulphate Moiety in Type 1 and Type 2 DiabetesAntonio Junior Lepedda0Gabriele Nieddu1Silvia Rocchiccioli2Nadia Ucciferri3Michela Idini4Pierina De Muro5Marilena Formato6Dipartimento di Scienze Biomediche, University of Sassari, Sassari, ItalyDipartimento di Scienze Biomediche, University of Sassari, Sassari, ItalyIstituto di Fisiologia Clinica, National Research Council, Pisa, ItalyIstituto di Fisiologia Clinica, National Research Council, Pisa, ItalyDipartimento di Scienze Biomediche, University of Sassari, Sassari, ItalyDipartimento di Scienze Biomediche, University of Sassari, Sassari, ItalyDipartimento di Scienze Biomediche, University of Sassari, Sassari, ItalyBackground. Diabetes mellitus is a global health problem representing the fifth leading cause of mortality and a major risk factor for cardiovascular diseases. In the last years, we reported an association among urinary trypsin inhibitor (UTI), a small proteoglycan that plays pleiotropic roles in many inflammatory processes, and both type 1 and 2 diabetes and developed a method for its direct quantitation and structural characterization. Methods. Urine from 39 patients affected by type 1 diabetes, 32 patients with type 2 diabetes, and 52 controls were analysed. UTI was separated from the main glycosaminoglycans physiologically present in urine by anion exchange chromatography, treated for chondroitin sulphate (CS) chain complete depolymerisation, and analysed for both UTI content and CS structure. UTI identification was performed by nano-LC-MS/MS analysis. Results. We evidenced increased UTI levels, as well as reduced sulphation of its CS moiety in association with diabetes, regardless of both age and medium-term glycaemic control. Furthermore, no association between UTI and albumin excretion rate was found. Conclusions. Evidences suggest that UTI levels are not directly correlated with renal function or, otherwise, that they may increase before the onset of renal impairment in diabetes, representing a potential marker for the underlying inflammatory condition.http://dx.doi.org/10.1155/2018/9378515
spellingShingle Antonio Junior Lepedda
Gabriele Nieddu
Silvia Rocchiccioli
Nadia Ucciferri
Michela Idini
Pierina De Muro
Marilena Formato
Levels of Urinary Trypsin Inhibitor and Structure of Its Chondroitin Sulphate Moiety in Type 1 and Type 2 Diabetes
Journal of Diabetes Research
title Levels of Urinary Trypsin Inhibitor and Structure of Its Chondroitin Sulphate Moiety in Type 1 and Type 2 Diabetes
title_full Levels of Urinary Trypsin Inhibitor and Structure of Its Chondroitin Sulphate Moiety in Type 1 and Type 2 Diabetes
title_fullStr Levels of Urinary Trypsin Inhibitor and Structure of Its Chondroitin Sulphate Moiety in Type 1 and Type 2 Diabetes
title_full_unstemmed Levels of Urinary Trypsin Inhibitor and Structure of Its Chondroitin Sulphate Moiety in Type 1 and Type 2 Diabetes
title_short Levels of Urinary Trypsin Inhibitor and Structure of Its Chondroitin Sulphate Moiety in Type 1 and Type 2 Diabetes
title_sort levels of urinary trypsin inhibitor and structure of its chondroitin sulphate moiety in type 1 and type 2 diabetes
url http://dx.doi.org/10.1155/2018/9378515
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