Study the effect of urokinase-type plasminogen activator (UPA) and some biochemical parameters in Iraqi hemodialysis patients with type 2 diabetes

Abstract The most common cause of end-stage renal disease (ESRD) and leading ultimately to hemodialysis (HD) is type 2 diabetes mellitus (T2DM). The current study aims to assess the role of serum urokinase plasminogen activator (UPA) levels among Iraqi hemodialysis patients with ESRD with type 2 dia...

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Main Authors: Fatima Ali Essa Al-Sudani, Nawal Mohammed Jawad Al-Shammaa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Medical Journal of Babylon
Subjects:
Online Access:https://doi.org/10.4103/MJBL.MJBL_777_23
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author Fatima Ali Essa Al-Sudani
Nawal Mohammed Jawad Al-Shammaa
author_facet Fatima Ali Essa Al-Sudani
Nawal Mohammed Jawad Al-Shammaa
author_sort Fatima Ali Essa Al-Sudani
collection DOAJ
description Abstract The most common cause of end-stage renal disease (ESRD) and leading ultimately to hemodialysis (HD) is type 2 diabetes mellitus (T2DM). The current study aims to assess the role of serum urokinase plasminogen activator (UPA) levels among Iraqi hemodialysis patients with ESRD with type 2 diabetes. The study encompassed 50 patients aged 40–74 years (35 males and 15 females), admitted to the Iraqi dialysis center at Baghdad Teaching Hospital, Al-Hayat Center at Al-Karama Teaching Hospital, and Hamida Al-Misfah Dialysis Center in Imam Al-Kadhimin Medical City for the period from October 2022 to February 2023. Were diagnosed based on previous medical reports, and laboratory tests by a consultant nephrologist. UPA, Blood. Urea, Creatinine, fasting serum glucose (FSG), HbA1c, Insulin, HOMA-IR, and lipid profile levels were determined. The present study showed a significant increase in serum UPA levels in HD patients in ESRD with T2DM compared to control. In addition, there was an important negative correlation between UPA and Hb1AC, FSG, and a positive correlation with VLDL-C and TG in HD patients in ESRD with T2DM patients. This study demonstrates increased UPA serum levels in HD in ESRD with T2DM patients and associated with FSG, Hb1AC, TG, and VLDL this shows that it can be considered a good marker for the development of diabetes complications, the most important of which is diabetic kidney disease (DKD).
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spelling doaj-art-849a81a7181f4641bc25ad328e9896732025-01-25T10:14:51ZengWolters Kluwer Medknow PublicationsMedical Journal of Babylon1812-156X2312-67602024-01-0121122322610.4103/MJBL.MJBL_777_23Study the effect of urokinase-type plasminogen activator (UPA) and some biochemical parameters in Iraqi hemodialysis patients with type 2 diabetesFatima Ali Essa Al-SudaniNawal Mohammed Jawad Al-ShammaaAbstract The most common cause of end-stage renal disease (ESRD) and leading ultimately to hemodialysis (HD) is type 2 diabetes mellitus (T2DM). The current study aims to assess the role of serum urokinase plasminogen activator (UPA) levels among Iraqi hemodialysis patients with ESRD with type 2 diabetes. The study encompassed 50 patients aged 40–74 years (35 males and 15 females), admitted to the Iraqi dialysis center at Baghdad Teaching Hospital, Al-Hayat Center at Al-Karama Teaching Hospital, and Hamida Al-Misfah Dialysis Center in Imam Al-Kadhimin Medical City for the period from October 2022 to February 2023. Were diagnosed based on previous medical reports, and laboratory tests by a consultant nephrologist. UPA, Blood. Urea, Creatinine, fasting serum glucose (FSG), HbA1c, Insulin, HOMA-IR, and lipid profile levels were determined. The present study showed a significant increase in serum UPA levels in HD patients in ESRD with T2DM compared to control. In addition, there was an important negative correlation between UPA and Hb1AC, FSG, and a positive correlation with VLDL-C and TG in HD patients in ESRD with T2DM patients. This study demonstrates increased UPA serum levels in HD in ESRD with T2DM patients and associated with FSG, Hb1AC, TG, and VLDL this shows that it can be considered a good marker for the development of diabetes complications, the most important of which is diabetic kidney disease (DKD).https://doi.org/10.4103/MJBL.MJBL_777_23creatininediabetes mellituskidney failurelipid profileureaurokinase-type plasminogen activator
spellingShingle Fatima Ali Essa Al-Sudani
Nawal Mohammed Jawad Al-Shammaa
Study the effect of urokinase-type plasminogen activator (UPA) and some biochemical parameters in Iraqi hemodialysis patients with type 2 diabetes
Medical Journal of Babylon
creatinine
diabetes mellitus
kidney failure
lipid profile
urea
urokinase-type plasminogen activator
title Study the effect of urokinase-type plasminogen activator (UPA) and some biochemical parameters in Iraqi hemodialysis patients with type 2 diabetes
title_full Study the effect of urokinase-type plasminogen activator (UPA) and some biochemical parameters in Iraqi hemodialysis patients with type 2 diabetes
title_fullStr Study the effect of urokinase-type plasminogen activator (UPA) and some biochemical parameters in Iraqi hemodialysis patients with type 2 diabetes
title_full_unstemmed Study the effect of urokinase-type plasminogen activator (UPA) and some biochemical parameters in Iraqi hemodialysis patients with type 2 diabetes
title_short Study the effect of urokinase-type plasminogen activator (UPA) and some biochemical parameters in Iraqi hemodialysis patients with type 2 diabetes
title_sort study the effect of urokinase type plasminogen activator upa and some biochemical parameters in iraqi hemodialysis patients with type 2 diabetes
topic creatinine
diabetes mellitus
kidney failure
lipid profile
urea
urokinase-type plasminogen activator
url https://doi.org/10.4103/MJBL.MJBL_777_23
work_keys_str_mv AT fatimaaliessaalsudani studytheeffectofurokinasetypeplasminogenactivatorupaandsomebiochemicalparametersiniraqihemodialysispatientswithtype2diabetes
AT nawalmohammedjawadalshammaa studytheeffectofurokinasetypeplasminogenactivatorupaandsomebiochemicalparametersiniraqihemodialysispatientswithtype2diabetes