Association between Circulating Ectodysplasin A and Diabetic Kidney Disease

Background. Ectodysplasin A (EDA), a member of the TNF family, plays important roles in ectodermal development, while recent studies expanded its regulatory effects on insulin resistance and lipid metabolism. This study was the first time to investigate the correlation between circulating EDA and al...

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Main Authors: Xia Deng, Chang Guo, Huijuan Qin, Li Zhao, Yanyan Li, Zhicong Zhao, Haoxiang Li, Ling Yang, Dong Wang, Guoyue Yuan
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2023/5087761
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author Xia Deng
Chang Guo
Huijuan Qin
Li Zhao
Yanyan Li
Zhicong Zhao
Haoxiang Li
Ling Yang
Dong Wang
Guoyue Yuan
author_facet Xia Deng
Chang Guo
Huijuan Qin
Li Zhao
Yanyan Li
Zhicong Zhao
Haoxiang Li
Ling Yang
Dong Wang
Guoyue Yuan
author_sort Xia Deng
collection DOAJ
description Background. Ectodysplasin A (EDA), a member of the TNF family, plays important roles in ectodermal development, while recent studies expanded its regulatory effects on insulin resistance and lipid metabolism. This study was the first time to investigate the correlation between circulating EDA and albuminuria in patients with T2DM. Methods. A total of 189 T2DM and 59 healthy subjects were enrolled in the study. We analyzed the concentrations of EDA by ELISA. Plasma glucose, insulin, HbA1c, lipids, creatinine, BUN, and UACR were also measured. Insulin resistance and pancreatic cell function were assessed by HOMA. Results. Circulating EDA concentration was significantly increased in T2DM patients and increased with the degree of albuminuria. EDA was positively correlated with age, FIns, HOMA-IR, HOMA-β, Scr, and UACR, and negatively correlated with eGFR. Linear stepwise regression showed that FIns, HOMA-β, and UACR were independent influencing factors of EDA. Logistic regression analysis showed that EDA was independently associated with the occurrence of albuminuria in T2DM. ROC curve showed that EDA had an area under the receiver operating curve of 0.701 [95%CI=0.625−0.777, P<0.001]. Conclusion. EDA is positively correlated with the degree of albuminuria in patients with T2DM and may be involved in the occurrence and progression of diabetic kidney disease (DKD).
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spelling doaj-art-dd21169fe8a14575875ee4d992c6d8952025-02-03T06:47:16ZengWileyJournal of Diabetes Research2314-67532023-01-01202310.1155/2023/5087761Association between Circulating Ectodysplasin A and Diabetic Kidney DiseaseXia Deng0Chang Guo1Huijuan Qin2Li Zhao3Yanyan Li4Zhicong Zhao5Haoxiang Li6Ling Yang7Dong Wang8Guoyue Yuan9Department of EndocrinologyDepartment of NephrologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyDepartment of EndocrinologyBackground. Ectodysplasin A (EDA), a member of the TNF family, plays important roles in ectodermal development, while recent studies expanded its regulatory effects on insulin resistance and lipid metabolism. This study was the first time to investigate the correlation between circulating EDA and albuminuria in patients with T2DM. Methods. A total of 189 T2DM and 59 healthy subjects were enrolled in the study. We analyzed the concentrations of EDA by ELISA. Plasma glucose, insulin, HbA1c, lipids, creatinine, BUN, and UACR were also measured. Insulin resistance and pancreatic cell function were assessed by HOMA. Results. Circulating EDA concentration was significantly increased in T2DM patients and increased with the degree of albuminuria. EDA was positively correlated with age, FIns, HOMA-IR, HOMA-β, Scr, and UACR, and negatively correlated with eGFR. Linear stepwise regression showed that FIns, HOMA-β, and UACR were independent influencing factors of EDA. Logistic regression analysis showed that EDA was independently associated with the occurrence of albuminuria in T2DM. ROC curve showed that EDA had an area under the receiver operating curve of 0.701 [95%CI=0.625−0.777, P<0.001]. Conclusion. EDA is positively correlated with the degree of albuminuria in patients with T2DM and may be involved in the occurrence and progression of diabetic kidney disease (DKD).http://dx.doi.org/10.1155/2023/5087761
spellingShingle Xia Deng
Chang Guo
Huijuan Qin
Li Zhao
Yanyan Li
Zhicong Zhao
Haoxiang Li
Ling Yang
Dong Wang
Guoyue Yuan
Association between Circulating Ectodysplasin A and Diabetic Kidney Disease
Journal of Diabetes Research
title Association between Circulating Ectodysplasin A and Diabetic Kidney Disease
title_full Association between Circulating Ectodysplasin A and Diabetic Kidney Disease
title_fullStr Association between Circulating Ectodysplasin A and Diabetic Kidney Disease
title_full_unstemmed Association between Circulating Ectodysplasin A and Diabetic Kidney Disease
title_short Association between Circulating Ectodysplasin A and Diabetic Kidney Disease
title_sort association between circulating ectodysplasin a and diabetic kidney disease
url http://dx.doi.org/10.1155/2023/5087761
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