Prognostic effect of neutrophil percentage-to-albumin ratio (NPAR) on all-cause and cardiovascular mortality in diabetic kidney disease (DKD): NHANES 1999–2018
Diabetology & Metabolic Syndrome,
Journal Year:
2025,
Volume and Issue:
17(1)
Published: March 28, 2025
This
study
aimed
to
evaluate
the
associations
between
neutrophil
percentage-to-albumin
ratio
(NPAR)
and
both
all-cause
cardiovascular
mortality
in
diabetic
kidney
disease
(DKD)
patients.
The
data
for
this
were
sourced
from
National
Health
Nutrition
Examination
Survey
(NHANES)
1999–2018.
Weighted
logistic
regression,
Cox
proportional
hazards
model,
Fine-Gray
competing
risk
model
used
assess
association
NPAR
DKD
A
total
of
2,699
participants
enrolled
study.
regression
analysis
revealed
that
elevated
levels
associated
with
a
higher
all
(HR:
2.17,
95%CI:
1.83–2.58).
Meanwhile,
significant
difference
was
observed
males
1.83,
1.42–2.38)
but
not
females.
Finally,
adjusted
identified
as
an
independent
predictor
(SHR:
1.86
1.28–2.72)
In
nationally
representative
sample
US,
detected
increased
mortality.
addition,
gender
differences
relationship
also
observed.
Language: Английский
Dysregulation of neutrophil extracellular traps (NETs)-related genes in the pathogenesis of diabetic kidney disease - Results from bioinformatics analysis and translational studies
Ruiyan Xie,
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Ka Ho Jason Sher,
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Sin Yu Cindy Tang
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et al.
Clinical Immunology,
Journal Year:
2024,
Volume and Issue:
268, P. 110379 - 110379
Published: Oct. 11, 2024
Language: Английский
Hemoglobin, albumin, lymphocyte, and platelet (HALP) score: A risk prediction tool for incidence and mortality in diabetic kidney disease patients with type 2 diabetes
Lingzhi Xing,
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Fang Xie,
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Zhaoyang Zhong
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et al.
Research Square (Research Square),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 18, 2024
Abstract
Background
The
hemoglobin,
albumin,
lymphocyte,
and
platelet
(HALP)
score
has
been
identified
as
a
potential
prognostic
marker
in
various
conditions.
However,
its
relationship
with
the
incidence
mortality
of
diabetic
kidney
disease
(DKD)
type
2
diabetes
patients
remains
unexplored.
This
study
aims
to
explore
between
HALP
both
DKD
diabetes,
well
whether
reversing
could
reduce
outcomes.
Methods
included
25,750
from
National
Health
Nutrition
Examination
Survey
(NHANES)
(1999–2018)
Southwest
China
(2013–2022).
was
calculated
[hemoglobin
(g/L)
×
albumin
(g/L)×lymphocytes
(/L)]/platelets
(/L).
diagnosed
based
on
urine
creatinine
ratio
(ACR)
≥
30
mg/g
and/or
estimated
glomerular
filtration
rate
(eGFR)
<
60
mL/min/1.73m².
explored
using
logistic
regression
model,
Cox
models
were
used
evaluate
association
all-cause
cause-specific
mortality.
Subgroup
analyses
effects
dietary
fiber
intake
NSAIDs
use
Results
Higher
significantly
associated
lower
risk
(NHANES,
HR
0.502;
China,
0.528)
an
antagonist
manner.
Additionally,
higher
related
decreased
(HR
0.765,
p
0.001)
cardiovascular
disease(CVD)-related
mortality(HR
0.667,
0.001).We
also
discovered
same
outcome
low
0.695,
or
0.733,
0.001).
magnitude
associations
not
materially
altered
any
sensitivity
analyses.
Conclusions
High
independently
Regular
monitoring
aid
stratification
clinical
decisions
for
diabetes.
Language: Английский
Dynamic changes of inflammatory markers in the early stages of chronic kidney disease in patients with type 1 diabetes mellitus
М. В. Осиков,
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Л. А. Эфрос,
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L.Y. Zhuravleva
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et al.
Bulletin of Russian State Medical University,
Journal Year:
2024,
Volume and Issue:
2024(6)
Published: Dec. 1, 2024
Diabetes
mellitus
(DM)
is
one
of
the
major
factors
contributing
to
development
and
aggravation
chronic
kidney
disease
(CKD).
The
accurate
convenient
markers
for
early
detection,
estimation
progression,
adequate
control
CKD
therapy
in
individuals
with
DM
are
limited
glomerular
filtration
rate
(GFR)
albuminuria.
Given
role
inflammation
pathogenesis
CKD,
study
aimed
assess
indicators
correlation
those
GFR
patients
type
1
(T1D)
stage
CKD.
involved
healthy
(n
=
14),
T1D
showing
no
signs
30),
as
well
60),
2
38),
3
31).
was
calculated
using
formula
СКD-ЕРI
(eGFR);
serum
levels
IL1β
TNFα,
C-reactive
protein
(CRP),
ceruloplasmin
(CP)
were
determined
by
enzyme
immunoassay;
neutrophil-to-lymphocyte
index
leukocyte
intoxication
(LII)
calculated.
It
has
been
found
that
concentrations
IL1β,
CRP,
CP
elevated;
LII
increased.
acute
phase
response
severity
progresses
reaches
its
maximum
3b
when
concentration
increased
2.4-fold
(р
0.042),
TNFα
34%
0.005),
CRP
33-fold
<
0.000),
73%
0.008),
8.4-fold
5-fold
0.013).
integral
function
indicator,
eGFR,
decreases
increasing
above
indicators.
Thus,
CP,
LII,
can
be
considered
affordable
informative
inflammation,
which
increase
progression
T1D.
Language: Английский