Type2 Diabetes Clinical Trial
Official title:
Association Between Urinary and Serum Levels of miRNA 192 and miRNA 25 and Glomerular Filtration and Albuminuria in Patients With and Without Type 2 Diabetes.
Diabetes kidney disease (DKD) is the leading cause of end stage renal disease (ESRD) in
western countries and its incidence is worryingly increasing worldwide. Cardiovascular
disease shows a continuous relationship with declining of renal function in type 2 diabetes
patients. Moreover, there is a strong evidence of all-cause mortality risk excess even in
patients with early stages kidney disease.
MicroRNA (miRNA) are small non-coding RNA molecules, containing 21-25 nucleotides, that
modulate post-transcriptional gene expressions. In the past years many human miRNAs involved
in the pathogenesis of renal disease have been discovered, such as miR-192, miR-194, miR-204
and miR-25. Among these, miR-192 and miR-25, are receiving greater attention while it seems
that they play a role in glomerulosclerosis and renal fibrosis. However too few data are
available in large publish trials among patients with renal impairment and the role of serum
and urinary levels of miR-192 and miR-25 in people with preserved renal function remain
unclear.
To evaluate the association between serum and urinary expression of miR-192 and miR-25 and
renal function (according to different extent of renal impairment) in patients with or
without type 2 diabetes.
The day of the study patients undergo a routine clinical evaluation. Whole blood samples are
collected from an antecubital vein to assess serum/plasma aliquots of 200 μl each (frozen at
-80°C until required for quantitation) for evaluation of biochemical parameters (fasting
glucose, HbA1c, lipid profile, serum creatinine, uric acid, electrolytes, liver function
enzymes, albumin) and determination of serum miR-192 and miR-25.
Two urine samples will be also collected to assess aliquots of 200 μl each (frozen at -80°C
until required for quantitation) for determination of albumin:creatinine ratio and urine
expression of miR-192 and miR-25.
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