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Erschienen in: International Urology and Nephrology 12/2020

30.07.2020 | Nephrology - Original Paper

Reduced serum CTRP12 levels in type 2 diabetes are associated with renal dysfunction

verfasst von: Jinqiu Du, Jiajia Xu, Xiaoguang Wang, Yanyan Liu, Xue Zhao, Huijuan Zhang

Erschienen in: International Urology and Nephrology | Ausgabe 12/2020

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Abstract

Purpose

Serum C1q/TNF-related protein-12 (CTRP12) is one of the newly studied families of adipokines, which is believed to be associated with type 2 diabetes. However, the relationship between serum CTRP12 levels and diabetic nephropathy remains unclear. This study aimed to investigate the relationship between serum CTRP12 levels and renal function in patients with type 2 diabetes.

Methods

A total of 115 type 2 diabetic patients and 54 healthy subjects were enrolled in this study. 52 patients with type 2 diabetes were in the diabetes group (T2DM). The 63 patients with renal dysfunction were diabetic nephropathy group (T2DM-DN) and were divided into microalbuminuria subgroup (31 cases) and macroalbuminuria subgroup (32 cases) according to the 24-h urine protein excretion rate. The concentrations of serum CTRP12 were determined by enzyme-linked immunosorbent assay.

Results

Serum CTRP12 level in T2DM and T2DM-DN groups was significantly lower compared with the control group, while CTRP12 level in T2DM-DN group was significantly lower than that in T2DM group, and was associated with the severity of renal insufficiency. After adjusting for gender and age, serum CTRP12 level was negatively correlated with the duration of diabetes, blood urea nitrogen (BUN), uric acid (UA) and 24-h urinary albumin excretion rate (UAE) in T2DM patients. Logistic regression analysis showed that serum CTRP12 level was significantly associated with renal dysfunction in type 2 diabetes mellitus. And the duration of diabetes, total cholesterol (CHOL) and neutrophils/lymphocytes (NLR) are independent risk factors for renal dysfunction in type 2 diabetes mellitus.

Conclusion

Serum CTRP12 may be involved in the occurrence and development of diabetic nephropathy.
Trial registration number and date of registration ChiCTR2000030794, March 14, 2020.
Literatur
1.
Zurück zum Zitat Hausmann J, Waechtershaeuser A, Behnken I et al (2019) The role of adipokines in the improvement of diabetic and cardiovascular risk factors within a 52-week weight-loss programme for obesity. Obes Res Clin Pract 13:440–447CrossRef Hausmann J, Waechtershaeuser A, Behnken I et al (2019) The role of adipokines in the improvement of diabetic and cardiovascular risk factors within a 52-week weight-loss programme for obesity. Obes Res Clin Pract 13:440–447CrossRef
2.
Zurück zum Zitat Lau WB, Ohashi K, Wang Y et al (2017) Role of adipokines in cardiovascular disease. Circ J 81:920–928CrossRef Lau WB, Ohashi K, Wang Y et al (2017) Role of adipokines in cardiovascular disease. Circ J 81:920–928CrossRef
3.
Zurück zum Zitat Wong GW, Krawczyk SA, Kitidis-Mitrokostas C et al (2008) Molecular, biochemical and functional characterizations of C1q/TNF family members: adipose-tissue-selective expression patterns, regulation by PPAR-gamma agonist, cysteine-mediated oligomerizations, combinatorial associations and metabolic functions. Biochem J 416:161–177CrossRef Wong GW, Krawczyk SA, Kitidis-Mitrokostas C et al (2008) Molecular, biochemical and functional characterizations of C1q/TNF family members: adipose-tissue-selective expression patterns, regulation by PPAR-gamma agonist, cysteine-mediated oligomerizations, combinatorial associations and metabolic functions. Biochem J 416:161–177CrossRef
4.
Zurück zum Zitat Schaffler A, Buechler C (2012) CTRP family: linking immunity to metabolism. Trends Endocrinol Metab 23:194–204CrossRef Schaffler A, Buechler C (2012) CTRP family: linking immunity to metabolism. Trends Endocrinol Metab 23:194–204CrossRef
5.
Zurück zum Zitat Wei Z, Peterson JM, Lei X et al (2012) C1q/TNF-related protein-12 (CTRP12), a novel adipokine that improves insulin sensitivity and glycemic control in mouse models of obesity and diabetes. J Biol Chem 287:10301–10315CrossRef Wei Z, Peterson JM, Lei X et al (2012) C1q/TNF-related protein-12 (CTRP12), a novel adipokine that improves insulin sensitivity and glycemic control in mouse models of obesity and diabetes. J Biol Chem 287:10301–10315CrossRef
6.
Zurück zum Zitat Enomoto T, Ohashi K, Shibata R et al (2011) Adipolin/C1qdc2/CTRP12 protein functions as an adipokine that improves glucose metabolism. J Biol Chem 286:34552–34558CrossRef Enomoto T, Ohashi K, Shibata R et al (2011) Adipolin/C1qdc2/CTRP12 protein functions as an adipokine that improves glucose metabolism. J Biol Chem 286:34552–34558CrossRef
7.
Zurück zum Zitat Xu Y, Wang L, He J et al (2013) Prevalence and control of diabetes in Chinese adults. JAMA 310:948–959CrossRef Xu Y, Wang L, He J et al (2013) Prevalence and control of diabetes in Chinese adults. JAMA 310:948–959CrossRef
8.
Zurück zum Zitat Kim Y, Lim JH, Kim MY et al (2018) The adiponectin receptor agonist adiporon ameliorates diabetic nephropathy in a model of type 2 diabetes. J Am Soc Nephrol 29:1108–1127CrossRef Kim Y, Lim JH, Kim MY et al (2018) The adiponectin receptor agonist adiporon ameliorates diabetic nephropathy in a model of type 2 diabetes. J Am Soc Nephrol 29:1108–1127CrossRef
9.
Zurück zum Zitat Moradi N, Fadaei R, Khamseh ME et al (2019) Serum levels of CTRP3 in diabetic nephropathy and its relationship with insulin resistance and kidney function. PLoS ONE 14:e0215617CrossRef Moradi N, Fadaei R, Khamseh ME et al (2019) Serum levels of CTRP3 in diabetic nephropathy and its relationship with insulin resistance and kidney function. PLoS ONE 14:e0215617CrossRef
10.
Zurück zum Zitat Colman PG, Thomas DW, Zimmet PZ et al (1999) New classification and criteria for diagnosis of diabetes mellitus. The Australasian Working Party on Diagnostic Criteria for Diabetes Mellitus. N Z Med J 112:139–141PubMed Colman PG, Thomas DW, Zimmet PZ et al (1999) New classification and criteria for diagnosis of diabetes mellitus. The Australasian Working Party on Diagnostic Criteria for Diabetes Mellitus. N Z Med J 112:139–141PubMed
11.
Zurück zum Zitat Levey AS, Stevens LA (2010) Estimating GFR using the CKD Epidemiology Collaboration (CKD-EPI) creatinine equation: more accurate GFR estimates, lower CKD prevalence estimates, and better risk predictions. Am J Kidney Dis 55:622–627CrossRef Levey AS, Stevens LA (2010) Estimating GFR using the CKD Epidemiology Collaboration (CKD-EPI) creatinine equation: more accurate GFR estimates, lower CKD prevalence estimates, and better risk predictions. Am J Kidney Dis 55:622–627CrossRef
12.
Zurück zum Zitat Fadaei R, Moradi N, Kazemi T et al (2019) Decreased serum levels of CTRP12/adipolin in patients with coronary artery disease in relation to inflammatory cytokines and insulin resistance. Cytokine 113:326–331CrossRef Fadaei R, Moradi N, Kazemi T et al (2019) Decreased serum levels of CTRP12/adipolin in patients with coronary artery disease in relation to inflammatory cytokines and insulin resistance. Cytokine 113:326–331CrossRef
13.
Zurück zum Zitat Shanaki M, Moradi N, Fadaei R et al (2018) Lower circulating levels of CTRP12 and CTRP13 in polycystic ovarian syndrome: irrespective of obesity. PLoS ONE 13:e0208059CrossRef Shanaki M, Moradi N, Fadaei R et al (2018) Lower circulating levels of CTRP12 and CTRP13 in polycystic ovarian syndrome: irrespective of obesity. PLoS ONE 13:e0208059CrossRef
14.
Zurück zum Zitat Bai B, Ban B, Liu Z et al (2017) Circulating C1q complement/TNF-related protein (CTRP) 1, CTRP9, CTRP12 and CTRP13 concentrations in Type 2 diabetes mellitus: in vivo regulation by glucose. PLoS ONE 12:e0172271CrossRef Bai B, Ban B, Liu Z et al (2017) Circulating C1q complement/TNF-related protein (CTRP) 1, CTRP9, CTRP12 and CTRP13 concentrations in Type 2 diabetes mellitus: in vivo regulation by glucose. PLoS ONE 12:e0172271CrossRef
15.
Zurück zum Zitat Tan BK, Chen J, Hu J et al (2014) Circulatory changes of the novel adipokine adipolin/CTRP12 in response to metformin treatment and an oral glucose challenge in humans. Clin Endocrinol (Oxf) 81:841–846CrossRef Tan BK, Chen J, Hu J et al (2014) Circulatory changes of the novel adipokine adipolin/CTRP12 in response to metformin treatment and an oral glucose challenge in humans. Clin Endocrinol (Oxf) 81:841–846CrossRef
16.
Zurück zum Zitat Tan BK, Lewandowski KC, O’Hare JP et al (2014) Insulin regulates the novel adipokine adipolin/CTRP12: in vivo and ex vivo effects. J Endocrinol 221:111–119CrossRef Tan BK, Lewandowski KC, O’Hare JP et al (2014) Insulin regulates the novel adipokine adipolin/CTRP12: in vivo and ex vivo effects. J Endocrinol 221:111–119CrossRef
17.
Zurück zum Zitat Hu TY, Li LM, Pan YZ (2019) CTRP3 inhibits high glucose-induced human glomerular mesangial cell dysfunction. J Cell Biochem 120:5729–5736CrossRef Hu TY, Li LM, Pan YZ (2019) CTRP3 inhibits high glucose-induced human glomerular mesangial cell dysfunction. J Cell Biochem 120:5729–5736CrossRef
18.
Zurück zum Zitat Barbieri D, Goicoechea M et al (2019) Obesity and chronic kidney disease progression-the role of a new adipocytokine: c1q/tumour necrosis factor-related protein-1. Clin Kidney J 12:420–426CrossRef Barbieri D, Goicoechea M et al (2019) Obesity and chronic kidney disease progression-the role of a new adipocytokine: c1q/tumour necrosis factor-related protein-1. Clin Kidney J 12:420–426CrossRef
19.
Zurück zum Zitat Yi W, OuYang Q (2019) Adiponectin improves diabetic nephropathy by inhibiting necrotic apoptosis. Arch Med Sci 15:1321–1328CrossRef Yi W, OuYang Q (2019) Adiponectin improves diabetic nephropathy by inhibiting necrotic apoptosis. Arch Med Sci 15:1321–1328CrossRef
20.
Zurück zum Zitat Woziwodzka K, Dziewierz A, Pawica M et al (2019) Neutrophil-to-lymphocyte ratio predicts long-term all-cause mortality in patients with chronic kidney disease stage 5. Folia Med Cracov 59:55–70PubMed Woziwodzka K, Dziewierz A, Pawica M et al (2019) Neutrophil-to-lymphocyte ratio predicts long-term all-cause mortality in patients with chronic kidney disease stage 5. Folia Med Cracov 59:55–70PubMed
21.
Zurück zum Zitat Onalan E, Gozel N, Donder E (2019) Can hematological parameters in type 2 diabetes predict microvascular complication development? Pak J Med Sci 35:1511–1515PubMedPubMedCentral Onalan E, Gozel N, Donder E (2019) Can hematological parameters in type 2 diabetes predict microvascular complication development? Pak J Med Sci 35:1511–1515PubMedPubMedCentral
22.
Zurück zum Zitat Chai T, Zhang D, Li Z (2018) Analysis on influencing factors of abnormal renal function in elderly patients with type 2 diabetes mellitus. Minerva Endocrinol. 45(1):12–17PubMed Chai T, Zhang D, Li Z (2018) Analysis on influencing factors of abnormal renal function in elderly patients with type 2 diabetes mellitus. Minerva Endocrinol. 45(1):12–17PubMed
23.
Zurück zum Zitat Aronson D, Mittleman MA, Burger AJ (2004) Elevated blood urea nitrogen level as a predictor of mortality in patients admitted for decompensated heart failure. Am J Med 116:466–473CrossRef Aronson D, Mittleman MA, Burger AJ (2004) Elevated blood urea nitrogen level as a predictor of mortality in patients admitted for decompensated heart failure. Am J Med 116:466–473CrossRef
Metadaten
Titel
Reduced serum CTRP12 levels in type 2 diabetes are associated with renal dysfunction
verfasst von
Jinqiu Du
Jiajia Xu
Xiaoguang Wang
Yanyan Liu
Xue Zhao
Huijuan Zhang
Publikationsdatum
30.07.2020
Verlag
Springer Netherlands
Erschienen in
International Urology and Nephrology / Ausgabe 12/2020
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-020-02591-y

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