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Cross-sectional association of serum C-reactive protein and uric acid with albuminuria in Chinese type 2 diabetic patients

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Background Evidences show that subclinical chronic inflammation is involved in the pathogenesis of diabetic nephropathy.The aim of this study was to examine the relationship between serum C-reactive protein (CRP),serum uric acid,and albuminuria in Chinese type 2 diabetic patients.Methods A total of 1162 type 2 diabetic patients were recruited.All participants had relevant clinical and laboratory measurements.CRP was measured using a particle enhanced immunoturbidimetric assay.Results In the multiple linear regression model,natural log-transformed CRP (InCRP) and uric acid were independent predictors of natural log-transformed urinary albumin to creatinine ratio (InACR) (β=0.18,95% CI 0.10-0.27,P <0.001 and β=0.18,95% CI 0.09-0.27,P <0.001).The interaction of InCRP with uric acid was also associated with InACR (β=0.04,95% CI 0.02-0.06,P <0.001).In the full-adjusted logistic regression model,the OR for albuminuria of the patients in the third tertile levels of CRP and uric acid was 3.94 compared with patients in the first tertile levels of CRP and uric acid (95%CI 1.73-8.94,P <0.001).Conclusions Elevated serum CRP and increased serum uric acid level were associated with albuminuria in Chinese type 2 diabetic patients.Moreover,CRP and uric acid had an interactive effect on albuminuria.

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作者单位: Department of Endocrinology and Metabolism, Zhongshan Hospital, Fudan University, Shanghai 200032, China [1]
期刊: 《中华医学杂志(英文版)》2013年126卷21期 4023-4029页 SCIMEDLINEISTICCSCDBP
栏目名称: ORIGINAL ARTICLES
DOI: 10.3760/cma.j.issn.0366-6999.20131485
发布时间: 2013-12-06
基金项目:
grants from the Ministry of Science and Technology of China the Major Project of Subject Construction of Shanghai Bureau of Health
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