Extracellular matrix turnover proteins as risk markers in people with type 2 diabetes and microalbuminuria
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Extracellular matrix turnover proteins as risk markers in people with type 2 diabetes and microalbuminuria. / Skriver-Møller, Anne Cathrine; Møller, Alexandra L.; Blond, Martin B.; Rasmussen, Daniel G.K.; Genovese, Federica; Reinhard, Henrik; von Scholten, Bernt J.; Jacobsen, Peter K.; Parving, Hans Henrik; Karsdal, Morten A.; Hansen, Tine W.; Rossing, Peter.
In: Journal of Diabetes and its Complications, Vol. 38, No. 6, 108765, 2024.Research output: Contribution to journal › Journal article › Research › peer-review
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T1 - Extracellular matrix turnover proteins as risk markers in people with type 2 diabetes and microalbuminuria
AU - Skriver-Møller, Anne Cathrine
AU - Møller, Alexandra L.
AU - Blond, Martin B.
AU - Rasmussen, Daniel G.K.
AU - Genovese, Federica
AU - Reinhard, Henrik
AU - von Scholten, Bernt J.
AU - Jacobsen, Peter K.
AU - Parving, Hans Henrik
AU - Karsdal, Morten A.
AU - Hansen, Tine W.
AU - Rossing, Peter
N1 - Publisher Copyright: © 2024 Elsevier Inc.
PY - 2024
Y1 - 2024
N2 - Background: This post-hoc study investigated whether biomarkers reflecting extracellular matrix (ECM) turnover predicted cardiovascular disease (CVD), mortality, and progression of diabetic kidney disease (DKD) in individuals with type 2 diabetes (T2D) and microalbuminuria. Methods: Serum levels of specific ECM turnover biomarkers were assessed in 192 participants with T2D and microalbuminuria from an observational study conducted at Steno Diabetes Center Copenhagen from 2007 to 2008. Endpoints included CVD events, mortality, and DKD progression, defined as decline in estimated glomerular filtration rate (eGFR) of >30 %. Results: Participants had a mean age of 59 years, with 75 % males. Over a median follow-up of 4.9 to 6.3 years, the study recorded 38 CVD events, 24 deaths, and 40 DKD events. Elevated levels of a degradation fragment of collagen type I (C1M) were associated with an increased risk of >30 % eGFR decline, although this association was not independent of other risk factors. No significant associations were found between other ECM turnover biomarkers and DKD progression, mortality, or CVD risk. Conclusion: Elevated C1M levels were linked to DKD progression in individuals with T2D and microalbuminuria, but not independently of other risk factors. None of the ECM turnover biomarkers were associated with CVD or mortality.
AB - Background: This post-hoc study investigated whether biomarkers reflecting extracellular matrix (ECM) turnover predicted cardiovascular disease (CVD), mortality, and progression of diabetic kidney disease (DKD) in individuals with type 2 diabetes (T2D) and microalbuminuria. Methods: Serum levels of specific ECM turnover biomarkers were assessed in 192 participants with T2D and microalbuminuria from an observational study conducted at Steno Diabetes Center Copenhagen from 2007 to 2008. Endpoints included CVD events, mortality, and DKD progression, defined as decline in estimated glomerular filtration rate (eGFR) of >30 %. Results: Participants had a mean age of 59 years, with 75 % males. Over a median follow-up of 4.9 to 6.3 years, the study recorded 38 CVD events, 24 deaths, and 40 DKD events. Elevated levels of a degradation fragment of collagen type I (C1M) were associated with an increased risk of >30 % eGFR decline, although this association was not independent of other risk factors. No significant associations were found between other ECM turnover biomarkers and DKD progression, mortality, or CVD risk. Conclusion: Elevated C1M levels were linked to DKD progression in individuals with T2D and microalbuminuria, but not independently of other risk factors. None of the ECM turnover biomarkers were associated with CVD or mortality.
KW - Cardiovascular
KW - Diabetes
KW - Extracellular matrix biomarkers
KW - Kidney
KW - Mortality
KW - Prospective
U2 - 10.1016/j.jdiacomp.2024.108765
DO - 10.1016/j.jdiacomp.2024.108765
M3 - Journal article
C2 - 38749295
AN - SCOPUS:85192864601
VL - 38
JO - Journal of Diabetes and its Complications
JF - Journal of Diabetes and its Complications
SN - 1056-8727
IS - 6
M1 - 108765
ER -
ID: 392569875