Urine Immunoglobin G Greater Than 2.45 mg/L Has a Correlation with the Onset and Progression of Diabetic Kidney Disease: A Retrospective Cohort Study
Aim: To further assess the correlation between urine immunoglobin G (IgG) greater than 2.45 mg/L and the onset and progression of diabetic kidney disease (DKD). Methods: One thousand and thirty-five patients with type 2 diabetes mellitus (T2DM) were divided into two groups based on the baseline leve...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2023-02-01
|
Series: | Journal of Personalized Medicine |
Subjects: | |
Online Access: | https://www.mdpi.com/2075-4426/13/3/452 |
_version_ | 1797610761363652608 |
---|---|
author | Cheng Meng Jiujing Chen Xiaoyue Sun Shilin Guan Hong Zhu Yongzhang Qin Jingyu Wang Yongmei Li Juhong Yang Baocheng Chang |
author_facet | Cheng Meng Jiujing Chen Xiaoyue Sun Shilin Guan Hong Zhu Yongzhang Qin Jingyu Wang Yongmei Li Juhong Yang Baocheng Chang |
author_sort | Cheng Meng |
collection | DOAJ |
description | Aim: To further assess the correlation between urine immunoglobin G (IgG) greater than 2.45 mg/L and the onset and progression of diabetic kidney disease (DKD). Methods: One thousand and thirty-five patients with type 2 diabetes mellitus (T2DM) were divided into two groups based on the baseline levels of 24 h urinary albumin excretion (24 h UAE): one group with 24 h UAE < 30 mg/24 h and one with 24 h UAE ≥ 30 mg/24 h. The groups were subdivided using baseline levels of urine IgG (≤2.45 mg/L and >2.45 mg/L; hereafter, the Low and High groups, respectively). We used logistic regression to assess the risk of urine IgG and it exceeding 2.45 mg/L. Kaplan–Meier curves were used to compare the onset and progression time of DKD. The receiver operating characteristic curve was used to test the predictive value of urine IgG exceeding 2.45 mg/L. Results: Urine IgG was an independent risk factor for the onset and progression of DKD. The rate and risk of DKD onset and progression at the end of follow-up increased significantly in the High group. The onset and progression time of DKD was earlier in the High group. Urine IgG exceeding 2.45 mg/L has a certain predictive value for DKD onset. Conclusions: Urine IgG exceeding 2.45 mg/L has a correlation with the onset and progression of DKD, and it also has a certain predictive value for DKD onset. |
first_indexed | 2024-03-11T06:18:47Z |
format | Article |
id | doaj.art-07483c3c7c85420aa13529348a797ad5 |
institution | Directory Open Access Journal |
issn | 2075-4426 |
language | English |
last_indexed | 2024-03-11T06:18:47Z |
publishDate | 2023-02-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Personalized Medicine |
spelling | doaj.art-07483c3c7c85420aa13529348a797ad52023-11-17T12:02:31ZengMDPI AGJournal of Personalized Medicine2075-44262023-02-0113345210.3390/jpm13030452Urine Immunoglobin G Greater Than 2.45 mg/L Has a Correlation with the Onset and Progression of Diabetic Kidney Disease: A Retrospective Cohort StudyCheng Meng0Jiujing Chen1Xiaoyue Sun2Shilin Guan3Hong Zhu4Yongzhang Qin5Jingyu Wang6Yongmei Li7Juhong Yang8Baocheng Chang9NHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, ChinaNHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, ChinaNHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, ChinaNHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin 300134, ChinaNHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, ChinaNHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, ChinaNHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, ChinaNHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, ChinaNHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, ChinaAim: To further assess the correlation between urine immunoglobin G (IgG) greater than 2.45 mg/L and the onset and progression of diabetic kidney disease (DKD). Methods: One thousand and thirty-five patients with type 2 diabetes mellitus (T2DM) were divided into two groups based on the baseline levels of 24 h urinary albumin excretion (24 h UAE): one group with 24 h UAE < 30 mg/24 h and one with 24 h UAE ≥ 30 mg/24 h. The groups were subdivided using baseline levels of urine IgG (≤2.45 mg/L and >2.45 mg/L; hereafter, the Low and High groups, respectively). We used logistic regression to assess the risk of urine IgG and it exceeding 2.45 mg/L. Kaplan–Meier curves were used to compare the onset and progression time of DKD. The receiver operating characteristic curve was used to test the predictive value of urine IgG exceeding 2.45 mg/L. Results: Urine IgG was an independent risk factor for the onset and progression of DKD. The rate and risk of DKD onset and progression at the end of follow-up increased significantly in the High group. The onset and progression time of DKD was earlier in the High group. Urine IgG exceeding 2.45 mg/L has a certain predictive value for DKD onset. Conclusions: Urine IgG exceeding 2.45 mg/L has a correlation with the onset and progression of DKD, and it also has a certain predictive value for DKD onset.https://www.mdpi.com/2075-4426/13/3/452immunoglobulin Gtype 2 diabetes mellitus24-h urinary albumin excretion rateestimated glomerular filtration rate |
spellingShingle | Cheng Meng Jiujing Chen Xiaoyue Sun Shilin Guan Hong Zhu Yongzhang Qin Jingyu Wang Yongmei Li Juhong Yang Baocheng Chang Urine Immunoglobin G Greater Than 2.45 mg/L Has a Correlation with the Onset and Progression of Diabetic Kidney Disease: A Retrospective Cohort Study Journal of Personalized Medicine immunoglobulin G type 2 diabetes mellitus 24-h urinary albumin excretion rate estimated glomerular filtration rate |
title | Urine Immunoglobin G Greater Than 2.45 mg/L Has a Correlation with the Onset and Progression of Diabetic Kidney Disease: A Retrospective Cohort Study |
title_full | Urine Immunoglobin G Greater Than 2.45 mg/L Has a Correlation with the Onset and Progression of Diabetic Kidney Disease: A Retrospective Cohort Study |
title_fullStr | Urine Immunoglobin G Greater Than 2.45 mg/L Has a Correlation with the Onset and Progression of Diabetic Kidney Disease: A Retrospective Cohort Study |
title_full_unstemmed | Urine Immunoglobin G Greater Than 2.45 mg/L Has a Correlation with the Onset and Progression of Diabetic Kidney Disease: A Retrospective Cohort Study |
title_short | Urine Immunoglobin G Greater Than 2.45 mg/L Has a Correlation with the Onset and Progression of Diabetic Kidney Disease: A Retrospective Cohort Study |
title_sort | urine immunoglobin g greater than 2 45 mg l has a correlation with the onset and progression of diabetic kidney disease a retrospective cohort study |
topic | immunoglobulin G type 2 diabetes mellitus 24-h urinary albumin excretion rate estimated glomerular filtration rate |
url | https://www.mdpi.com/2075-4426/13/3/452 |
work_keys_str_mv | AT chengmeng urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy AT jiujingchen urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy AT xiaoyuesun urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy AT shilinguan urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy AT hongzhu urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy AT yongzhangqin urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy AT jingyuwang urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy AT yongmeili urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy AT juhongyang urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy AT baochengchang urineimmunoglobinggreaterthan245mglhasacorrelationwiththeonsetandprogressionofdiabetickidneydiseasearetrospectivecohortstudy |