Effects of N-acetyl cysteine on serum lipoprotein (a) and proteinuria in type 2 diabetic patients

Background: About 30-40% of diabetic patients who developed nephropathy have lipoprotein disorders, especially lipoprotein a [Lp(a)], which is related to atherosclerosis. Objectives: The aim of this study was to investigate the effect of N-acetyl cysteine (NAC) on the serum levels of Lp(a) and amoun...

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Main Authors: Hamid Rouhi, Forouzan Ganji
Format: Article
Language:English
Published: Society of Diabetic Nephropathy Prevention 2013-01-01
Series:Journal of Nephropathology
Subjects:
Online Access:https://nephropathol.com/PDF/JNP-2-61.pdf
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author Hamid Rouhi
Forouzan Ganji
author_facet Hamid Rouhi
Forouzan Ganji
author_sort Hamid Rouhi
collection DOAJ
description Background: About 30-40% of diabetic patients who developed nephropathy have lipoprotein disorders, especially lipoprotein a [Lp(a)], which is related to atherosclerosis. Objectives: The aim of this study was to investigate the effect of N-acetyl cysteine (NAC) on the serum levels of Lp(a) and amount of proteinuria in a group of type 2 diabetic patients with diabetic nephropathy. Patients and Methods: A total of 40, type 2 diabetic (T2D) patients, patients with proteinuria, were randomly divided into two groups. The experimental group was treated by NAC (1200 mg/day) for two months in conjunction with conventional treatment for diabetes and hypertension. Control group received routine medications. Results: No significant change was identified in serum Lp(a) during treatment with NAC (P >0.05). However, NAC decreased the amount of proteinuria, serum triglyceride (TG) level and systolic blood pressure in experimental group compared to the control group (P <0.05). Conclusions: These findings suggest that treatment with NAC has no significant effect on the serum level of Lp (a). However, it has beneficial effects on the reduction of proteinuria, serum TG level and systolic blood pressure in T2D patients with nephropathy. Further prospective studies are needed to determine its full role.
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spelling doaj.art-2d2874881f75413dbfd4ac64687feb8b2023-05-13T11:43:45ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192013-01-0121616610.5812/nephropathol.8940JNP_20130221171027Effects of N-acetyl cysteine on serum lipoprotein (a) and proteinuria in type 2 diabetic patientsHamid Rouhi0Forouzan Ganji1Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.Department of Internal Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.Background: About 30-40% of diabetic patients who developed nephropathy have lipoprotein disorders, especially lipoprotein a [Lp(a)], which is related to atherosclerosis. Objectives: The aim of this study was to investigate the effect of N-acetyl cysteine (NAC) on the serum levels of Lp(a) and amount of proteinuria in a group of type 2 diabetic patients with diabetic nephropathy. Patients and Methods: A total of 40, type 2 diabetic (T2D) patients, patients with proteinuria, were randomly divided into two groups. The experimental group was treated by NAC (1200 mg/day) for two months in conjunction with conventional treatment for diabetes and hypertension. Control group received routine medications. Results: No significant change was identified in serum Lp(a) during treatment with NAC (P >0.05). However, NAC decreased the amount of proteinuria, serum triglyceride (TG) level and systolic blood pressure in experimental group compared to the control group (P <0.05). Conclusions: These findings suggest that treatment with NAC has no significant effect on the serum level of Lp (a). However, it has beneficial effects on the reduction of proteinuria, serum TG level and systolic blood pressure in T2D patients with nephropathy. Further prospective studies are needed to determine its full role.https://nephropathol.com/PDF/JNP-2-61.pdfdiabetic nephropathylipoprotein (a)n-acetyl cysteine (nac)
spellingShingle Hamid Rouhi
Forouzan Ganji
Effects of N-acetyl cysteine on serum lipoprotein (a) and proteinuria in type 2 diabetic patients
Journal of Nephropathology
diabetic nephropathy
lipoprotein (a)
n-acetyl cysteine (nac)
title Effects of N-acetyl cysteine on serum lipoprotein (a) and proteinuria in type 2 diabetic patients
title_full Effects of N-acetyl cysteine on serum lipoprotein (a) and proteinuria in type 2 diabetic patients
title_fullStr Effects of N-acetyl cysteine on serum lipoprotein (a) and proteinuria in type 2 diabetic patients
title_full_unstemmed Effects of N-acetyl cysteine on serum lipoprotein (a) and proteinuria in type 2 diabetic patients
title_short Effects of N-acetyl cysteine on serum lipoprotein (a) and proteinuria in type 2 diabetic patients
title_sort effects of n acetyl cysteine on serum lipoprotein a and proteinuria in type 2 diabetic patients
topic diabetic nephropathy
lipoprotein (a)
n-acetyl cysteine (nac)
url https://nephropathol.com/PDF/JNP-2-61.pdf
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