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Association of circulating sTRAIL and high-sensitivity CRP with type 2 diabetic nephropathy and foot ulcers. | LitMetric

AI Article Synopsis

  • Hyperglycemia may lead to apoptosis, and TRAIL has been connected to diabetes, particularly in type 2 diabetic nephropathy patients with foot disease.
  • Twenty-two patients with diabetic nephropathy and foot ulcers were studied, examining their serum-soluble TRAIL and hs-CRP levels against healthy controls.
  • Results showed that patients had lower sTRAIL levels and that hs-CRP was linked to age and other health metrics, indicating that TRAIL may have a protective function in these patients.

Article Abstract

Background: Hyperglycemia is among the potent factors that may induce or facilitate apoptosis. TNF-Related Apoptosis-Inducing Factor (TRAIL) is known for its apoptotic and immunomodulatory effects that have recently been correlated with diabetes. We examined serum-soluble TRAIL (sTRAIL) and high-sensitivity CRP (hs-CRP) levels and their association with various distinct parameters in type 2 diabetic nephropathy patients with diabetic foot disease.

Material/methods: Twenty-two diabetic nephropathy patients with foot ulcers were enrolled in our study. Patients had been diagnosed with diabetes at age 24±10.58 years. Circulating sTRAIL and Hs-CRP levels were compared with control values, and possible correlations were investigated with parameters such as age, Wagner's Grade (WG), BMI, HbA1c, and creatinine.

Results: Serum sTRAIL levels were significantly reduced in the patient group, compared to healthy subjects. High HsCRP levels correlated with age, and WGS correlated with BMI and creatinine levels.

Conclusions: Significantly suppressed sTRAIL levels in diabetic nephropathy patients with foot ulcers compared to healthy controls suggest a protective role for TRAIL in the disease setting.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3762395PMC
http://dx.doi.org/10.12659/MSM.889514DOI Listing

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