The low levels of bone morphogenic protein-4 and its antagonist noggin in type 2 diabetes
dc.contributor.author | Yurekli, Banu Sarer | |
dc.contributor.author | Kocabas, Gokcen Unal | |
dc.contributor.author | Aksit, Murat | |
dc.contributor.author | Kutbay, Nilufer Ozdemir | |
dc.contributor.author | Suner, Asli | |
dc.contributor.author | Yurekli, Ismail | |
dc.contributor.author | Cakir, Habib | |
dc.contributor.author | Bozkaya, Giray | |
dc.contributor.author | Cetinkalp, Sevki | |
dc.date.accessioned | 2019-10-27T10:05:13Z | |
dc.date.available | 2019-10-27T10:05:13Z | |
dc.date.issued | 2018 | |
dc.department | Ege Üniversitesi | en_US |
dc.description.abstract | Objective Bone morphogenic protein-4 (BMP-4) is a proinflammatory cytokine which is controlled by BMP-4 antagonists. Our aim was to investigate the levels of BMP-4 and its antagonists, noggin and matrix Gla protein (MGP), in prediabetes and diabetes. Design One hundred and forty-two type 2 diabetic, 32 prediabetic, and 58 control subjects participated in this cross-sectional study. BMP-4, noggin, and MGP were measured with the ELISA method. Results There was a significant difference between the three groups in relation to sex, hypertension, fasting plasma glucose, HbA1c, lipid profiles, and diastolic blood pressure (p < 0.05). BMP-4 levels were significantly lower in the diabetic group compared to the control group (108.5 and 127.5 ng/mL, respectively, p < 0.001 diabetes vs. control). Noggin levels were significantly lower in the diabetic group compared to the prediabetic and control groups (10.5, 11.5, and 12.0 ng/mL, as median, respectively, p < 0.001; diabetes vs. control, p = 0.002; diabetes vs. prediabetes). BMP-4 was associated significantly with noggin in the entire study population (beta coefficient = 0.796, p < 0.001). Receiver operating characteristic (ROC) curve analysis showed that the area under the ROC curve was 0.708 (95% CI 0.551-0.864, p = 0.011) for BMP-4 levels. The optimal cutoff value of BMP-4 for detecting albuminuria was 118.5 ng/mL for which sensitivity was 71.4% and specificity was 66.4%. Conclusions BMP-4 and noggin levels were lower in the diabetic group. High BMP-4 levels were significantly associated with albuminuria. Further studies are warranted to determine the role of BMP-4 in the pathogenic processes underlying albuminuria and hyperglycemia in patients with type 2 diabetes. | en_US |
dc.description.sponsorship | Ege University Scientific Research Project Committee [2015-TIP-034] | en_US |
dc.description.sponsorship | This work was supported by the Ege University Scientific Research Project Committee, with project number 2015-TIP-034. | en_US |
dc.identifier.doi | 10.1007/s42000-018-0041-5 | en_US |
dc.identifier.endpage | 253 | en_US |
dc.identifier.issn | 1109-3099 | |
dc.identifier.issn | 2520-8721 | |
dc.identifier.issue | 2 | en_US |
dc.identifier.pmid | 29943307 | en_US |
dc.identifier.scopusquality | Q2 | en_US |
dc.identifier.startpage | 247 | en_US |
dc.identifier.uri | https://doi.org/10.1007/s42000-018-0041-5 | |
dc.identifier.uri | https://hdl.handle.net/11454/30330 | |
dc.identifier.volume | 17 | en_US |
dc.identifier.wos | WOS:000438142000010 | en_US |
dc.identifier.wosquality | Q4 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.language.iso | en | en_US |
dc.publisher | Springer International Publishing Ag | en_US |
dc.relation.ispartof | Hormones-International Journal of Endocrinology and Metabolism | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | BMP-4 | en_US |
dc.subject | Antagonists | en_US |
dc.subject | Urinary albumin excretion | en_US |
dc.title | The low levels of bone morphogenic protein-4 and its antagonist noggin in type 2 diabetes | en_US |
dc.type | Article | en_US |