Association between Urinary Levels of Interleukin-6, Interleukin-10 and Tumor Necrosis Factor-Alpha with Glomerular and Tubular Damage Indicators in Patients with Type 2 Diabetes

Clin Lab. 2019 Nov 1;65(11). doi: 10.7754/Clin.Lab.2019.190410.

Abstract

Background: This study investigated the association between urinary levels of interleukin (IL)-6, IL-10, and tumor necrosis factor-alpha (TNF-α) with estimated glomerular filtration rate (eGFR), urinary albumin/creatinine ratio (uACR), and urinary neutrophil gelatinase-associated lipocalin (uNGAL) in patients with type 2 diabetes (T2D).

Methods: Urinary concentrations of IL-6, IL-10, TNF-α, ACR, and NGAL were measured in 121 patients with T2D.

Results: Urinary IL-6 and TNF-α increased 45.5% and 49.4% in the highest uACR quartile compared to lowest quartile. Urinary IL-10 levels decreased 40.9% in the highest uACR quartile compared to the lowest quartile. Urinary IL-6 and TNF-α were 75.3% and 81.6%, higher in the highest uNGAL quartile compared to the lowest quartile. Urinary IL-10 concentration was 69.8% lower in patients from the highest uNGAL quartile compared to lowest quartile.

Conclusions: Urinary IL-6, IL-10, and TNF-α were associated with indicators of glomerular and tubular injuries in patients with T2D.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Albuminuria / etiology
  • Albuminuria / physiopathology
  • Albuminuria / urine
  • Biomarkers / urine
  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diabetes Mellitus, Type 2 / urine
  • Diabetic Nephropathies / diagnosis
  • Diabetic Nephropathies / etiology
  • Diabetic Nephropathies / physiopathology
  • Diabetic Nephropathies / urine*
  • Female
  • Glomerular Filtration Rate
  • Humans
  • Interleukin-10 / urine*
  • Interleukin-6 / urine*
  • Kidney Glomerulus / physiopathology
  • Kidney Tubules / physiopathology
  • Lipocalin-2 / urine
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Tumor Necrosis Factor-alpha / urine*

Substances

  • Biomarkers
  • IL10 protein, human
  • IL6 protein, human
  • Interleukin-6
  • LCN2 protein, human
  • Lipocalin-2
  • TNF protein, human
  • Tumor Necrosis Factor-alpha
  • Interleukin-10