Abstract
Context: Type 2 diabetes mellitus (DM2) is a prevalent disease that can affect various organs. Diabetic kidney disease (DKD) is one of the complications of DM2.
Objective: To understand the sociodemographic and clinical characteristics, clinical laboratory findings, and interleukin (IL)-17 and IL-33 biomarkers in plasma and urine of our population with DM2 and DKD, and to determine if there are differences compared to patients without DKD and without DM2.
Methodology: This cross-sectional study obtained data from medical records. IL-17 and IL-33 levels in plasma and urine were measured using commercially available enzyme-linked immunosorbent assay kits.
Results: The study included 62 patients with DM2: 23 patients with DKD, 39 patients without DKD, and 29 patients without DM2. Patients with DM2 had higher levels of IL-17 in urine compared to patients without DM2 (p<0.001). Patients without DKD had higher levels of IL-33 in plasma compared to patients with DKD (p=0.0046). In patients with DM2, there was a positive correlation between IL-17 and IL-33 levels in urine. The plasma levels of IL-33 had an area under the curve of 0.74 in distinguishing between patients with and without DKD.
Conclusions: IL-17 levels in urine are higher in patients with DM2. IL-33 levels in plasma are higher in patients without DKD. The level of IL-33 in plasma could be useful in differentiating cases of DKD.
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