Role of urinary H2O2, 8-iso-PGF2α, and serum oxLDL/β2GP1 complex in the diabetic kidney disease

PLoS One. 2022 Apr 5;17(4):e0263113. doi: 10.1371/journal.pone.0263113. eCollection 2022.

Abstract

Oxidant species is reported as a major determinant in the pathophysiology of diabetic kidney disease. However, reactive oxygen species (ROS) formation in the initial phase and progressing phase of diabetic kidney disease remains unclear. Therefore, we conducted this study to find out what ROS and their modified product are associated with eGFR in type 2 diabetes mellitus (T2DM) patients. A cross-sectional study was performed on 227 T2DM patients. The study subjects were divided into three groups based on their eGFR stage (Group 1, eGFR > 89 ml/min/1.73 m2; Group 2, eGFR = 60-89 ml/min/1.73 m2; and Group 3, eGFR < 60 ml/min/1.73 m2). Enzyme-linked immunosorbent assay (ELISA) was used to measure serum oxLDL/β2GPI complex and urinary 8-iso-PGF2α, while ferrous ion oxidation xylenol orange method 1 (FOX-1) was used to measure urinary hydrogen peroxide (H2O2). H2O2 significantly decreased across the groups, whereas OxLDL/β2GPI complex increased, but not significant, and there was no trend for 8-iso-PGF2α. Consistently, in the total study population, only H2O2 showed correlation with eGFR (r = 0.161, p = 0.015). Multiple linear regression analysis showed that significant factors for increased eGFR were H2O2, diastolic blood pressure, and female. Whereas increased systolic blood pressure and age were significant factors affecting the decrease of eGFR. We also found that urinary H2O2 had correlation with serum oxLDL/β2GPI complex in total population. This finding could lead to further research on urinary H2O2 for early detection and research on novel therapies of diabetic kidney disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biomarkers
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2* / complications
  • Diabetic Nephropathies*
  • Dinoprost / analogs & derivatives
  • Female
  • Humans
  • Hydrogen Peroxide
  • Lipoproteins, LDL
  • Reactive Oxygen Species

Substances

  • Biomarkers
  • Lipoproteins, LDL
  • Reactive Oxygen Species
  • oxidized low density lipoprotein
  • 8-epi-prostaglandin F2alpha
  • Dinoprost
  • Hydrogen Peroxide

Grants and funding

This study was supported by Q1Q2 Grant from Directorate of Research and Community Engagement, Universitas Indonesia (NKB- 0201/UN2.R3.1/HKP.05.00/2019). The awardees is Rani Sauriasari. The url of funder website is https://research.ui.ac.id/. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.