Evidence map›Paper›PMID 29214397›Full record

ArticleClinical and experimental medicine2018

Xanthine oxidase and uric acid as independent predictors of albuminuria in patients with diabetes mellitus type 2.

Aleksandra Klisic, Gordana Kocic, Nebojsa Kavaric, Milovan Jovanovic, Verica Stanisic, Ana Ninic

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In one paragraph

Article in Clinical and experimental medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. The Serum Uric Acid to Serum Creatinine Ratio is an Independent Risk Factor for Diabetic Kidney Disease.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022
    Article
  11. Article
  12. Early onset of hyperuricemia is associated with increased cardiovascular disease and mortality risk.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Article
  13. Risk Predictors of High Uric Acid Levels Among Patients with Type-2 Diabetes.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Article
  14. Article
  15. Review
  16. Observational
  17. Review
  18. Article
  19. Retinol-binding protein 4 versus albuminuria as predictors of estimated glomerular filtration rate decline in patients with type 2 diabetes.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2018
    Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Aleksandra KlisicCenter for Laboratory Diagnostics, Primary Health Care Center, Trg Nikole Kovacevica 6, 81000, Podgorica, Montenegro. aleksandranklisic@gmail.com.ORCID http://orcid.org/0000-0001-7870-0996
Gordana KocicDepartment of Medical Biochemistry, University of Nis - School of Medicine, Nis, Serbia.
Nebojsa KavaricCenter for Laboratory Diagnostics, Primary Health Care Center, Trg Nikole Kovacevica 6, 81000, Podgorica, Montenegro.
Milovan JovanovicCenter for Laboratory Diagnostics, Primary Health Care Center, Trg Nikole Kovacevica 6, 81000, Podgorica, Montenegro.
Verica StanisicClinical Center of Montenegro, Podgorica, Montenegro.
Ana NinicDepartment of Medical Biochemistry, University of Belgrade - Faculty of Pharmacy, Belgrade, Serbia.
University of Montenegro · MEUniversity of Belgrade · RSUniversity of Nis · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Xanthine oxidase (XO) is an important enzyme responsible for conversion of purine bases to uric acid and represents the major source of reactive oxygen species (ROS) production in circulation. Since pathophysiological mechanism of the relationship between XO activity and urinary albumin excretion (UAE) rate is not well elucidated, we aimed to investigate this association in patients with diabetes mellitus type 2 (DM2). In addition, we wanted to examine whether uric acid itself plays an independent role in albuminuria onset and progression, or it is only mediated through XO activity. A total of 83 patients with DM2 (of them 56.6% females) were included in this cross-sectional study. Anthropometric, biochemical parameters and blood pressure were obtained. Multivariate logistic regression analysis showed that uric acid and XO were the independent predictors for albuminuria onset in patients with DM2 [odds ratio (OR) 1.015, 95% CI (1.008-1.028), p = 0.026 and OR 1.015, 95% CI (1.006-1.026), p = 0.040, respectively]. Rise in uric acid for 1 µmol/L enhanced the probability for albuminuria by 1.5%. Also, elevation in XO activity for 1 U/L increased the probability for albuminuria for 1.5%. A total of 66.7% of variation in UAE could be explained with this Model. Both XO and uric acid are independently associated with albuminuria in diabetes. Better understanding of pathophysiological relationship between oxidative stress and albuminuria could lead to discoveries of best pharmacological treatment of XO- and/or uric acid-induced ROS, in order to prevent albuminuria onset and progression.

Indexed as

AgedAlbuminuriaCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedReactive Oxygen SpeciesUric AcidXanthine OxidaseReactive Oxygen SpeciesUric AcidXanthine OxidaseAlbuminuriaOxidative stressType 2 diabetesUric acidXanthine oxidase

Identifiers

PMID29214397
OpenAlexW2773498030

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.