Evaluation of Serum Levels of Tissue Inhibitor Metalloproteinase-1and Matrix Metalloproteinase-1 in Egyptian Patients with Diabetic Nephropathy
Moushira Zaki1, Mona Abd Elmotaleb A. Hussein2, Hend M. Tawfeek3, Nadia Mohamed Ahmed4, Amr M M Ibrahim4 and Eman R. Youness4*

1Biological Anthropology Department, National Research Centre, Giza, Egypt.

2Internal Medicine National Institute of Diabetes and Endocrinology, Cairo, Egypt.

3Internal Medicine Faculty of Medicine, Al-Azhar University- Girls.

4Medical Biochemistry Department, Medical Research Division, National Research Centre, Giza, Egypt.

Corresponding Author E-mail: hoctober2000@yahoo.com

Abstract: We aimed to evaluate the levels of serum tissue inhibitor metalloproteinase-1 (TIMP-1) and matrix metalloproteinase-1 (MMP-1) in patients with type 2 diabetes (T2D)alone and in diabetic nephropathy(DN) and assess their relation with other clinical features. This study was conducted on 30 patients withT2D, 30 with diabetic nephropathy (DN) and 50 age- corresponded healthy individuals. Serum MMP-1 and TIMP-1 were measured with ELISA in patients and controls. Elevated serum concetrations of TIMP-1 and MMP-1 were recognized in DN group compared to patients with T2D alone as well as controls.  Positive correlation was also observed between MMP-1, TIMP-1, FBG and HbA1c in DN group. In multiple linear regression analysis HBLA1c, TG and low HDL were selected as components significantly related to MMP-1 and TIMP-1 in DN patients. in conclusion, serum MMP-1 and TIMP-1were significantly increased in DN. Further, in DM type 2 both markers were not significantly increased than controls. These blood biomarkers are associated with DN and might be salutary in clinical discrimination of DN in patients with type 2 diabetes.

Keywords: DN; HbA1c; MMP-1;  TIMP-1

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