Evaluation the correlation between Inulin and Cystatin C with kidney function tests and GFR in patients with renal disorders

Main Article Content

Nawar Mohsin Abd-alaziz
Wasan Nazhan Hussein

Abstract

Background: Kidneys are important organs in the human body because of their great importance in assisting the body to remove waste products that resulting from food metabolism through renal filtration of blood plasma from unwanted substances and excreted through diuresis and recover substances that body needs to the blood, relative effectiveness of the kidney can be estimated by measuring the efficiency of glomerular filteration rate (GRF), represented by amount of inulin filtrate into renal tubules for a specified period of time, any difference in normal value indicates the presence of a disorder in the kidney, which affects on performance of its functions and occurrence of imbalance in internal environment of the body, and leads to disrupting functions of other parts of the body, measuring rate of renal filtration is one of the best ways to know function of the kidneys and diagnose various kidney diseases and prevent their development.


Materials and Methods : The study included measuring rate of inulin clearance in the blood plasma, and estimating level of cystatin C and a number of biochemical variables in serum and evaluation the effect of body mass index BMI. 50 sample was collected from patients with chronic renal failure, and 50 sample of patients with diabetic nephropathy and 50 sample  as control group.


Results: The results indicate that a significant decrease in the rate of inulin clearance in plasma and serum albumin, with a significant increase in level of serum cystatin C, glucose, urea and creatinine, and  a non significant differences in level of serum uric acid in patients with chronic renal failure and diabetic nephropathy as compared to control group.

Article Details

How to Cite
Nawar Mohsin Abd-alaziz, & Wasan Nazhan Hussein. (2020). Evaluation the correlation between Inulin and Cystatin C with kidney function tests and GFR in patients with renal disorders. Tikrit Journal of Pure Science, 25(3), 19–25. https://doi.org/10.25130/tjps.v25i3.247
Section
Articles

References

[1] Cinnamon,V.; Jennifer,R.; Andrew,R. and Rod,S. (2017).Seeley's Anatomy & Physiology11th Edition. McGraw-Hill Education. p 321-323.

[2] Levey A.S., Inker L.A., Assessment of glomerular filtration rate in health and disease: a state of the art review, Clin. Pharmacol. Ther. 102 (2017) 405–419 .

[3] Kuchta A.; Pacanis A.; Kortas-Stempak B.; Çwiklińska A.; Ziętkiewicz M.; Renke M. ; et al. Estimation of oxidative stress markers in chronic kidney disease. Kidney and Blood Pressure Res.; (2011). 34(1):12-9.

[4] Lotfy H, Sabry S, Ghobrial, E, Abed S, The effect of regular hemodialysis on the nutritional status of children with end-stage renal disease. Saudi Journal of Kidney Diseases and Transplantation, 2015; 26(2): 263.

[5] Cao, Zemin, Cooper, Mark E. Pathogenesis of diabetic nephropathy. Journal of Diabetes Investigation . 2011; 2 (4): 243–247.

[6] Carmen M, Virginia D, Mercedes M . Diabetic kidney disease from physiology to therapeutics . J.Physiol.2014; 592 (18): 3997–4012.

[7] Lesley A. Inker MD, MS Andrew S. Levey MD, Measurement and Estimation of Kidney Function . Chronic Kidney Disease, Dialysis, and Transplantation (Fourth Edition). 2019, Pages 23-41.

[8] STANLEY HELLERSTEIN, MAX BERENBOM, thu ALON, and BRADLEY A. WARADY, The renal clearance and infusion clearance of inulin are similar,but not identical. Kidney International, Vol. 44 (1993), pp. 1058-1061.

[9] STERNER G., FRENNBY B. , MANSSON S. , NYMAN U, VAN D. WESTEN &T. ALME ´ N, Determining ‘true’ glomerular filtration rate in healthy adults using infusion of inulin and comparing it with values obtained using other clearance techniques or prediction equations. Scandinavian Journal of Urology and Nephrology, 2008; 42: 278-285 .

[10] Sturgeon, C., Sam, A.D., Law, W.R., 1998. Rapid determination of glomerular filtration rate by single-bolus inulin: a comparison of estimation analyses. J. Appl.Physiol. 84, 2154–2162.

[11] Muller-Suur R, Goransson M, Olsen L, Backlund G,Backlund L. Inulin single injection clearance. Microsample tech-nique useful in children for determination of glomerular filtrationrate. Clin Physiol. 1983;3(1):19-27.

[12] Moreira E, Lima R, Navarro L H, Nakamura G, Solanki DR, Castiglia Y M. et al. Serum cystatin C is a sensitive early marker for changes in the glomerular filtration rate in patients undergoing laparoscopic surgery. Clinics. (2014) ;69(6):378-83.

[13] Wong C W, Teo B.W.; Lamoureux E. Ikram M.K.; Wang J.J.; Tai E.S. et al. Serum cystatin C markers of chronic kidney disease and retinopathy in persons with diabetes. J. of diabetes research(2015).

[14] Mumtaz Takira, Aslı Dogruk Unalb, Osman Kostekc, Nilufer Bayraktarb, Nilgun Guvener Demirag, Cystatin-C and TGF-β levels in patients with diabetic nephropathy. Nefrologia 2016;36(6): 653–659.

[15] Zainal I G. Relationship between Thyroid Function Cystatin C and Different Oxidative Stress in Iraqi Patients with Chronic Kidney Disease. Med. J. of Babylon.(2016);13(2):337-46.

[16] Ali A S, Shamkhi F B, El-Yassin H D. Serum Cystatin C as a Predictor of Acute Kidney Transplant Rejection. J. of the Faculty of Med. (2015);57(3):188-92.

[17] Lang J, Katz R, Ix JH, Gutierrez OM, Peralta CA, Parikh CR, Satterfield S, Petrovic S, Devarajan P, Bennett M, Fried LF, Cummings SR, Sarnak MJ, Shlipak MG, Association of serum albumin levels with kidney function decline and incident chronic kidney disease in elders. Nephrol Dial Transplant. (2017) .

[18] Junlin Zhang, Rui Zhang, Yiting Wang, Hanyu Li, Qianqian Han, Yucheng Wu, Tingli Wang, and Fang Liu, The Level of Serum Albumin Is Associated with Renal Prognosis in Patients with Diabetic Nephropathy. Journal of Diabetes Research.(2019) .

[19] Roche, M.; Rondeau, P.; singh, M.; Tarnus, E.; Bourdon,E. The antioxidant properties of serum albumin . FEBS Letters . 2008;582: 1783-1787.

[20] Maher Borai Mohammad Borai, Manar Mostafa Al-Zaki, Hala Abdel-Hameed Abdel-Azeez. Serum Chemerin as a Predictor of Coronary Artery Diseases in type 2 Diabetes. International Journal of Advanced Research 2016; 4 (6): 1337-1343.

[21] Radica Z. Alicic, Michele T. Rooney and Katherine R. Tuttle, Diabetic Kidney Disease Challenges, Progress, and Possibilities. Clin J Am Soc Nephrol 2017;12: 2032–2045,

[22] Akchurin OM, Kaskel F. Update on inflammation in chronic kidney disease.Blood Purif. 2015; 39: 84-92.

[23] Miao Y, Ottenbros SA, Laverman GD, et al. Effect of a reduction in uric acid on renal outcomes during losartan treatment: a post hoc analysis of the reduction of end points in non-insulin-dependent diabetes mellitus with the Angiotensin IIAntagonist Losartan Trial. Hypertension. 2011;58: 2-7.

[24] Sun Y, George J, Rocha S. Dose-dependent effects of allopurinol on human foreskin fibroblast cells and human umbilical vein endothelial cells under hypoxia. PLoS One.2015;10:e0123649.

[25] Prieto-Moure B, Carabén-Redaño A, Aliena-Valero A,Cejalvo D, Toledo AH, Flores-Bellver M, et al. Allopurinol in renal ischemia. J Invest Surg. 2014;27:304-16.

[26] Watanabe S, Kang D H, Feng L, Nakagawa T, Kanellis J, Lan H. et.al. Uric acid hominoid evolution and the pathogenesis of salt-sensitivity. Hypertension.(2002); 1;40(3):355-60.

[27] Marian Goicoechea, Soledad García de Vinuesa, Ursula Verdalles, Caridad Ruiz-Caro Jara Ampuero, Abraham Rinco ´n, David Arroyo, and Jose ´ Lun ˜o , Effect of allopurinol in chronic kidney disease progression and cardiovascular risk. Clin J Am Soc Nephrol 5: 1388–1393, 2010 .

[28] Richard J. Johnson ,Takahiko Nakagawa ,Diana Jalal ,Laura Gabriela Sánchez-Lozada ,Duk-Hee Kang, and Eberhard Ritz ,Uric acid and chronic kidney disease: which is chasing which? Nephrol Dial Transplant 28: 2221–2228, (2013).

[29] Amirhesam Alirezaei, Hassan Argani, Masoumeh Asgharpour, Ayad Bahadorimonfared, Mahmood Bakhtiyari, An update on allopurinol and kidney failure; newtrend for an old drug . J Renal Inj Prev. 2017; 6(4): 297-302.

[30] Aljumaili, Wissam Sabhan Khalaf, "Partial purification of the hormone of the two copeptics and its relationship with some biochemical variables in patients with chronic renal failure in Kirkuk." Ph.D. Thesis, College of Education for Pure Sciences, Tikrit University. 2019.

[31] Jumaa,I. A. (2013). Study of Some Biochemical Parameters in Blood Serum of Patients with Chronic Renal Failure. Journal of Basrah Researches (Sciences); 39: 4.

[32] SA Bamanikar, AA Bamanikar, A Arora , Study of Serum urea and Creatinine in Diabetic and non-diabetic patients in in a tertiary teaching hospital . The Journal of Medical Research 2016; 2(1): 12-15.

[33] Al-Ahbabi, Mustafa Yassin Khalaf, "Biochemical and Molecular Study of Chronic Kidney Disability Patients in Salahuddin Province". Master Thesis, College of Education for Pure Sciences, Tikrit University, 2018.

[34] Philip Mc Farlane MD, PhD, FRCPC, David Cherney MD, PhD, FRCPC, Richard E. Gilbert MBBS, PhD, FACP, FRACP, FRCPC, Peter Senior MBBS, PhD, FRCP , Chronic Kidney Disease in Diabetes. Can J Diabetes 42 (2018) S201–S209 .

[35] Muslimovic A, Rasic S, Tulumovic D, Hasanspahic S, Rebic D: Inflammatory markers and procoagulants in chronic renal disease stages 1-4. Medical Archives, (2015); 69: 307-310.

[36] An Evaluation of National Screening Program for Chronic Kidney Disease; Korea Centers for Disease Control & Prevention: Seoul, Korea, 2016.

[37] Jong Hyun Jhee, Seun Deuk Hwang, Joon Ho Song and Seoung Woo Lee . Upper Normal Serum Creatinine Concentrations as a Predictor for Chronic Kidney Disease: Analysis of 14 Years’ Korean Genome and Epidemiology Study (KoGES). J. Clin. Med. 2018; 7: 463.

[38] Maruja Navarro Díaz. Consequences of morbid obesity on the kidney .Where are we going?. Clinical Kidney Journal, 2016; 6, 782–787.