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1 "Woo-Je Lee"
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Original Article
Homocysteine as a Risk Factor for Development of Microalbuminuria in Type 2 Diabetes
Eun-Hee Cho, Eun Hee Kim, Won Gu Kim, Eun Hui Jeong, Eun Hee Koh, Woo-Je Lee, Min-Seon Kim, Joong-Yeol Park, Ki-Up Lee
Korean Diabetes J. 2010;34(3):200-206.   Published online June 30, 2010
DOI: https://doi.org/10.4093/kdj.2010.34.3.200
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  • 16 Crossref
AbstractAbstract PDFPubReader   
Background

Kidney function is critical in homocysteine clearance, and plasma homocysteine level is frequently increased in patients with renal failure. On the other hand, recent studies in animals have shown that hyperhomocysteinemia induces renal injury. In this study, we determined whether hyperhomocysteinemia can be a risk factor for the development of microalbuminuria in patients with type 2 diabetes.

Methods

A nested case-control study. Of 887 patients with type 2 diabetes who did not have microalbuminuria at baseline, 76 developed microalbuminuria during follow-up (mean, 36.0 ± 11.7 months; range, 18 to 76 months). The control group consisted of 152 age- and sex-matched subjects who did not develop microalbuminuria. Baseline plasma homocysteine concentrations were measured in stored samples.

Results

Baseline plasma homocysteine concentrations and mean HbA1C levels during follow-up were significantly higher in patients who developed microalbuminuria than in those who remained normoalbuminuric. Multivariate logistic regression analysis showed that baseline plasma homocysteine level and mean HbA1C were independent predictors of microalbuminuria in type 2 diabetes.

Conclusion

Hyperhomocysteinemia was associated with increased risk of microalbuminuria in patients with type 2 diabetes supporting the concept that hyperhomocysteinemia has an etiologic role in the pathogenesis of diabetic nephropathy.

Citations

Citations to this article as recorded by  
  • Association of Circulating Homocysteine Level with the Risk of Nephropathy in Type 2 Diabetes Mellitus: A Meta-Analysis
    Manli Zhu, Yandong Fan
    Hormone and Metabolic Research.2024;[Epub]     CrossRef
  • Homocysteine and diabetes: Role in macrovascular and microvascular complications
    Emir Muzurović, Ivana Kraljević, Mirsala Solak, Siniša Dragnić, Dimitri P. Mikhailidis
    Journal of Diabetes and its Complications.2021; 35(3): 107834.     CrossRef
  • Associations of Homocysteine with B Vitamins and Zinc in Serum Levels of Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study
    Sadako MATSUI, Chika HIRAISHI, Ryo SATO, Takai KOJIMA, Kiyotaka ANDO, Kei FUJIMOTO, Hiroshi YOSHIDA
    Journal of Nutritional Science and Vitaminology.2021; 67(6): 417.     CrossRef
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    Yan Gu, Min Chen, Bei Zhu, Xiaohua Pei, Zhenzhu Yong, Xiaona Li, Qun Zhang, Weihong Zhao
    Journal of Clinical Laboratory Analysis.2020;[Epub]     CrossRef
  • Relationship between plasma total homocysteine and the severity of renal function in Chinese patients with type 2 diabetes mellitus aged ≥75 years
    Ning Ma, Ning Xu, Dong Yin, Weiwei Liu, Mengping Wu, Xingbo Cheng
    Medicine.2020; 99(27): e20737.     CrossRef
  • Correlation between serum homocysteine level and ulcerative colitis: A meta-analysis
    Yifang Zhong, Feng Yan, Weixia Jie, Ying Zhou, Fang Fang
    Pteridines.2019; 30(1): 114.     CrossRef
  • The role of molecular genetic alterations in genes involved in folate and homocysteine metabolism in multifactorial diseases pathogenesis
    A. M. Burdennyy, V. I. Loginov, T. M. Zavarykina, E. A. Braga, A. A. Kubatiev
    Russian Journal of Genetics.2017; 53(5): 528.     CrossRef
  • МОЛЕКУЛЯРНО-ГЕНЕТИЧЕСКИЕ НАРУШЕНИЯ ГЕНОВ ФОЛАТНОГО И ГОМОЦИСТЕИНОВОГО ОБМЕНА В ПАТОГЕНЕЗЕ РЯДА МНОГОФАКТОРНЫХ ЗАБОЛЕВАНИЙ, "Генетика"
    А. М. Бурдённый, В.И. Логинов, Т.М. Заварыкина, Э.А. Брага, А.А. Кубатиев
    Генетика.2017; (5): 526.     CrossRef
  • Association Between Plasma Homocysteine and Microalbuminuria in Untreated Patients with Essential Hypertension: a Case-Control Study
    Ze-min Kuang, Ying Wang, Shu-jun Feng, Long Jiang, Wen-li Cheng
    Kidney and Blood Pressure Research.2017; 42(6): 1303.     CrossRef
  • NMDA Receptors as Potential Therapeutic Targets in Diabetic Nephropathy: Increased Renal NMDA Receptor Subunit Expression in Akita Mice and Reduced Nephropathy Following Sustained Treatment With Memantine or MK-801
    Hila Roshanravan, Eun Young Kim, Stuart E. Dryer
    Diabetes.2016; 65(10): 3139.     CrossRef
  • Association between homocysteine status and the risk of nephropathy in type 2 diabetes mellitus
    Song Mao, Wei Xiang, Songming Huang, Aihua Zhang
    Clinica Chimica Acta.2014; 431: 206.     CrossRef
  • Prevalence and Determinants of Diabetic Nephropathy in Korea: Korea National Health and Nutrition Examination Survey
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    Diabetes & Metabolism Journal.2014; 38(2): 109.     CrossRef
  • Plasma Homocysteine level and its clinical correlation with type 2 diabetes mellitus and its complications
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    International Journal of Diabetes in Developing Countries.2014; 34(1): 3.     CrossRef
  • Genetic Predisposition for Development of Nephropathy in Type 2 Diabetes Mellitus
    Ravindra Kumar, Raj Kumar Sharma, Sarita Agarwal
    Biochemical Genetics.2013; 51(11-12): 865.     CrossRef
  • Is C677T Polymorphism in Methylenetetrahydrofolate Reductase Gene a Risk Factor for Diabetic Nephropathy or Diabetes Mellitus in a Chinese Population?
    Wen-peng Cui, Bing Du, Ye Jia, Wen-hua Zhou, Sheng-mao Liu, Ying-chun Cui, Fu-zhe Ma, Ping Luo, Li-ning Miao
    Archives of Medical Research.2012; 43(1): 42.     CrossRef
  • The role of coagulation and inflammation in the development of diabetic nephropathy in patients withdiabetes mellitus type 2
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    Diabetes mellitus.2012; 15(1): 31.     CrossRef

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