Can immature granulocytes and neutrophil-lymphocyte ratio be biomarkers to evaluate diabetic nephropathy?: A cross-sectional study

dc.authoridYay, Fatih/0000-0002-1872-8716
dc.contributor.authorYay, Fatih
dc.contributor.authorBayram, Ergul
dc.contributor.authorAggul, Hunkar
dc.contributor.authorGuclu, Ceren Onal
dc.contributor.authorAyan, Durmus
dc.date.accessioned2024-11-07T13:32:25Z
dc.date.available2024-11-07T13:32:25Z
dc.date.issued2024
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractAims: We aimed to examine the role of circulating immature granulocytes (IGs) in assessing Diabetic Nephropathy (DN) mainly and also associations of other leukocyte parameters with DN. Methods: In this retrospective cross-sectional study, a total of 164 Diabetes Mellitus patients were grouped as normoalbuminuric and microalbuminuric according to urinary albumin excretion in the course of admission. Neutrophil-lymphocyte ratio (NLR), IG count (IG#) and IG percentage (IG%) levels were compared between the groups. The value of IG# and IG% levels in detecting microalbuminuria was analyzed with the Receiver operating characteristic (ROC) curve. Results: NLR was remarkably higher in the microalbuminuric group (p = 0.036). Correlation results in the microalbuminuric group were as follows: A feeble positive correlation between neutrophil count (NEU#) and serum creatinine and albumin-to- creatinine ratio (ACR) (p = 0.036, r = 0.261; p = 0.005, r = 0.347, respectively), a feeble positive correlation between lymphocyte count (LYM#) and estimated glomerular filtration rate (p = 0.021, r = 0.285). Correlation results in the normooalbuminuric group were as follows: A feeble positive correlation between NEU# and ACR (p = 0.043, r = 0.204), a feeble negative correlation between LYM# and serum creatinine (p = 0.042, r = -0.205), a poor positive correlation between IG# and ACR and HBA1C% (p = 0.048, r = 0.199; p = 0.004, r = 0.290, respectively), a positive poor correlation between IG% and HBA1C% (p = 0.019, r = 0.235). Area under the ROC curve values for IG# and IG% were not statistically noteworthy in detecting microalbuminuria (p = 0.430; p = 0.510, respectively). Conclusions: IG# and IG% values are insufficient to predict immediate microalbuminuria, but could be considered a weak biomarker for renal damage in normoalbuminuric (<30 mg/g) diabetic patients. Further researches are needed for the use of leukocyte parameters in evaluating DN.
dc.description.sponsorshipThe authors would like to thank Dr. Cagatay atay Emir Odnder d nder for sup-porting the archive by working in the endocrinology outpatient clinic in the past.
dc.identifier.doi10.1016/j.jdiacomp.2024.108807
dc.identifier.issn1056-8727
dc.identifier.issn1873-460X
dc.identifier.issue9
dc.identifier.pmid39089053
dc.identifier.scopus2-s2.0-85199988837
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1016/j.jdiacomp.2024.108807
dc.identifier.urihttps://hdl.handle.net/11480/15401
dc.identifier.volume38
dc.identifier.wosWOS:001287419300001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofJournal of Diabetes and Its Complications
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.subjectImmature granulocyte
dc.subjectDiabetic nephropathy
dc.subjectBiomarker
dc.subjectMicroalbuminuria
dc.titleCan immature granulocytes and neutrophil-lymphocyte ratio be biomarkers to evaluate diabetic nephropathy?: A cross-sectional study
dc.typeArticle

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