Evidence map›Paper›PMID 39264567›Full record

ArticleBiological trace element research2025

Plasma Zinc Levels in Patients with Diabetic Nephropathy: Is there a Relationship with NLRP3 Inflammasome Activation and Renal Prognosis?

Yuexin Zhu, Dedong Kang, Xiaoying Bai, Ping Luo, Bing Du, Bing Li

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Article in Biological trace element research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yuexin ZhuDepartment of Nephrology, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China.
Dedong KangDepartment of Anatomy, Showa University School of Medicine, Shinagawa-Ku, Tokyo, 142-8555, Japan.
Xiaoying BaiDepartment of Nephrology, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China.
Ping LuoDepartment of Nephrology, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China.
Bing DuDepartment of Cardiology, The First Hospital of Jilin University, Changchun, 130021, Jilin, China. dbdavina@126.com.
Bing LiDepartment of Nephrology, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China. 115674160@qq.com.

Funding

Jilin Science and Technology Program YDZJ202401211ZYTSJilin Science and Technology Program YDZJ202401258ZYTS
6 · The paper itself

Abstract

Zinc is an essential trace element, and impaired zinc homeostasis may be associated with inflammation in patients with diabetic nephropathy (DN). We investigated the influence of zinc level on nod-like receptor nucleotide-binding domain and leucine-rich repeat pyrin-3 domain (NLRP3) inflammasome expression and renal prognosis in patients with DN. We recruited 90 patients definitively diagnosed with DN by renal biopsy and 40 healthy controls. Zinc, NLRP3, interleukin (IL)-1β, and IL-18 levels were detected in blood samples, and the correlations between these parameters were assessed. Receiver operating characteristic (ROC) curve and decision curve analysis (DCA) evaluated the predictive value of zinc and the NLRP3 inflammasome for DN. Furthermore, patients with DN were divided into low- and normal-zinc groups to observe differences in clinical indicators and identify expression of inflammatory-related factors in renal tissue. Kaplan-Meier survival curves predicted the impact of zinc levels on renal prognosis. We found that the plasma zinc concentration in patients with DN was lower, while NLRP3, IL-1β, and IL-18 levels were higher than were those in patients without DN (P < 0.05). Zinc level was negatively correlated with NLRP3, IL-1β, and IL-18 levels (P < 0.01). Zinc and the NLRP3 inflammasome were predictive of DN, but their combination improved the diagnostic value. The DCA curve demonstrated a good positive net benefit in the combined model. Compared to patients with low zinc levels, patients with normal zinc levels had lower expression of NLRP3 inflammasome and a better prognosis. Zinc has a protective effect on DN and may affect NLRP3 inflammasome activation.

Indexed as

Diabetic NephropathiesInflammasomesKidneyNLR Family, Pyrin Domain-Containing 3 ProteinZincAdultAgedFemaleHumansInterleukin-18MaleMiddle AgedPrognosisInflammasomesInterleukin-18NLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanZincDiabetic nephropathyNod-like receptor nucleotide-binding domain and leucine-rich repeat pyrin 3 domain (NLRP3) inflammasomeRenal prognosisZinc

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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 Socratic graph.