ArticleOpen medicine (Warsaw, Poland)2026
Evaluation of serum moesin and podocalyxin levels in patients with diabetes mellitus.
Article in Open medicine (Warsaw, Poland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: Diabetic nephropathy (DN) is a major microvascular complication of diabetes and a leading cause of end-stage renal disease. Reliable biomarkers for early DN detection remain limited. Moesin and podocalyxin, involved in endothelial and podocyte integrity, may contribute to DN pathophysiology. This study evaluated whether serum moesin and podocalyxin levels differ according to the presence of early-stage DN in type 2 diabetes. Methods: In this single-center cross-sectional study, 63 patients with type 2 diabetes and 27 healthy controls were included. Diabetic participants were classified as normoalbuminuric diabetes (DM) or microalbuminuric early DN (DNP) based on spot urine albumin-to-creatinine ratio. Serum moesin and podocalyxin levels were measured by ELISA. Group comparisons and regression analyses were performed. Results: Both biomarkers were significantly lower in diabetic patients than in controls (p<0.001), but no difference was observed between DM and DNP after age adjustment. Neither biomarker independently predicted nephropathy. A composite factor including moesin, podocalyxin, age, white blood cell count, and microalbuminuria was associated with DN (OR 4.03, 95 % CI 1.42-11.47, p=0.009). Conclusions: Serum moesin and podocalyxin decrease in type 2 diabetes but do not independently distinguish early DN, suggesting limited kidney-specific utility.
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