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Original Research

Urinary Liver-Type Fatty Acid–Binding Protein and Progression of Diabetic Nephropathy in Type 1 Diabetes

  1. Nicolae M. Panduru, MD, PHD1,2,
  2. Carol Forsblom, DMSC2,3,
  3. Markku Saraheimo, MD, DMSC2,3,
  4. Lena Thorn, MD, DMSC2,3,
  5. Angelika Bierhaus, PHD4,†,
  6. Per M. Humpert, PHD5,
  7. Per-Henrik Groop, MD, DMSC2,3,6⇑,
  8. on behalf of the FinnDiane Study Group*
  1. 1Second Clinical Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
  2. 2Folkhälsan Institute of Genetics, Folkhälsan Research Center, Helsinki, Finland
  3. 3Division of Nephrology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland
  4. 4Department of Medicine I and Clinical Chemistry, University of Heidelberg, Heidelberg, Germany
  5. 5Stoffwechselzentrum Rhein Pfalz, Mannheim, Germany
  6. 6Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
  1. Corresponding author: Per-Henrik Groop, per-henrik.groop{at}helsinki.fi.
  1. P.M.H. and P.-H.G. contributed equally to this work.

Diabetes Care 2013 Jul; 36(7): 2077-2083. https://doi.org/10.2337/dc12-1868
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    Figure 1

    A: Urinary L-FABP levels across study groups at baseline. The L-FABP levels were significantly different among the study groups. Significant differences (P < 0.001) in L-FABP levels were observed between the macroalbuminuria group and all other groups. L-FABP levels in the microalbuminuria group were significantly different (P < 0.001) from healthy patients and those with type 1 diabetes and normal AER. Patients with type 1 diabetes and normal AER had significantly (P < 0.001) higher L-FABP levels than healthy patients. B: Urinary L-FABP levels across study groups at baseline in relation with progression status. L-FABP level is significantly higher (P < 0.001) for progressors across all groups (normal AER, microalbuminuria, and macroalbuminuria) compared with nonprogressors. The horizontal line in the middle of each box indicates the median; the top and bottom borders of the box mark the 75th and 25th percentiles, respectively, and the whiskers mark the 90th and 10th percentiles.

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    Figure 2

    A: ROC curve analysis for L-FABP and AER in patients with type 1 diabetes and normal AER showed a trend toward an improvement of the risk prediction (P = 0.09) for L-FABP used together with AER (AUCL-FABP&AER = 0.786) compared with AER used alone (AUCAER = 0.778) in patients with type 1 diabetes and normal AER. B: ROC curve analysis for L-FABP and AER in the microalbuminuria group found no significant difference between AUCAER (0.847) and AUCL-FABP&AER (0.841). AUCL-FABP (0.777) was significantly smaller than AUCAER (P = 0.034). C: ROC curve analysis for L-FABP and AER in the macroalbuminuria group found no significant difference between AUCAER (0.862) and AUCL-FABP&AER (0.863). AUCAER&L-FABP was significantly larger (P = 0.012) than AUCL-FABP (0.850).

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Diabetes Care: 44 (3)

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Urinary Liver-Type Fatty Acid–Binding Protein and Progression of Diabetic Nephropathy in Type 1 Diabetes
Nicolae M. Panduru, Carol Forsblom, Markku Saraheimo, Lena Thorn, Angelika Bierhaus, Per M. Humpert, Per-Henrik Groop, on behalf of the FinnDiane Study Group
Diabetes Care Jul 2013, 36 (7) 2077-2083; DOI: 10.2337/dc12-1868

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Urinary Liver-Type Fatty Acid–Binding Protein and Progression of Diabetic Nephropathy in Type 1 Diabetes
Nicolae M. Panduru, Carol Forsblom, Markku Saraheimo, Lena Thorn, Angelika Bierhaus, Per M. Humpert, Per-Henrik Groop, on behalf of the FinnDiane Study Group
Diabetes Care Jul 2013, 36 (7) 2077-2083; DOI: 10.2337/dc12-1868
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