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Diabetic nephropathy (DN) is a renal disease which develops as a consequence of diabetes mellitus. Microalbuminuria is the earliest clinical sign of DN. There are no specific diagnostic biomarkers for type 2 diabetics with nephropathy other than microalbuminuria and macroalbuminuria. However, microalbuminuria does not constitute a sole independent indicator for type 2 diabetics with nephropathy, and thus, another screening method, such as a biomarker assay, is required in order to diagnose it more correctly. Therefore, we have utilized two-dimensional electrophoresis (2-DE) to identify human serum protein markers for the more specific and accurate prediction of progressive nephropathy in type 2 diabetes patients, via comparisons of the serum proteome in three experimental groups: type 2 diabetes patients without microalbuminuria (DM, n = 30), with microalbuminuria (MA, n = 29), and with chronic renal failure (CRF, n = 31). As a result, proteins which were differentially expressed with statistical significance (p < 0.05) in MA and CRF groups as compared to those in DM group were selected and identified by ESI-Q-TOF MS/MS. Among these identified proteins, two proteins which might be useful as diagnostic biomarkers of type 2 diabetics with nephropathy were verified by Western blotting: extracellular glutathione peroxidase (eGPx) and apolipoprotein (ApoE) were found to exhibit a progressive reduction in MA and CRF groups. Notably, eGPx was further verified by ELISA using DM (n = 100) and MA (n = 96) patient samples. Collectively, our results show that the two proteins identified in this study may constitute potential biomarkers for the diagnosis of type 2 diabetics with nephropathy.

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Diabetic nephropathy (DN) is a serious kidney complication of diabetes, and constitutes the leading cause of end-stage renal disease. The earliest clinical evidence of DN is microalbuminuria, a term which refers to the appearance of small but abnormal amounts of albumin in the urine. However, screening methods for DN, such as biomarker assays, are yet to be developed for type 2 DN. In the present study, in an attempt to identify the biomarkers for initial diagnoses of type 2 DN, the protein profiles of human sera collected from 30 microalbuminuric type 2 diabetic patients were compared with those collected from 30 normoalbuminuric type 2 diabetic patients, via 2-DE. As a result, a total of 18 spots were determined to have different protein levels in the microalbuminuric patients. Twelve spots had lower protein levels of approximately 50%, and the other six had higher levels of approximately 100-300% as compared to the spots of normoalbuminuric patients. These spots were identified with ESI-Q-TOF (ESI-quadrupole-TOF) MS. Among the identified proteins, vitamin D-binding protein (DBP) and pigment epithelium-derived factor (PEDF) were verified by Western blotting. The results of this study indicate that the DBP may be employed as diagnostic and monitoring biomarkers of type 2 DN, contingent on further study into the matter.

Printing technologies that integrate wearable components onto flexible and stretchable substrates are crucial for the development of miniaturized wearable electronics. In this study, we developed all-printed paper-based flexible micro-supercapacitors based on water-based additive-free oxidized single-walled carbon nanotube pastes. The use of a modified Brodie’s method with mild oxidants and minimum usage of strong acids enabled the production of highly conductive and printable oxidized single-walled carbon nanotube pastes. Pseudo-plastic pastes were obtained because of the numerous hydrogen bonds between the oxidized single-walled carbon nanotubes. By photothermal treatment with intense pulsed light irradiation, a microporous structure was developed in the interdigitated energy storage electrodes to facilitate the infiltration of electrolytes. The paper-based flexible micro-supercapacitor exhibited a high energy density of 0.51 μW h cm–2 at a power density of 0.59 mW cm–2 and a superior capacity retention of 85% after 10,000 bending cycles with a bending radius of 3 mm. The all-printed flexible micro-supercapacitor array with a total capacitance of 0.1 mF charged to 4.0 V successfully powered a commercial digital clock for approximately 40 s. The micro-supercapacitor array operated properly under both tensile and compressive strains. These results demonstrate that the water-based additive-free oxidized single-walled carbon nanotube pastes are promising printable materials for the construction of flexible micro-supercapacitors.