AIM:To evaluate intrarenal resistivity index (RI) and different biomarkers of diabetic nephropathy (DN) with clinical signs of DN and its progression over time as early detection of DN.PATIENTS AND METHODS:This longitudinal study included 48 type 1 diabetic patients who were studied at baseline and after three years. A blood sample was taken for assessment of glycosylated haemoglobin (HbA1), lipid profile and a urine sample was taken for assessment of albumin/creatinine ratio, Neutrophil gelatinase-associated lipocalin (NGAL), liver-type fatty acid binding protein (L-FABP) and kidney injury molecule-1 (Kim-1) at baseline and after three years. Forty diabetic patients did renal Doppler at baseline & after three years.RESULTS:HbA1, waist/hip ratio, albumin/creatinine ratio, lipid profile, NGAL, KIM-1, L-FABP and resistivity index (RI) were significantly increased in follow-up. Twenty patients (41.7%) showed progression to albuminuria. RI showed a significant increase in follow-up study. ROC curve showed that RI and NGAL had the highest sensitivity (100%), followed by L-FABP (90%) and lastly KIM-1 (63.6%) in the prediction of DN.CONCLUSION:High RI, NGAL, KIM-1 & L-FABP can be considered as early markers of diabetic nephropathy in type 1 diabetics and are associated with its progression over time, independent of albuminuria.
AIM: To assess the risk factor for diabetic atherosclerosis nephropathy and diabetic nephropathy in type 1 diabetic patients. PATIENTS AND METHODS: Thirty healthy volunteers age and sex-matched and Sixty-five type 1 diabetic patient were in rolled in the study. The mean age of patients was 17.99 ± 2.59 years, mean age of onset of diabetes was 7.00 ± 3.28 years, mean duration of diabetes was 10.91 ± 3.54 years. Glycosylated sex-matched (HbA1c) was assessed in blood samples, serum lipid profile was determined, and serum level of oxidised low-density lipoprotein (OxLDL), and nitric oxide was evaluated by enzyme-linked immunosorbent assay (ELISA) technique. Nitric oxide 894G > T genotype was analysed by (PCR-RFLP) method and confirmed by Sequencing. Assessment of the albumin / creatinine ratio was done in urine samples. Renal Doppler and Carotid intima-media thickness (cIMT) via ultrasound was also performed. RESULTS: OxLDL, lipid profile, albumin/creatinine ratio, cIMT and resistivity index were significantly higher in diabetic patients while nitric oxide was significantly lower. Nitric oxide genotype shows no significant difference between diabetic’s patients and controls. Diabetic patients with homozygous NO had a significantly lower serum level of Nitric oxide, a significantly higher OxLDL, albumin / creatinine ratio and lipid profile. CONCLUSION: diabetic patients are liable for the occurrence of early diabetic nephropathy and atherosclerosis as a result of the presence of low level of nitric oxide. Nitric oxide gene polymorphism 894G > T in diabetic patients is a risk factor for diabetic nephropathy and atherosclerosis.
Allelopathy is a complex phenomenon which depends on allelochemical concentrations. So, two pot experiments were carried out to investigate the allelopathic effect of alcoholic fresh shoot extract of Eruca sativa (foliar spray) and E. sativa shoot powder (mixed with soil) on Pisum sativum plants and two associated weeds, Phalaris minor and Beta vulgaris. The experiments were conducted in the greenhouse of the National Research Centre, Giza, Egypt during two successive winter seasons (2016-2017 and 2017-2018). Ten treatments were applied in this study. Four treatments were applied before sowing, that E. sativa shoot powder was mixed with the soil at rates of 15, 30, 45 and 60 g ⋅ pot -1 . The other four treatments of E. sativa alcoholic fresh shoot extract were sprayed twice on both plants and weeds at 5, 10, 15 and 20% (w/v) concentrations. Additionally, two untreated treatments, healthy (P. sativum only) and unweeded (untreated infested P. sativum plants with weeds) were applied for comparison. The results indicated that both alcoholic extracts and powder reduced growth of both weeds. Moreover, there was a direct relationship between concentration and weed reduction. Eruca sativa alcoholic extracts increased yield parameters of P. sativum plants. The maximum yield attributes were recorded by spraying of E. sativa alcoholic extract at 20%. On the other hand, it was clearly noticed that the high powder rates affected negatively P. sativum yield parameters. But the lowest powder rate (15 g ⋅ pot -1 ) stimulated P. sativum yield parameters as compared to unweeded treatment. Chemical analysis of E. sativa shoot powder ensured that the abundant amount of glucosinolates (9.6 μmol ⋅ g -1 ) and phenolic compounds (46.5 mg ⋅ g -1 ) may be responsible for its allelopathic effect. In conclusion, spraying of alcoholic fresh shoot extract of E. sativa at 20% (w/v) and mixing E. sativa shoot powder at 15 g • pot -1 can be applied as natural bioherbicides for controlling weeds.
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