Correlation between Neutrophil Gelatinase Associated with Lipocaline and Megalin in Type 2 Diabetic patients

Duaa Abdul-Jabbar Dawood, Emad Mohamed Rasheed, Ahmad Saadi Hassan

Abstract


Background: Type 2 Diabetes Mellitus (T2DM) is a metabolic disorder defined via elevated blood glucose caused by insufficiency of insulin-sensitive tissues to respond to insulin or defective insulin production by pancreatic β-cells due to environmental and genetic factors. Megalin is a glycoprotein that is mostly found in the proximal tubular cells, major role is to reabsorb albumin and other proteins that the glomerulus has filtered in the proximal tubules.

Methods: The purpose of research measure the concentration of megalin and Neutrophil Gelatinase Associated Lipocalin (NGAL) in type 2 patients, in the period from December 2022 to March 2023 at the Baghdad Teaching Hospital120 participants aged(30-60) years, the measured concentration of Megalin, NGAL, and fasting blood glucose in serum and whole blood estimated for glycated hemoglobin (HbA1C).

Results: The result indicates blood glucose concentration in patients with T2DM (344.975±63.68mg/dl) was significantly higher than control(106.62±12.59mg/dl), HbA1C (13.40±10.35%) in T2DM patients was significantly higher than control (4.310±0.336%), Megalin levels revealed for T2DM patients (220.70±42.47pg/ml) significantly higher than control (120.42±29.33pg/ml), NGAL(447.68±62.76pg/ml) in T2DM patients higher than control(264.93±51.79 pg/ml).

Conclusion: According to the results NGAL and Megalin levels were significantly higher in T2DM patients as compared to controls play a role in diabetes pathogenesis and as biomarkers for the early identification of diabetic nephropathy.

Keywords: Type 2 diabetes; Megalin; Neutrophil Gelatinase; Associated Lipocalin

Editorial Expression of Concern

20 June 2025: Following publication of this paper, the internal audit (consequent to concerns on quality raised by Web of Science) notified Advancements in Life Sciences about insufficient peer review. By this Editorial Expression of Concern, we alert the scientific community of this incidence as we asses if the reported scientific findings are reliable.

Editorial Note

26 June 2025: Post-publication review of this paper by a member of the editorial board has highlighted significant limitations related to the rationale of the methodology, p-value formatting, and language usage. The authors have been requested to make post-publication corrections. Nonetheless, readers are advised to interpret and use the findings with due consideration of the above comments. The Editorial Expression of Concern will be revoked upon completion of the necessary corrections by the authors.


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References


Artasensi A, Pedretti A, Vistoli G, Fumagalli L. Type 2 diabetes mellitus: a review of multi-target drugs. Molecules, (2020); 25(8):1987.

Palermi S, Iacono O, Sirico F, Modestino M, Ruosi C, Spera R. The complex relationship between physical activity and diabetes: An overview. Journal of Basic and Clinical Physiology and Pharmacology, (2022); 33(5):535–47.

Chaudhary N, Tyagi N. Diabetes mellitus: An Overview. International Journal of Research and Development in Pharmacy & Life Sciences, (2018); 7(4):3030–3.

Andreadi A, Muscoli S, Tahmir R, Meloni M, Muscoli C, Ilari S. Recent Pharmacological Options in Type 2 Diabetes and Synergic Mechanism in Cardiovascular Disease. International Journal of Molecular Sciences, (2023); 24(2):1646.

Lodhi TI. Diabetes Mellitus in Older Women. Clinics in Geriatric Medicine, (2021); 37(4):491–507.

Wang S, Yuan T, Song S, Duo Y, Zhao T, Gao J. Medium-and Long-Term Effects of Dapagliflozin on Serum Uric Acid Level in Patients with Type 2 Diabetes: Journal of Personalized Medicine, (2022);13(1):21.

Bellia A, Iellamo F, De Carli E, Andreadi A, Padua E, Lombardo M. Exercise individualized by TRIMPi method reduces arterial stiffness in early onset type 2 diabetic patients: a randomized controlled trial with aerobic interval training. International Journal of Cardiology, (2017); 248:314–9.

Kukida M, Sawada H, Daugherty A, Lu HS. Megalin: a bridge connecting kidney, the renin-angiotensin system, and atherosclerosis. Pharmacological Research, (2020); 151:104537.

Nielsen ML, Mundt MC, Lildballe DL, Rasmussen M, Sunde L, Torres VE. Functional megalin is expressed in renal cysts in a mouse model of adult polycystic kidney disease. Clinical Kidney Journal, (2021);14(11):2420–7.

Saito A, Takeda T, Hama H, Oyama Y, Hosaka K, Tanuma A. Role of megalin, a proximal tubular endocytic receptor, in the pathogenesis of diabetic and metabolic syndrome‐related nephropathies: protein metabolic overload hypothesis. Nephrology, (2005);10:S26–31.

Kadhim SH, Ubaid MM, Alboaklah HKM. New biomarkers for diagnosing and treatment of kidney failure disease. kerbala journal of pharmaceutical sciences, (2022);1(20).

Abed IN, Al-timari US, Dwayyikh AT. Correlation between Neutrophil Gelatinase Associated with Lipocaline and Beta-2 Microglobulin with Other Renal Markers in Iraqi Patients with Multiple Myeloma. Journal of Techniques, (2022); 4(Special Issue):101–4.

El Omri N, Mekouar F, Assoufi N, Maaroufi A, Smaali J, Charef A. Evaluation of selected trace elements in the Moroccan type 2 diabetic patients.International Journal of Research in Medical Sciences, (2020); 8(1):78–81.

Bacos K, Gillberg L, Volkov P, Olsson AH, Hansen T, Pedersen O. Blood-based biomarkers of age-associated epigenetic changes in human islets associate with insulin secretion and diabetes. Nature Communications, (2016); 7(1):11089.

Nanayakkara N, Curtis AJ, Heritier S, Gadowski AM, Pavkov ME, Kenealy T. Impact of age at type 2 diabetes mellitus diagnosis on mortality and vascular complications: systematic review and meta-analyses. Diabetologia, (2021); 64:275–87.

Hu C, Lin L, Zhu Y, Zhang Y, Wang S, Zhang J. Association between age at diagnosis of type 2 diabetes and cardiovascular diseases: A nationwide, population-based, cohort study. Frontiers in Endocrinology, (2021);12:717069.

Hassan AS. Evaluation Iron (Fe) and lad (Pb) effect on Diabetes mellitus2 patients in Erbil Governorate. Al-Nisour Journal for Medical Sciences, (2022); 4(2).

Bahendeka S, Wesonga R, Mutungi G, Muwonge J, Neema S, Guwatudde D. Prevalence and correlates of diabetes mellitus in Uganda: a population‐based national survey. Tropical Medicine & International Health, (2016); 21(3):405–16.

Asiimwe D, Mauti GO, Kiconco R. Prevalence and risk factors associated with type 2 diabetes in elderly patients aged 45-80 years at Kanungu District. Journal of Diabetes Research, (2020); 2020:1–5.

Davidson KW, Barry MJ, Mangione CM, Cabana M, Caughey AB, Davis EM. Screening for prediabetes and type 2 diabetes: US Preventive Services Task Force recommendation statement. Journal of the American Medical Association, (2021); 326(8):736–43.

Ahmed AM, Khabour OF, Awadalla AH, Waggiallah HA. Serum trace elements in insulin-dependent and non-insulin-dependent diabetes: a comparative study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, (2018); 887–92.

Dutta A, Dudhe AP, Deb S, Dasgupta S, Sarkar A. A study on assessment of HbA1c level as a diagnostic criterion of type 2 diabetes mellitus. Asian Journal of Medical Sciences, (2016); 7(1):49–52.

Akselrod D, Friger M, Biderman A. HbA1C variability among type 2 diabetic patients: a retrospective cohort study. Diabetology & Metabolic Syndrome, (2021); 13:1–7.

Bryniarski MA, Yee BM, Jaffri I, Chaves LD, Yu JA, Guan X. Increased megalin expression in early type 2 diabetes: role of insulin-signaling pathways. American Journal of Physiology, (2018); 315(5): 1191–207.

Marzolo M, Farfán P. New Insights into the Roles of Megalin / LRP2 and the Regulation of its Functional Expression. Biological Research, (2011); 89–105.

Romi M.M, Anggorowati N, Maulida DS, Wishka M , Suskalanggeng A. Upregulation of Megalin, Cubilin, NGAL mRNA expression in kidney may represent tubular injury and apoptosis in chronic condition of rat diabetic model. Medical Journal of Malaysia, (2021); 76(1): 87.

Ogasawara S, Hosojima M, Kaseda R, Kabasawa H, Yamamoto-Kabasawa K, Kurosawa H. Significance of urinary full-length and ectodomain forms of megalin in patients with type 2 diabetes. Diabetes Care, (2012); 35(5): 1112–8.

De S, Kuwahara S, Hosojima M, Ishikawa T, Kaseda R, Sarkar P. Exocytosis-mediated urinary full-length megalin excretion is linked with the pathogenesis of diabetic nephropathy. Diabetes, (2017); 66(5): 1391–404.

Khdher NN, Ahmeid MS, Saadoon IH. Evaluation of Serum Neutrophil Gelatinase Associated Lipocalin Level as an Early Biomarkers for Type 2 Diabetic Nephropathy. Annals of the Romanian Society for Cell Biology, (2021); 25(6): 14028–42.

Firu SG, Streba CT, Firu D, Tache DE, Rogoveanu I. Neutrophil Gelatinase Associated Lipocalin (NGAL)–a biomarker of renal dysfunction in patients with liver cirrhosis: Do we have enough proof? Journal of Medicine and Life, (2015); 8(Spec Issue):15.

Thipsawat S. Early detection of diabetic nephropathy in patient with type 2 diabetes mellitus: a review of the literature. Diabetes & Vascular Disease Research, (2021); 18(6):14791641211058856.

DyabAllawi AA, Nada SZ, Turki KM. Neutrophil gelatinase associated lipocalin (NGAL) in early detection of nephropathy in type 2 diabetic Iraqi patients. Journal of the Faculty of Medicine, (2017); 59(1): 74–8.

Sueud T, Hadi NR, Abdulameer R, Jamil DA, Al-Aubaidy HA. Assessing urinary levels of IL-18, NGAL and albumin creatinine ratio in patients with diabetic nephropathy. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, (2019); 13(1): 564–8.




DOI: http://dx.doi.org/10.62940/als.v10i0.1990

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