001). Three patients required calcium supplementation. LDL cholesterol dropped from 1.75mmol/L to 1.2 mmol/L (p<0.001). Three patients dropped out because of side effects or intolerance of the required dose. The results support the feasibility of a larger trial to determine the efficacy of colestipol as a phosphate
selleck compound binder, and that other non-proprietary anion-exchange resins may also warrant investigation. “
“Aim: It has been recognized that renal lesions in patients with diabetes often have other causes of renal damage concomitantly. Renal biopsy is a valuable tool to provide histological evidence. However, the safety in patients with type 2 diabetes receiving renal biopsy is not well evaluated. This study was conducted to monitor the dynamic complications and to evaluate the safety of biopsy in diabetic patients. Methods: A prospective observation
was performed on 130 patients with type 2 diabetes and 150 patients not undergoing renal biopsy. The complications were monitored at 4 h, 8 h, 24 h, 48 h and 72 h sequentially after biopsy. Results: Haematoma was observed in 34 (26.15%) patients with diabetes and 50 (33.33%) in controls (P = 0.19). The timing of large haematoma peaked at 4 h. Gross LEE011 haematuria occurred in 12 (9.23%) diabetic patients and eight (5.33%) controls (P = 0.207). It happened mainly within 8 h. Renal pathological diagnosis showed 96 (73.85%) cases with diabetic nephropathy and 34 (26.15%) cases with non-diabetic renal disease. Conclusion: Renal biopsy in patients with type 2 diabetes is safe.
The frequency of complications after renal biopsy in diabetes is no higher than those without diabetes. The complications mostly happened within 8 h, especially within 4 h. Biopsy is also very necessary to rule out other chronic renal diseases in diabetes. “
“Aim: Insulin-like growth factor I (IGF-I) acts on target cells in an endocrine Ergoloid and/or local manner through the IGF-I receptor (IGF-IR), and its actions are modulated by multiple IGF binding proteins (IGFBP). To elucidate the roles of local IGFBP in kidney glomeruli, the expression and localization of their genes were examined and compared with normal and proteinuric kidney glomeruli. Methods: A cDNA microarray database (MAd-761) was constructed using human kidney glomeruli and cortices. The gene expression levels of IGF-I, IGF-1R and IGFBP (1–10) were examined in glomeruli and cortices by polymerase chain reaction (PCR) and in situ hybridization (ISH), and the expression levels of IGFBP that were abundantly found in the glomerulus were compared between normal and proteinuric kidneys in rats and humans. Results: IGFBP-2, -7 and -8 were demonstrated to be abundantly and preferentially expressed in the glomerulus. In PCR, the expression levels of the IGFBP-2, -7, -8 and -10 genes in glomeruli were shown to have more than doubled compared with their levels in the cortices.