Tolba, S., Mossad, A., Hassan, N., Osama, M., Leheta, O. (2024). Role of Angiotensin Converting Enzyme in Development of Diabetic Nephropathy. Suez Canal University Medical Journal, 27(12), 1-6. doi: 10.21608/scumj.2024.397936
Shrouq Tolba; Ahmed Mossad; Nashwa Ramadan Hassan; Mohamed Osama; Ola F. Leheta. "Role of Angiotensin Converting Enzyme in Development of Diabetic Nephropathy". Suez Canal University Medical Journal, 27, 12, 2024, 1-6. doi: 10.21608/scumj.2024.397936
Tolba, S., Mossad, A., Hassan, N., Osama, M., Leheta, O. (2024). 'Role of Angiotensin Converting Enzyme in Development of Diabetic Nephropathy', Suez Canal University Medical Journal, 27(12), pp. 1-6. doi: 10.21608/scumj.2024.397936
Tolba, S., Mossad, A., Hassan, N., Osama, M., Leheta, O. Role of Angiotensin Converting Enzyme in Development of Diabetic Nephropathy. Suez Canal University Medical Journal, 2024; 27(12): 1-6. doi: 10.21608/scumj.2024.397936
Role of Angiotensin Converting Enzyme in Development of Diabetic Nephropathy
1Department of Clinical and Chemical Pathology, Faculty of Medicine, Suez Canal University, Egypt.
2Department of Internal Medicine, Faculty of Medicine, Suez Canal University, Egypt
Abstract
Background:Diabetic Nephropathy (DN) is one of the most serious microvascular complications and its pathogenesis involves a complex interplay between metabolic and hemodynamic factors interacting through molecular and signaling pathways with growing evidence indicating that the chronic activation of renal and systemic angiotensin-converting enzyme (ACE) is considered a key factor in the pathogenesis of DN. Objectives: This study aimed to investigate the association between serum ACE levels in the development of DN in patients with type 2 diabetes mellitus (T2DM) in the Egyptian population. Methods:a case-control study enrolled 90 subjects divided into three groups: 30 diabetic patients without DN, 30 diabetic patients with DN, and 30 healthy individuals as a control group. We measured for each patient the following: serum creatinine, estimated Glomerular filtration rate (eGFR), Albumin-to creatinine ratio (ACR), as well as serum ACE level. Results: serum ACE level showed that there was a statistically significant difference between diabetic patients with the nephropathy group and the other study groups. Conclusion: Our findings indicate that serum ACE level could be a risk factor for DN among the Egyptian population.