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Elevated neurofilament light chain NFL mRNA levels in prediabetic peripheral neuropathy     
Yazarlar
Prof. Dr. Asuman ÇELİKBİLEK
Bozok Üniversitesi, Türkiye
Nermin Tanık
Bozok Üniversitesi, Türkiye
Seda Sabah Özcan
Bozok Üniversitesi, Türkiye
Elif Börekçi
Lütfi Akyol
Ondokuz Mayıs Üniversitesi, Türkiye
Prof. Dr. Hakan AK
Bozok Üniversitesi, Türkiye
Mehmet Adam
Necmettin Erbakan Üniversitesi, Türkiye
Murat Suher
Neziha Yılmaz
Bozok Üniversitesi, Türkiye
Özet
Evidence suggests that peripheral nerve injury occurs during the early stages of disease with mild glycemic dysregulation. Two proteins, neuron-specific enolase (NSE) and neurofilament light chain (NFL), have been examined previously as possible markers of neuronal damage in the pathophysiology of neuropathies. Herein, we aimed to determine the potential value of circulatory NSE and NFL mRNA levels in prediabetic patients and in those with peripheral neuropathy. This prospective clinical study included 45 prediabetic patients and 30 age- and sex-matched controls. All prediabetic patients were assessed with respect to diabetes-related microvascular complications, such as peripheral neuropathy, retinopathy and nephropathy. mRNA levels of NSE and NFL were determined in the blood by real-time polymerase chain reaction. NSE mRNA levels were similar between prediabetic and control groups (p > 0.05), whereas NFL mRNA levels were significantly higher in prediabetics than in controls (p < 0.001). NSE mRNA levels did not significantly differ between prediabetic patients with and without peripheral neuropathy (p > 0.05), while NFL mRNA levels were significantly higher in prediabetics with peripheral neuropathy than in those without (p = 0.038). According to correlation analysis, NFL mRNA levels were positively correlated with the Douleur Neuropathique 4 questionnaire score in prediabetic patients (r = 0.302, p = 0.044). This is the first study to suggest blood NFL mRNA as a surrogate marker for early prediction of prediabetic peripheral neuropathy, while NSE mRNA levels may be of no diagnostic value in prediabetic patients.
Anahtar Kelimeler
Peripheral neuropathy, Prediabetes, Neurofilament light chain, Neuron-specific enolase
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Molecular Biology Reports
Dergi ISSN 0301-4851
Dergi Tarandığı Indeksler SSCI
Makale Dili İngilizce
Basım Tarihi 06-2014
Cilt No 41
Sayı 6
Sayfalar 4017 / 4022
Doi Numarası 10.1007/s11033-014-3270-y
Makale Linki http://link.springer.com/10.1007/s11033-014-3270-y