The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control study

<h3>Background</h3><p dir="ltr">The wound-healing process in diabetic foot is affected by pro and anti-inflammatory markers, and any disruption in the inflammatory reaction interferes with tissue homeostasis, leading to chronic non-wound healing. </p><h3>Aim&l...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Amal Ahmed Mohamed (7121810) (author)
مؤلفون آخرون: Mona Abd Elmotaleb Hussein (21767609) (author), Ihab Nabil Hanna (21767612) (author), Abdulqadir Jeprel Japer Nashwan (21767615) (author), Mohamed Saleh (11255823) (author), Wafaa Yousif Abdel Wahed (21767618) (author), Asmaa Mohamed Mohamed Mansour (21767621) (author), Mohamed Ramadan Ezz Al Arab (21767624) (author), Naglaa Fawzy (21767627) (author), Yasser Sakr (62131) (author), Hassan Shalby (21767630) (author), Eman AlHussain (21767633) (author), Marwa Kamal Darwish (21767636) (author), Heba El-Osaily (21767639) (author), Mervat Naguib (21767642) (author), Ahmed Ali Mohamed (10828220) (author), Waleed Farouk Mohamed (21767645) (author), Wael Hafez (15346225) (author)
منشور في: 2024
الموضوعات:
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author Amal Ahmed Mohamed (7121810)
author2 Mona Abd Elmotaleb Hussein (21767609)
Ihab Nabil Hanna (21767612)
Abdulqadir Jeprel Japer Nashwan (21767615)
Mohamed Saleh (11255823)
Wafaa Yousif Abdel Wahed (21767618)
Asmaa Mohamed Mohamed Mansour (21767621)
Mohamed Ramadan Ezz Al Arab (21767624)
Naglaa Fawzy (21767627)
Yasser Sakr (62131)
Hassan Shalby (21767630)
Eman AlHussain (21767633)
Marwa Kamal Darwish (21767636)
Heba El-Osaily (21767639)
Mervat Naguib (21767642)
Ahmed Ali Mohamed (10828220)
Waleed Farouk Mohamed (21767645)
Wael Hafez (15346225)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Amal Ahmed Mohamed (7121810)
Mona Abd Elmotaleb Hussein (21767609)
Ihab Nabil Hanna (21767612)
Abdulqadir Jeprel Japer Nashwan (21767615)
Mohamed Saleh (11255823)
Wafaa Yousif Abdel Wahed (21767618)
Asmaa Mohamed Mohamed Mansour (21767621)
Mohamed Ramadan Ezz Al Arab (21767624)
Naglaa Fawzy (21767627)
Yasser Sakr (62131)
Hassan Shalby (21767630)
Eman AlHussain (21767633)
Marwa Kamal Darwish (21767636)
Heba El-Osaily (21767639)
Mervat Naguib (21767642)
Ahmed Ali Mohamed (10828220)
Waleed Farouk Mohamed (21767645)
Wael Hafez (15346225)
author_role author
dc.creator.none.fl_str_mv Amal Ahmed Mohamed (7121810)
Mona Abd Elmotaleb Hussein (21767609)
Ihab Nabil Hanna (21767612)
Abdulqadir Jeprel Japer Nashwan (21767615)
Mohamed Saleh (11255823)
Wafaa Yousif Abdel Wahed (21767618)
Asmaa Mohamed Mohamed Mansour (21767621)
Mohamed Ramadan Ezz Al Arab (21767624)
Naglaa Fawzy (21767627)
Yasser Sakr (62131)
Hassan Shalby (21767630)
Eman AlHussain (21767633)
Marwa Kamal Darwish (21767636)
Heba El-Osaily (21767639)
Mervat Naguib (21767642)
Ahmed Ali Mohamed (10828220)
Waleed Farouk Mohamed (21767645)
Wael Hafez (15346225)
dc.date.none.fl_str_mv 2024-05-07T03:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.medcli.2024.01.009
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_potential_impact_and_diagnostic_value_of_inflammatory_markers_on_diabetic_foot_progression_in_type_II_diabetes_mellitus_A_case_control_study/29625059
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Medical biochemistry and metabolomics
Nutrition and dietetics
Diabetes
CRP
TNF
IL-6
Foot ulcer
Inflammatory cytokine
HbA1c
dc.title.none.fl_str_mv The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control study
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">The wound-healing process in diabetic foot is affected by pro and anti-inflammatory markers, and any disruption in the inflammatory reaction interferes with tissue homeostasis, leading to chronic non-wound healing. </p><h3>Aim</h3><p dir="ltr">This study aimed to determine the diagnostic value and effect of CRP, IL-6, TNF, and HbA1c on initiation the and progression of diabetic foot ulcers. </p><h3>Method </h3><p dir="ltr"><u>ELISA</u> was used to quantify IL-6, <u>CRP</u>, <u>TNF</u> and HbA1c in 205 patients with diabetes, and 105 were diabetic foot free. The prevalence and progression of diabetic foot were also evaluated. The area under the curve (AUC) was calculated using the receiver operating characteristic (ROC) curve to analyze the predictive values. Forward stepwise logistic regression analysis was used to compute the odds ratio (OR) and the corresponding 95% confidence intervals (CIs). </p><h3>Results </h3><p dir="ltr">CRP, IL-6, and FBS were found to be significant predictors of diabetic foot (OR=1.717, 95% CI=1.250–2.358, <i>P</i> =0.001; OR=1.434, 95% CI=1.142–1.802, <i>P</i> =0.002; and OR=1.040, 95% CI=1.002–1.080, <i>P</i> =0.037), respectively. The AUCs for CRP, IL-6, and HbA1c in predicting diabetic foot were 0.839, 0.728, and 0.834, respectively, demonstrating a good predictive value for each diagnostic marker. </p><h3>Conclusion</h3><p dir="ltr">The current study demonstrated that IL-6, CRP, and HbA1c may be useful biomarkers to indicate diabetic foot progression. Furthermore, our findings showed a substantial relationship between CRP and HbA1c in individuals with diabetic foot conditions.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicina Clínica<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.medcli.2024.01.009" target="_blank">https://dx.doi.org/10.1016/j.medcli.2024.01.009</a></p>
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identifier_str_mv 10.1016/j.medcli.2024.01.009
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/29625059
publishDate 2024
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rights_invalid_str_mv CC BY 4.0
spelling The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control studyAmal Ahmed Mohamed (7121810)Mona Abd Elmotaleb Hussein (21767609)Ihab Nabil Hanna (21767612)Abdulqadir Jeprel Japer Nashwan (21767615)Mohamed Saleh (11255823)Wafaa Yousif Abdel Wahed (21767618)Asmaa Mohamed Mohamed Mansour (21767621)Mohamed Ramadan Ezz Al Arab (21767624)Naglaa Fawzy (21767627)Yasser Sakr (62131)Hassan Shalby (21767630)Eman AlHussain (21767633)Marwa Kamal Darwish (21767636)Heba El-Osaily (21767639)Mervat Naguib (21767642)Ahmed Ali Mohamed (10828220)Waleed Farouk Mohamed (21767645)Wael Hafez (15346225)Biomedical and clinical sciencesMedical biochemistry and metabolomicsNutrition and dieteticsDiabetesCRPTNFIL-6Foot ulcerInflammatory cytokineHbA1c<h3>Background</h3><p dir="ltr">The wound-healing process in diabetic foot is affected by pro and anti-inflammatory markers, and any disruption in the inflammatory reaction interferes with tissue homeostasis, leading to chronic non-wound healing. </p><h3>Aim</h3><p dir="ltr">This study aimed to determine the diagnostic value and effect of CRP, IL-6, TNF, and HbA1c on initiation the and progression of diabetic foot ulcers. </p><h3>Method </h3><p dir="ltr"><u>ELISA</u> was used to quantify IL-6, <u>CRP</u>, <u>TNF</u> and HbA1c in 205 patients with diabetes, and 105 were diabetic foot free. The prevalence and progression of diabetic foot were also evaluated. The area under the curve (AUC) was calculated using the receiver operating characteristic (ROC) curve to analyze the predictive values. Forward stepwise logistic regression analysis was used to compute the odds ratio (OR) and the corresponding 95% confidence intervals (CIs). </p><h3>Results </h3><p dir="ltr">CRP, IL-6, and FBS were found to be significant predictors of diabetic foot (OR=1.717, 95% CI=1.250–2.358, <i>P</i> =0.001; OR=1.434, 95% CI=1.142–1.802, <i>P</i> =0.002; and OR=1.040, 95% CI=1.002–1.080, <i>P</i> =0.037), respectively. The AUCs for CRP, IL-6, and HbA1c in predicting diabetic foot were 0.839, 0.728, and 0.834, respectively, demonstrating a good predictive value for each diagnostic marker. </p><h3>Conclusion</h3><p dir="ltr">The current study demonstrated that IL-6, CRP, and HbA1c may be useful biomarkers to indicate diabetic foot progression. Furthermore, our findings showed a substantial relationship between CRP and HbA1c in individuals with diabetic foot conditions.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicina Clínica<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.medcli.2024.01.009" target="_blank">https://dx.doi.org/10.1016/j.medcli.2024.01.009</a></p>2024-05-07T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.medcli.2024.01.009https://figshare.com/articles/journal_contribution/The_potential_impact_and_diagnostic_value_of_inflammatory_markers_on_diabetic_foot_progression_in_type_II_diabetes_mellitus_A_case_control_study/29625059CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/296250592024-05-07T03:00:00Z
spellingShingle The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control study
Amal Ahmed Mohamed (7121810)
Biomedical and clinical sciences
Medical biochemistry and metabolomics
Nutrition and dietetics
Diabetes
CRP
TNF
IL-6
Foot ulcer
Inflammatory cytokine
HbA1c
status_str publishedVersion
title The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control study
title_full The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control study
title_fullStr The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control study
title_full_unstemmed The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control study
title_short The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control study
title_sort The potential impact and diagnostic value of inflammatory markers on diabetic foot progression in type II diabetes mellitus: A case–control study
topic Biomedical and clinical sciences
Medical biochemistry and metabolomics
Nutrition and dietetics
Diabetes
CRP
TNF
IL-6
Foot ulcer
Inflammatory cytokine
HbA1c