Research Article

Use of Contrast-Enhanced Ultrasound to Study Relationship between Serum Uric Acid and Renal Microvascular Perfusion in Diabetic Kidney Disease

Table 1

Characteristics with study groups.

ParametersNormal control (NC)Diabetic kidney damage (DKD)
Normal SUAHigh SUA

Number264435
Age (year)
Female (%)50.0 (13/26)52.3 (23/44)65.7 (23/35)
BMI1 (kg/m2)
Hypertension (%)0*81.8 (36/4488.6 (31/35
eGFR2 (mL/min/1.73 m2)127.9 (108.1–139.1)*81.79 (55.7–118.754.70 (38.7–85.9
CKD stage32.0 (1–3)3 (2-3)*
BUN4 (mmol/L)5.20 (4.6–5.7)*6.9 (5.7–8.38.2 (6.6–11.2
SCr5 (μmol/L)57.95 (52.5–65.7)*85.6 (58.4–115.9119.3 (78.4–160.7
SUA (μmol/L)
UUA6 (mmol/24 h)
Urine TRF7 (mg/L)0.0 (0-0)*9.0 (1.1–82.5)18 (1.4–64.0
α1-MG/UCR8 (g/mol)0.0 (0-0)*3.2 (80–11.314.05 (0–8.6)
MALB9 (mg/L)13.75 (12.5–21.4)*265.6 (67.9–495.9335.3 (121.1–576.5
MALB/UCR10 (g/mol)2.81 (2.3–4.0)*40.04 (7.3–97.059.90 (17.5–91.8
Urine RBP11 (mg/L)0.60 (0.5-0.6)*2.6 (1.2–3.62.8 (2.0–3.6
Urine protein (g/24 h)0.055 (0.03–0.09)*0.57 (0.1–2.41.0 (0.2–2.3

Values are represented as mean ± standard error, median (25%–75% interquartile), or percentage where appropriate. SUA, serum uric acid. SUA ≥360 μmol/L (6 mg/dL) in females and ≥420 μmol/L (7 mg/dL) in males are considered as high SUA; otherwise, the levels are considered as normal SUA. , compared to DKD patients with normal SUA; , compared to normal control.
1BMI, body mass index; 2eGFR, estimated glomerular filtration rate; the calculation is based on the modified-MDRD equation; 3CKD stage, chronic kidney disease stages are classified according to K/DOQI CKD guideline (https://www.kidney.org/professionals/KDOQI/guidelines_commentaries); 4BUN, blood urea nitrogen; 5SCr, serum creatinine; 6UUA, urinary uric acid; 7TRF, transferrin; 8α1-MG/UCR, urinary α1-microglobulin/creatinine ratio; 9MALB, urinary microalbumin; 10MALB/UCR, urinary microalbumin/creatinine ratio; 11RBP, retinol binding protein.