Evaluating the role of serum cystatin C as a circulating biomarker of diabetic retinopathy from a rural Indian population

PURPOSE: This study aimed to evaluate serum cystatin C as a potential biomarker for diabetic retinopathy (DR) in a rural Indian population, addressing the urgent need for effective screening tools amidst rising diabetes prevalence. MATERIALS AND METHODS: A cross-sectional study recruited 112 patient...

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Main Authors: Keerthana Raghu, R. Janani Surya, Chitaranjan Mishra, Karan Singh, Nabatika Mohanty, Jitendra Kumar Sahoo, Shiva Prasad Sahoo, Ashok Kumar Singh, Rajiv Raman
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Taiwan Journal of Ophthalmology
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Online Access:https://journals.lww.com/10.4103/tjo.TJO-D-24-00096
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author Keerthana Raghu
R. Janani Surya
Chitaranjan Mishra
Karan Singh
Nabatika Mohanty
Jitendra Kumar Sahoo
Shiva Prasad Sahoo
Ashok Kumar Singh
Rajiv Raman
author_facet Keerthana Raghu
R. Janani Surya
Chitaranjan Mishra
Karan Singh
Nabatika Mohanty
Jitendra Kumar Sahoo
Shiva Prasad Sahoo
Ashok Kumar Singh
Rajiv Raman
author_sort Keerthana Raghu
collection DOAJ
description PURPOSE: This study aimed to evaluate serum cystatin C as a potential biomarker for diabetic retinopathy (DR) in a rural Indian population, addressing the urgent need for effective screening tools amidst rising diabetes prevalence. MATERIALS AND METHODS: A cross-sectional study recruited 112 patients with diabetes mellitus from Sambalpur, Odisha, India, categorized into groups with and without DR. Serum cystatin C levels were measured alongside clinical and demographic parameters, using established diagnostic methods. RESULTS: Patients with DR exhibited significantly higher serum cystatin C levels compared to those without DR (mean: 0.99 ± 0.50 mg/L vs. 0.80 ± 0.36 mg/L, P = 0.027). Adjusted analysis showed a notable association between higher cystatin C tertiles and DR (adjusted odd’s ratio: 7.65, 95% confidence interval: 1.49–39.08, P = 0.01), highlighting its potential as an independent predictor. CONCLUSION: Elevated serum cystatin C levels were strongly associated with the presence of DR, suggesting its utility as a biomarker for early identification and risk stratification in diabetic patients. Integration of cystatin C measurement into routine clinical practice may enhance DR screening and management strategies, offering potential benefits in reducing vision loss and improving patient outcomes. This study underscores the need for further longitudinal research to validate these findings and elucidate the temporal relationship between cystatin C levels and DR progression.
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publishDate 2024-12-01
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series Taiwan Journal of Ophthalmology
spelling doaj-art-01b80761a1be4270a4d058dbaef60a392025-01-14T15:51:15ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722024-12-0114457357810.4103/tjo.TJO-D-24-00096Evaluating the role of serum cystatin C as a circulating biomarker of diabetic retinopathy from a rural Indian populationKeerthana RaghuR. Janani SuryaChitaranjan MishraKaran SinghNabatika MohantyJitendra Kumar SahooShiva Prasad SahooAshok Kumar SinghRajiv RamanPURPOSE: This study aimed to evaluate serum cystatin C as a potential biomarker for diabetic retinopathy (DR) in a rural Indian population, addressing the urgent need for effective screening tools amidst rising diabetes prevalence. MATERIALS AND METHODS: A cross-sectional study recruited 112 patients with diabetes mellitus from Sambalpur, Odisha, India, categorized into groups with and without DR. Serum cystatin C levels were measured alongside clinical and demographic parameters, using established diagnostic methods. RESULTS: Patients with DR exhibited significantly higher serum cystatin C levels compared to those without DR (mean: 0.99 ± 0.50 mg/L vs. 0.80 ± 0.36 mg/L, P = 0.027). Adjusted analysis showed a notable association between higher cystatin C tertiles and DR (adjusted odd’s ratio: 7.65, 95% confidence interval: 1.49–39.08, P = 0.01), highlighting its potential as an independent predictor. CONCLUSION: Elevated serum cystatin C levels were strongly associated with the presence of DR, suggesting its utility as a biomarker for early identification and risk stratification in diabetic patients. Integration of cystatin C measurement into routine clinical practice may enhance DR screening and management strategies, offering potential benefits in reducing vision loss and improving patient outcomes. This study underscores the need for further longitudinal research to validate these findings and elucidate the temporal relationship between cystatin C levels and DR progression.https://journals.lww.com/10.4103/tjo.TJO-D-24-00096biomarkerscystatin cdiabetes mellitusdiabetic retinopathyrural population
spellingShingle Keerthana Raghu
R. Janani Surya
Chitaranjan Mishra
Karan Singh
Nabatika Mohanty
Jitendra Kumar Sahoo
Shiva Prasad Sahoo
Ashok Kumar Singh
Rajiv Raman
Evaluating the role of serum cystatin C as a circulating biomarker of diabetic retinopathy from a rural Indian population
Taiwan Journal of Ophthalmology
biomarkers
cystatin c
diabetes mellitus
diabetic retinopathy
rural population
title Evaluating the role of serum cystatin C as a circulating biomarker of diabetic retinopathy from a rural Indian population
title_full Evaluating the role of serum cystatin C as a circulating biomarker of diabetic retinopathy from a rural Indian population
title_fullStr Evaluating the role of serum cystatin C as a circulating biomarker of diabetic retinopathy from a rural Indian population
title_full_unstemmed Evaluating the role of serum cystatin C as a circulating biomarker of diabetic retinopathy from a rural Indian population
title_short Evaluating the role of serum cystatin C as a circulating biomarker of diabetic retinopathy from a rural Indian population
title_sort evaluating the role of serum cystatin c as a circulating biomarker of diabetic retinopathy from a rural indian population
topic biomarkers
cystatin c
diabetes mellitus
diabetic retinopathy
rural population
url https://journals.lww.com/10.4103/tjo.TJO-D-24-00096
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