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Review
. 2022 Nov 4;22(1):35-46.
doi: 10.1007/s40200-022-01152-7. eCollection 2023 Jun.

Diagnostic values of ischemia modified albumin in diabetes-related complications: a narrative review

Oranoos Ghareghani  1 , Shagayegh Ghareghani  1 , Mohammad Ali Takhshid  1   2
Affiliations
Review

Diagnostic values of ischemia modified albumin in diabetes-related complications: a narrative review

Oranoos Ghareghani et al. J Diabetes Metab Disord. .

Abstract

Purpose: Oxidative stress (OS) plays a critical role in the onset and progression of macro and microvascular complications of diabetes mellitus (DM). Ischemia-modified albumin (IMA) is a novel and simple test for evaluating OS. In the present study, we reviewed the available information on the alteration of circulating IMA in DM and its possible prognostic and diagnostic value in DM-related complications.

Methods: Relevant studies regarding IMA alteration in DM published until May 30, 2022 were extracted from Google Scholar, PubMed, Scopus, and Science Direct databases. The following key words were used: IMA, DM, diabetes complications, retinopathy, nephropathy, diabetic foot, and vascular complications.

Results: This review revealed increased circulating IMA levels in the patients with type 1, type 2, and gestational DM. Furthermore, IMA showed a close relationship with the severity of DM complications including hyperglycemia, dyslipidemia, diabetic retinopathy, diabetic nephropathy, peripheral arterial disease, and diabetic foot ulcer. However, lack of assay standardization and low specificity are major obstacles to the use of IMA as a promising biomarker.

Conclusion: IMA levels are associated with DM complications and can be applied as a practical test for evaluating the risk and predicting the severity of DM complications.

Keywords: Biomarkers; Diabetes complications; Diabetes mellitus; Ischemia-modified albumin; Oxidative stress.

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Conflict of interest statement

Conflict of interestNo competing financial interests exist.

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