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Journal of Electroanalytical Chemistry 906 (2022) 115999

Contents lists available at ScienceDirect

Journal of Electroanalytical Chemistry


journal homepage: www.elsevier.com/locate/jelechem

CoTe nanorods based electrochemical sensor for quantitative detection of


albumin from chronic kidney disease patients
Ummama Saeed a, Batool Fatima a,⇑, Dilshad Hussain b, Rabia Ashiq a, Muhammad Naeem Ashiq c,
Muhammad Najam-ul-Haq c,⇑
a
Department of Biochemistry, Bahauddin Zakariya University, Multan 60800, Pakistan
b
HEJ Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan
c
Institute of Chemical Sciences, Bahauddin Zakariya University, Multan 60800, Pakistan

A R T I C L E I N F O A B S T R A C T

Keywords: Electrochemical sensing monitors the levels of biomolecules and is specific, rapid, low cost, and automated. An
CoTe nanorods electrical stimulus given to biological system helps in detecting electrical response through oxidation–reduc-
Chronic Kidney Disease tion peaks in a cyclic voltammogram (CV). Herein, an electrochemical sensor based on CoTe nanorods is devel-
Albuminuria oped for albumin sensing. Sensing parameters such as scan rate, pH, concentration, and effect of interferences
Cyclic Voltammetry
are optimized. Linearity, detection and quantification limits for CoTe modified glassy carbon electrode (CoTe-
Electrochemical Sensing
GCE) are 0.961 nM, 0.09 nM and 0.003 nM respectively. The stability of designed sensor is measured by run-
ning 100 cycles of CV. CoTe-GCE quantifies albumin from urine samples of chronic kidney disease (CKD)
patients. Normal distribution of data (albumin, albumin to creatinine ratio (ACR), and creatinine) is found
out by Shapiro-Wilk test. The correlation of urine albumin by Pearson’s correlation analysis reveals positive
relation with ACR (P = 0.000, r = 0.043*) and negative with urine creatinine (p = 0.003, r = -0.141*).
Using CoTe-GCE electrochemical sensor, albumin and creatinine levels in urine can be used as prognostic fac-
tors in CKD patients before disease progresses to end-stage renal disease (ESRD).

1. Introduction Various methods are available for determining albumin concentra-


tion in human samples. Techniques like light scattering, chemilumi-
Albumin is a globular protein synthesized in liver by hepatocytes. It nescence, high-performance liquid chromatography, capillary
is the most abundant of circulating proteins in blood plasma (60%) electrophoresis, dye-binding methods, immunochemical assay, near-
with a concentration of 3.4–5.4 g/dL [1,2]. Albumin concentration infrared spectroscopy, and electrochemical methods determine albu-
above or below 3.4–5.4 g/dL can cause malnutrition, inflammation, min in different diseases [9,10]. These methods have limitations such
heart failure, kidney damage, and liver disease. Albumin binds and as high cost, long analysis time, low sensitivity, and laborious pre-
transports waste to the liver for excretion e.g. bilirubin [3]. It is a bio- treatment methods. Therefore, electrochemical methods for biomole-
marker of diseases such as cancer, rheumatoid arthritis, kidney, and cules analysis are preferred due to their sensitivity, stability, low
cardiovascular [4,5]. Chronic kidney disease (CKD) is associated with detection limit, linearity, and cost-effectiveness [11-15]. Reported
life-threatening conditions like CVD development [6]. Albuminuria is electrochemical sensors for albumin determination include molecu-
a biomarker in CKD and is classified into microalbuminuria and larly imprinted polymer (MIP) using semi-covalent imprinting on gold
macroalbuminuria [7]. In CKD, an impairment in kidney function electrode [16], 3D porous electrocatalytic framework of Au/NH2-MIL-
occurs due to decreased glomerular filtration rate (GFR) losing albu- 125(Ti) on graphene-modified GCE [17], epitope imprinted polymers
min via urine as kidneys fail to retain because of tissue damage [8]. [18], chitosan/ionic liquid graphene-modified GCE [19], CuInZnS
Albumin to creatinine ratio (ACR) shows that albuminuria has no role quantum dots (QDs) as turn off–on sensor [20], epitope MIP-coated
in the progression of kidney disease or decrease in eGFR, however, it CdTe QDs [21], tin oxide tin sulfide QDs [22], MoS2 QDs and polyani-
reveals the extent of kidney damage thus predicting end-stage renal line [23].
disease (ESRD).

⇑ Corresponding authors.
E-mail addresses: batoolfatima@bzu.edu.pk (B. Fatima), najamulhaq@bzu.edu.pk (M. Najam-ul-Haq).

https://doi.org/10.1016/j.jelechem.2021.115999
Received 22 October 2021; Received in revised form 20 December 2021; Accepted 29 December 2021
Available online 3 January 2022
1572-6657/© 2022 Elsevier B.V. All rights reserved.
U. Saeed et al. Journal of Electroanalytical Chemistry 906 (2022) 115999

Herein, an electrochemical sensor based on CoTe nanorods is devel- 3. Results and discussion
oped for albumin determination in CKD patients. Cobalt has semicon-
ducting properties and its combination with tellurium (CoTe) produces 3.1. Characterization of cobalt telluride (CoTe) nanorods
magnetic properties with effective electron transfer characteristics.
Electrode has been modified with CoTe to improve conductivity [24] The formation of CoTe nanorods, morphology, thermal stability,
and increase electrochemical surface area. CoTe modified GCE is and surface area were determined by FTIR, SEM, STEM, AFM, TGA,
developed for sensing albumin via cyclic voltammetry (CV) and elec- UV, and BET. The morphology by SEM shows clusters of nanorods
trochemical impedance spectroscopy (EIS). Quantitative analysis (Fig. 1a and 1b). Average diameter of CoTe nanorods is 180 nm. Bar
proves that CKD patients have high levels of albumin secreted in their graph (Fig. 1d) shows variable diameters of nanorods from 100 nm
urine and high levels of ACR with lower creatinine. to 300 nm. Maximum number of nanorods has diameters of 150 nm
to 200 nm. STEM image (Figure S1) reveals that prepared samples
2. Experimental have nanorods shaped morphology. AFM analysis is also done to
access the surface topology of synthesized nanorods. AFM images (Fig-
2.1. Chemicals and reagents ures S2a and S2b) show smooth morphology of nanorods.
FTIR spectrum (Fig. 2A) shows stretching bands of CoTe at
CoSO4·7H2O and Na2TeO3 were purchased from Sigma Aldrich, 530 cm−1 and 823 cm−1 [25]. Band at 1723 cm−1 represents sulphate
hydrazine hydrate (N2H4·H2O) 80% from Merck, and Bovine Serum ions and C@O [26]. CAO and OAH have bands at 1261 cm−1 [27] and
Albumin (BSA) from Bio-world. KH2PO4 and K2HPO4 were purchased 2929 cm−1 [28], respectively. UV–Vis spectrum (Fig. 2B) shows peak
from Riedel-de Haen. Deionized water was obtained from a local water at 230 nm as metallic peak of CoTe. There is a shift in absorption of
deionizing system. Analytical grade reagents were used in this work. CoTe as compared to the reported absorption (270 nm) [25] which
may be attributed to the synthetic method used for CoTe nanorods.
2.2. Synthesis of cobalt telluride (CoTe) nanorods Thermogravimetric analysis (TGA) of CoTe nanorods by thermo-
gravimetric analyzer (TGA) is shown in Fig. 2C. Weight loss from
CoTe nanorods were hydrothermally synthesized [24]. 1.4 g 100 °C to 350 °C is the type II TGA curve due to drying weight loss
CoSO4·7H2O was dissolved in 50 mL deionized water and placed in and desorption. From 350 °C to 600 °C, the curve is type V and weight
a 100 mL reaction vessel. 1.11 g Na2TeO3 was added to the solution increment is because of oxidation [29]. BET surface area of CoTe
to form a precipitate. The precipitated mixture was gently stirred for nanorods is determined as 161.215 m2/g with adsorption and desorp-
10 min and 20 mL hydrazine hydrate was added resulting in the disso- tion pore volumes from 2.47 to 300 nm and 2.46 to 300 nm, respec-
lution of precipitate. The reactor was sealed and heated for 5 h at 140 ° tively (Fig. 2D) [30].
C. The reaction mixture was cooled to room temperature, filtered, X-Ray diffraction analysis of CoTe nanorods in shown in Fig. 2E.
washed with water and ethanol several time, and dried overnight in Hexagonal crystalline structure of CoTe nanorods shows characteristic
drying oven at 60 °C. peaks at 25.9°, 30.8°, 34.8°, 47.52°, 58.90° and 69.28° with corre-
sponding planes at 100, 101, 002, 110, 112 and 004, respectively.
2CoSO4 þ 2Na2 TeO3 þ 3N 2 H 4 ! 140C2Co þ 2Te þ N 2 SO4 þ 6H 2 OCo No other impurity peaks are detected which confirm the high purity
þ Te of the CoTe nanorods. The d-spacing or inter-planar spacing of CoTe
! 140CoTe nano-rods is 1.86 Å which was calculated from Bragg’s equation.
Energy dispersive X-ray spectroscopy (EDX) analysis of CoTe nanorods
is shown in Fig. 2F. All three corresponding elements of the nanorods
2.3. Electrochemical sensing of albumin by CoTe-GCE including cobalt, tellurium and oxygen are present at their respective
positions. The weight percentages and of cobalt, tellurium and oxygen
Glassy carbon electrode (GCE) was modified with synthesized CoTe are 20.72, 55.99 and 16.79 while atomic percentages are 15.09, 18.83
nanorods. The electrode was cleaned, polished with alumina slurry, and 45.05, respectively.
washed with Milli Q water, ultrasonivated for 10 min in ethanol,
and dried in oven. CoTe slurry was prepared and 5 µL deposited on
3.2. Electrochemical characterization of CoTe-GCE
GCE and air-dried.
Electrochemical measurements were performed on (AUT50296,
Electrochemical characterization of CoTe modified GCE is done by
Autolab Potentiostat) in electrochemical cell of three-electrodes sys-
CV in standard solution of 0.1 M potassium ferrocyanide with KCl elec-
tem. Ag/AgCl (BAS MF 2052), platinum wire (BAS MW1034) and
trolyte. Voltammogram (Figure S3) shows the conductivity curves of
CoTe modified GCE were used as reference, counter and working elec-
bare and CoTe modified GCE at scan rate 30 mVs−1. Potential window
trodes respectively.
is set between −1.0 to 0.2 V. Bare GCE has no redox peaks whereas
Conductivity of CoTe nanorods was checked in standard solutions
CoTe modified GCE shows oxidation and reduction peaks at 0.08 V
of potassium ferrocyanide and KCl. Electrochemical measurements
and −0.64 V, respectively with current 2.34 mA and −1.17 mA.
were made in solutions of varying albumin concentrations and varying
pH in 1 M PBS buffer.
3.3. Optimization of sensing parameters
2.4. Urine samples collection and processing
The redox properties of CoTe modified GCE are optimized with
Urine samples of CKD patients were collected in the morning in varying albumin concentrations in 1 M PBS buffer of pH 7.4. Voltam-
urine collection tubes with the prior consent of volunteers and stored mogram (Fig. 3A) shows redox peaks of albumin from 1 nM to 0.2 nM.
at −20 ℃. Ethical consent was obtained from the Ethical Committee of Increasing albumin concentration increases oxidation–reduction peak
Sahiwal Medical College and Hospital Sahiwal Pakistan. Albumin, current (1.87 mA and −7.80 mA at potential 0.127 V and
ACR, and creatinine analysis were made on the automated analyzer −0.79 V), respectively. 0.2 nM albumin shows the lowest peak current
Beckman colter D × C 700 AU. The relations between albumin, with oxidation and reduction peak currents 0.90 mA and −3.46 mA
ACR, and creatinine were assessed in CKD patients. Shapiro-Wilk anal- respectively. Current increases with increase in albumin concentra-
ysis showed normal data distribution and the results were calculated tion. Fig. 3B shows direct relation of current with albumin concentra-
by Pearson’s Correlation analysis. The significance level was p < 0.05. tion having R2 0.961.

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U. Saeed et al. Journal of Electroanalytical Chemistry 906 (2022) 115999

Fig. 1. SEM images of cobalt telluride nanorods (a, b, c and d) and bar graph for diameter distribution of CoTe.

pH affects electrochemical conductance of modified electrodes. 30 mVs−1 (Figure S5). Anodic and cathodic peaks appear at potential
Voltammogram in Fig. 3C shows redox peak current of 1 nM albumin 0.26 V and −0.60 V respectively.
at scan rate 30 mVs−1 at pH range of 6.6. 7.0, 7.4, 7.8, and 8.2. Redox
peak current is minimum at pH 6.6 and maximum at pH 8.2 as albu-
3.6. ECSA calculations for CoTe-GCE
min better works in alkaline conditions [31]. Further, the redox peak
current decreases at higher pH beyond 7.4, i.e. pH 7.8 and 8.2. Fig. 3D
ECSA of CoTe Nanorods is calculated by using 0.1 potassium ferro-
shows relation of current and varying pH in 1 M PBS with linearity of
cyanide solution and 0.1 M KCl solutions in 1:1 ratio at scan rates from
R2 0.911.
15 mV/s to 40 mV/s. Respective line graphs are given in Fig. 4A and
Optimization of scan rate in 1 M PBS buffer of pH 7.4 is presented
4B. ECSA results of CoTe-GCE are different from bare GCE. ECSA is cal-
in Fig. 3E. Voltammogram shows redox peaks for albumin at scan rates
culated by the following formula [32];
from 15 mVs−1 to 40 mVs−1. Redox peak current increases with
increasing scan rate. The lowest peak current is at scan rate 15 Cdl
mVs−1 with current values 0.63 mA and −0.44 mA respectively. ECSA ¼
Cs
The highest peak current is observed at 40 mVs−1 with peak current
values of 1.17 mA and −0.10 mA, respectively. Fig. 3F shows the rela-
0:0343837
tion of scan rate with current. ECSA ¼
0:073

3.4. Selectivity and sensitivity of CoTe-GCE ECSA = 0.471 cm2

ECSA of CoTe-GCE is 0.471 cm2 which is greater than bare GCE


Voltammogram in Figure S4 represents redox peaks of albumin 0.073 cm2.
sensing in solution containing interfering substances including crea- Randles-Sevcik equation is used for reverse electrode system [33]
tinine, hemoglobin, histidine, lysine, and dopamine in 1 M PBS buffer for finding anodic peak current (Ipa).
of pH 7.4. The anodic and cathodic peak currents are 49.9 µA and
 3 1 1
−30.5 µA at respective potentials of 0.14 V and −0.57 V showing Ipa ¼  2:69  105 n2 AD2 Cv2
no effect on albumin sensing by interferences.
Similarly, the obtained LOD and LOQ for CoTe-GCE are 0.09 nM
Ipa ¼ 0:091A
and 0.003 nM, respectively.
In above equation, n = 1 for potassium ferricyanide indicating the
3.5. Stability of CoTe-GCE number of electrons during the oxidation–reduction phenomenon. A is
the surface area of CoTe electrode (0.471 cm2), D is the diffusion coef-
The stability of CoTe-GCE in 1 M PBS buffer of pH 7.4 is manifested ficient (7.2 × 10-6 cm2/s), and C represents the concentration of potas-
through redox peaks for albumin obtained after 100 cycles at scan rate sium ferricyanide, i.e. 0.1 M.

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U. Saeed et al. Journal of Electroanalytical Chemistry 906 (2022) 115999

Fig. 2. (A) FTIR, (B) UV–Visible, (C) TGA, (D) BET, (E) XRD and (F) EDX of CoTe nanorods.

3.7. Roughness factor (Rf) 3.8. Electrochemical impedance spectroscopy (EIS) of CoTe-GCE

Roughness factor is determined via electrochemical phenomenon EIS of CoTe-GCE is measured in 1 mM potassium ferrocyanide with
that depends on number of redox cores present on surface and elec- 1 M KCl and 1 M PBS albumin solutions (Fig. 5). Nyquist diagram
trode dimension (actual surface). Roughness factor is the ratio of elec- shows electron transfer properties of bare electrode which are negligi-
trodes surface area [34]. ble as evident from the large semi-circle diameter of bare electrode
thus, rendering it less conductive. Modification of bare electrode with
CoTe reduces ohmic resistance Ω thus improving the electron transfer
Rf ¼ A2=A1
properties (red line).
EIS of varying albumin concentrations in PBS buffer of pH 7.4 is
A2 is ECSA of CoTe nanorods and A1 of bare GCE. Rf is calculated as
shown in Nyquist diagram (Fig. 5B). There is a decreasing trend in
6.45.

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U. Saeed et al. Journal of Electroanalytical Chemistry 906 (2022) 115999

Fig. 3. (A) Effect of albumin concentration, and (B) its corresponding line curve, (C) effect of pH on albumin sensing and (D) its corresponding line graph and (E)
effect of scan rates in 1 M PBS of 1 nM albumin and (F) line graph of scan rates.

electrochemical impedance of modified electrode with increasing increases as pH drops below 7.4 whereas electrochemical impedance
albumin concentrations from 0.2 nM to 1 nM. Ohmic resistance is is maximum at pH above 7.4 such as pH 7.8. and 8.2.
the highest at 0.2 nM albumin with the largest semi circle diameter
while it is the lowest for 1 nM with the smallest semi-circle diameter. 3.9. Heterogeneous electron transfer rate constant (K0)
Electrochemical impedance of variable pH is shown in Nyquist plot
(Fig. 5C). Modified electrode has minimum resistance at pH 7.4 and is EIS is used to study the charge transfer rate constant by immersing
thus the most conducive. The increasing diameter of impedance spec- different electrodes in same circuit. Charge transfer resistance (Rct) is
trum at pH lower than 7.4 indicates that electrochemical resistance indicated by semi-circle diameter. Bare GCE shows big semi-circle hav-

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U. Saeed et al. Journal of Electroanalytical Chemistry 906 (2022) 115999

Fig. 4. (A) ECSA and (4B) line graph of CoTe Nanorods.

Fig. 5. (A) Nyquist diagram for the electrochemical impedance of bare and CoTe GCE, (B) varying albumin concentrations in 1 M PBS of pH 7.4 and (C) variable
pH.

ing an Rct value 13.7 kΩ while Rct of CoTe-GCE is 3.97 KΩ. Lower Rct diluted 10 times with 1 M PBS of pH 7.4. Albumin recovery is deter-
values indicate higher conductivity and fast electrons transfer between mined by spiking albumin of different concentrations. Table 1 shows
the modified electrode surface and the analyte solutions. CoTe nanorods the recovery results for CoTe-GCE ranging from 50 to 120%. This vari-
modified electrode shows higher electrical conductivity compared to ation in recovery is attributed to different albumin concentrations in
bare GCE which can be attributed to better electron transfer kinetics urine samples of CKD patients. This high recovery of albumin from
due to presence of CoTe nanorods on electrode surface, and their large urine samples indicates the promising sensing potential of CoTe-GCE
surface area. Heterogeneous rate constant (k0) is calculated from the fol- from complex biological samples.
lowing equation [35].
RT 3.11. Albumin detection in urine samples of CKD patients
k0 ¼
F2 Rct AC
In this equation, R represents the general gas constant (8.314 J K−1 CoTe-GCE is used to determine albumin levels in urine samples of
mol−1), T is the temperature (298.15 K), F indicates the Faraday con- CKD patients. Five urine samples are taken from CKD patients. Albu-
stant (96,485C mol−1), Rct shows the charge transfer resistance for min levels are found out by Art Analyzer Beckman Coulter D × C
bare GCE (13.7 KΩ) and CoTe-GCE (3.97 KΩ), A represent the electro- 700 AU. CV responses of urine samples (S1-S5) are recorded on
chemical surface area of bare GCE (0.073 cm2) and CoTe-GCE CoTe-GCE. Samples 1 to 5 show the highest albumin levels and sharp
(0.471 cm2), and C is the concentration of potassium ferrocyanide oxidation current peak with higher current and vice versa (Fig. 6 and
solution (0.1 M). K° for CoTe-GCE is 1.3 × 10-1 cm s−1 and for bare Table S2).
GCE is 2.5 × 10-2 cm s−1. CoTe-GCE modified electrode shows higher
k° values which reveal faster electron transfer (Table S1). CoTe nanor- Table 1
ods accelerate the electron transfer process during albumin sensing Albumin recoveries from human urine samples of chronic kidney disease
and act as a transducer and decrease charge transfer resistance of patients using CoTe-GCE.
albumin.
Sample No. Added Conc. (nM) Found Conc. (nM) Recovery (%)

S1 1 nM 1.2 nM 120%
3.10. Recovery analysis of albumin by CoTe-GCE S2 1 nM 1.0 nM 100%
S3 1 nM 0.8 nM 80%
CoTe-GCE is then applied to urine samples and calculated recovery S4 1 nM 0.65 nM 65%
S5 1 nM 0.5 nM 50%
of spiked albumin at different concentrations. Urine samples are

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U. Saeed et al. Journal of Electroanalytical Chemistry 906 (2022) 115999

Fig. 7. Correlation of urine albumin with ACR and creatinine levels.

optimized in 1 M PBS. The stability of CoTe-GCE is explained by cyclic


voltammetry for 100 cycles at potential window −1.0 to 0.6 V. Selec-
tive detection of albumin, in the presence of different interfering sub-
stances, is also carried out for CoTe-GCE. Material shows recovery up
Fig. 6. Cyclic voltammogram of albumin in urine samples of CKD patients. to 120% for albumin in urine samples. The quantitative determination
of albumin from urine samples of CKD patients shows that high albu-
min levels in urine are correlated with high ACR and low levels of cre-
A detailed comparison of CoTe nanorods electrochemical sensing atinine in urine. CoTe nanorods based electrochemical sensor
with other materials is given in Table S3. demonstrates sensing application for albumin both for analytical and
real biological samples (i.e. urinary albumin). The proposed sensing
3.12. Statistical analysis of albumin from 2.5 mL urine can be used as prognostic factor along
with ACR in CKD patients. In future, this sensor can be modified by
Results of 40 CKD patients show positive correlation of urine albu- the addition of other conductive materials that can enhance the sens-
min with albumin to creatinine ratio (P = 0.000, r = 0.043*) and neg- ing capability of cobalt telluride nanorods and also increase its electro-
ative correlation with urine creatinine levels (p = 0.003, r = -0.141*) chemical surface area for efficient redox reaction. This sensor can also
as shown in Fig. 7 and Table S4. High albumin levels (albuminuria) in be used for point of care testing of urinary albumin i.e. for evaluating
urine are key indicator of renal abnormalities [36]. Albuminuria albumin to creatinine ratio to measure albuminuria and for the estima-
occurs due to reduction in estimated glomerular filtration rate (eGFR). tion of GFR via noticing the level of creatinine in urine.
Albuminuria is a predictor of acute kidney injury, morbidity, mortal-
ity, CVD, chronic kidney disease, and progression end-stage renal dis- Ethical Consent
ease. Albumin to creatinine ratio (ACR) is thus a measuring reference
for albuminuria [37]. The urine samples were obtained from volunteers. It is clarified
Several cohort studies CKD patients indicate that ACR is a signifi- that the reported study in this work does not directly involve any
cant predictor of CKD and has prognostic value for end-stage renal dis- in vivo animal studies.
ease (ESRD) [38]. Incorporation of albuminuria into the CKD staging
system is useful regarding patient’s prognosis [39]. Changes in albu- Declaration of Competing Interest
minuria due to changes in eGFR lead to increase in ACR which is
the baseline of ESRD [40]. The authors declare that they have no known competing financial
ACR is a measure of albuminuria. A study in Korea reported that interests or personal relationships that could have appeared to influ-
ACR concentrations greater than 30 mg/g at early ages cause albumin- ence the work reported in this paper.
uria before the prevalence of CKD [41]. Another study considering the
association between ACR and clinical complications in CKD indicates
that the value of ACR presents clinical risk factors that predict loss Acknowledgments
of more than 25% eGFR. Clinical conditions associated with ACR val-
ues as per the aforementioned study are anemia, higher serum cystatin This work is supported by Bahauddin Zakariya University, Multan,
C, hypoalbuminemia, hypercholesterolemia, hyperkalemia, acidosis, Pakistan.
and hyperphosphatemia [42]. ACR is a measure of albuminuria and
predicts the mortality risk factors among patients with creatinine iden- References
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