Urinary Sediment Transcriptomic and Longitudinal Data to Investigate Renal Function Decline in Type 1 Diabetes

Introduction: Using a discovery/validation approach we investigated associations between a panel of genes selected from a transcriptomic study and the estimated glomerular filtration rate (eGFR) decline across time in a cohort of type 1 diabetes (T1D) patients.Experimental: Urinary sediment transcri...

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Main Authors: Maria Beatriz Monteiro, Tatiana S. Pelaes, Daniele P. Santos-Bezerra, Karina Thieme, Antonio M. Lerario, Sueli M. Oba-Shinjo, Ubiratan F. Machado, Marisa Passarelli, Suely K. N. Marie, Maria Lúcia Corrêa-Giannella
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-04-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fendo.2020.00238/full
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author Maria Beatriz Monteiro
Tatiana S. Pelaes
Daniele P. Santos-Bezerra
Karina Thieme
Antonio M. Lerario
Sueli M. Oba-Shinjo
Ubiratan F. Machado
Marisa Passarelli
Marisa Passarelli
Suely K. N. Marie
Maria Lúcia Corrêa-Giannella
Maria Lúcia Corrêa-Giannella
author_facet Maria Beatriz Monteiro
Tatiana S. Pelaes
Daniele P. Santos-Bezerra
Karina Thieme
Antonio M. Lerario
Sueli M. Oba-Shinjo
Ubiratan F. Machado
Marisa Passarelli
Marisa Passarelli
Suely K. N. Marie
Maria Lúcia Corrêa-Giannella
Maria Lúcia Corrêa-Giannella
author_sort Maria Beatriz Monteiro
collection DOAJ
description Introduction: Using a discovery/validation approach we investigated associations between a panel of genes selected from a transcriptomic study and the estimated glomerular filtration rate (eGFR) decline across time in a cohort of type 1 diabetes (T1D) patients.Experimental: Urinary sediment transcriptomic was performed to select highly modulated genes in T1D patients with rapid eGFR decline (decliners) vs. patients with stable eGFR (non-decliners). The selected genes were validated in samples from a T1D cohort (n = 54, mean diabetes duration of 21 years, 61% women) followed longitudinally for a median of 12 years in a Diabetes Outpatient Clinic.Results: In the discovery phase, the transcriptomic study revealed 158 genes significantly different between decliners and non-decliners. Ten genes increasingly up or down-regulated according to renal function worsening were selected for validation by qRT-PCR; the genes CYP4F22, and PMP22 were confirmed as differentially expressed comparing decliners vs. non-decliners after adjustment for potential confounders. CYP4F22, LYPD3, PMP22, MAP1LC3C, HS3ST2, GPNMB, CDH6, and PKD2L1 significantly modified the slope of eGFR in T1D patients across time.Conclusions: Eight genes identified as differentially expressed in the urinary sediment of T1D patients presenting different eGFR decline rates significantly increased the accuracy of predicted renal function across time in the studied cohort. These genes may be a promising way of unveiling novel mechanisms associated with diabetic kidney disease progression.
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spelling doaj.art-5a4e3390fcd54a8196ea42af99e1dff62022-12-21T19:02:03ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922020-04-011110.3389/fendo.2020.00238497946Urinary Sediment Transcriptomic and Longitudinal Data to Investigate Renal Function Decline in Type 1 DiabetesMaria Beatriz Monteiro0Tatiana S. Pelaes1Daniele P. Santos-Bezerra2Karina Thieme3Antonio M. Lerario4Sueli M. Oba-Shinjo5Ubiratan F. Machado6Marisa Passarelli7Marisa Passarelli8Suely K. N. Marie9Maria Lúcia Corrêa-Giannella10Maria Lúcia Corrêa-Giannella11Laboratório de Carboidratos e Radioimunoensaio (LIM-18), Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de São Paulo, São Paulo, BrazilLaboratório de Carboidratos e Radioimunoensaio (LIM-18), Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de São Paulo, São Paulo, BrazilLaboratório de Carboidratos e Radioimunoensaio (LIM-18), Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de São Paulo, São Paulo, BrazilDepartment of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, BrazilDivision of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, United StatesLaboratory of Molecular and Cellular Biology (LIM-15, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de São Paulo, São Paulo, BrazilDepartment of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, BrazilLaboratório de Lípides (LIM-10), Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de São Paulo, São Paulo, BrazilPrograma de Pós-graduação em Medicina, Universidade Nove de Julho (UNINOVE), São Paulo, BrazilLaboratory of Molecular and Cellular Biology (LIM-15, Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de São Paulo, São Paulo, BrazilLaboratório de Carboidratos e Radioimunoensaio (LIM-18), Faculdade de Medicina, Hospital das Clinicas HCFMUSP, Universidade de São Paulo, São Paulo, BrazilPrograma de Pós-graduação em Medicina, Universidade Nove de Julho (UNINOVE), São Paulo, BrazilIntroduction: Using a discovery/validation approach we investigated associations between a panel of genes selected from a transcriptomic study and the estimated glomerular filtration rate (eGFR) decline across time in a cohort of type 1 diabetes (T1D) patients.Experimental: Urinary sediment transcriptomic was performed to select highly modulated genes in T1D patients with rapid eGFR decline (decliners) vs. patients with stable eGFR (non-decliners). The selected genes were validated in samples from a T1D cohort (n = 54, mean diabetes duration of 21 years, 61% women) followed longitudinally for a median of 12 years in a Diabetes Outpatient Clinic.Results: In the discovery phase, the transcriptomic study revealed 158 genes significantly different between decliners and non-decliners. Ten genes increasingly up or down-regulated according to renal function worsening were selected for validation by qRT-PCR; the genes CYP4F22, and PMP22 were confirmed as differentially expressed comparing decliners vs. non-decliners after adjustment for potential confounders. CYP4F22, LYPD3, PMP22, MAP1LC3C, HS3ST2, GPNMB, CDH6, and PKD2L1 significantly modified the slope of eGFR in T1D patients across time.Conclusions: Eight genes identified as differentially expressed in the urinary sediment of T1D patients presenting different eGFR decline rates significantly increased the accuracy of predicted renal function across time in the studied cohort. These genes may be a promising way of unveiling novel mechanisms associated with diabetic kidney disease progression.https://www.frontiersin.org/article/10.3389/fendo.2020.00238/fulldiabetic kidney diseasetranscriptomicsrenal function declinelongitudinal datatype 1 diabetesurine
spellingShingle Maria Beatriz Monteiro
Tatiana S. Pelaes
Daniele P. Santos-Bezerra
Karina Thieme
Antonio M. Lerario
Sueli M. Oba-Shinjo
Ubiratan F. Machado
Marisa Passarelli
Marisa Passarelli
Suely K. N. Marie
Maria Lúcia Corrêa-Giannella
Maria Lúcia Corrêa-Giannella
Urinary Sediment Transcriptomic and Longitudinal Data to Investigate Renal Function Decline in Type 1 Diabetes
Frontiers in Endocrinology
diabetic kidney disease
transcriptomics
renal function decline
longitudinal data
type 1 diabetes
urine
title Urinary Sediment Transcriptomic and Longitudinal Data to Investigate Renal Function Decline in Type 1 Diabetes
title_full Urinary Sediment Transcriptomic and Longitudinal Data to Investigate Renal Function Decline in Type 1 Diabetes
title_fullStr Urinary Sediment Transcriptomic and Longitudinal Data to Investigate Renal Function Decline in Type 1 Diabetes
title_full_unstemmed Urinary Sediment Transcriptomic and Longitudinal Data to Investigate Renal Function Decline in Type 1 Diabetes
title_short Urinary Sediment Transcriptomic and Longitudinal Data to Investigate Renal Function Decline in Type 1 Diabetes
title_sort urinary sediment transcriptomic and longitudinal data to investigate renal function decline in type 1 diabetes
topic diabetic kidney disease
transcriptomics
renal function decline
longitudinal data
type 1 diabetes
urine
url https://www.frontiersin.org/article/10.3389/fendo.2020.00238/full
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