Urinary 2-Hydroxyglutarate Enantiomers Are Markedly Elevated in a Murine Model of Type 2 Diabetic Kidney Disease

Metabolic reprogramming is a hallmark of diabetic kidney disease (DKD); nutrient overload leads to increased production of metabolic byproducts that may become toxic at high levels. One metabolic byproduct may be 2-hydroxyglutarate (2-HG), a metabolite with many regulatory functions that exists in b...

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Main Authors: Judy Baek, Subramaniam Pennathur
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/11/8/469
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author Judy Baek
Subramaniam Pennathur
author_facet Judy Baek
Subramaniam Pennathur
author_sort Judy Baek
collection DOAJ
description Metabolic reprogramming is a hallmark of diabetic kidney disease (DKD); nutrient overload leads to increased production of metabolic byproducts that may become toxic at high levels. One metabolic byproduct may be 2-hydroxyglutarate (2-HG), a metabolite with many regulatory functions that exists in both enantiomeric forms physiologically. We quantitatively determined the levels of L and D-2HG enantiomers in the urine, plasma, and kidney cortex of <i>db</i>/<i>db</i> mice, a pathophysiologically relevant murine model of type 2 diabetes and DKD. We found increased fractional excretion of both L and D-2HG enantiomers, suggesting increased tubular secretion and/or production of the two metabolites in DKD. Quantitation of TCA cycle metabolites in <i>db</i>/<i>db</i> cortex suggests that TCA cycle overload and an increase in 2-HG precursor substrate, α-ketoglutarate, drive the increased L and D-2HG production in DKD. In conclusion, we demonstrated increased 2-HG enantiomer production and urinary excretion in murine type 2 DKD, which may contribute to metabolic reprogramming and progression of diabetic kidney disease.
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spelling doaj.art-7b3b8d79b4fe4f0e8b609cc64fb9a5562023-11-22T08:38:43ZengMDPI AGMetabolites2218-19892021-07-0111846910.3390/metabo11080469Urinary 2-Hydroxyglutarate Enantiomers Are Markedly Elevated in a Murine Model of Type 2 Diabetic Kidney DiseaseJudy Baek0Subramaniam Pennathur1Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, MI 48105, USADepartment of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, MI 48105, USAMetabolic reprogramming is a hallmark of diabetic kidney disease (DKD); nutrient overload leads to increased production of metabolic byproducts that may become toxic at high levels. One metabolic byproduct may be 2-hydroxyglutarate (2-HG), a metabolite with many regulatory functions that exists in both enantiomeric forms physiologically. We quantitatively determined the levels of L and D-2HG enantiomers in the urine, plasma, and kidney cortex of <i>db</i>/<i>db</i> mice, a pathophysiologically relevant murine model of type 2 diabetes and DKD. We found increased fractional excretion of both L and D-2HG enantiomers, suggesting increased tubular secretion and/or production of the two metabolites in DKD. Quantitation of TCA cycle metabolites in <i>db</i>/<i>db</i> cortex suggests that TCA cycle overload and an increase in 2-HG precursor substrate, α-ketoglutarate, drive the increased L and D-2HG production in DKD. In conclusion, we demonstrated increased 2-HG enantiomer production and urinary excretion in murine type 2 DKD, which may contribute to metabolic reprogramming and progression of diabetic kidney disease.https://www.mdpi.com/2218-1989/11/8/469diabetic kidney diseasebiomarkermitochondria2-hydroxyglutarateTCA cycle
spellingShingle Judy Baek
Subramaniam Pennathur
Urinary 2-Hydroxyglutarate Enantiomers Are Markedly Elevated in a Murine Model of Type 2 Diabetic Kidney Disease
Metabolites
diabetic kidney disease
biomarker
mitochondria
2-hydroxyglutarate
TCA cycle
title Urinary 2-Hydroxyglutarate Enantiomers Are Markedly Elevated in a Murine Model of Type 2 Diabetic Kidney Disease
title_full Urinary 2-Hydroxyglutarate Enantiomers Are Markedly Elevated in a Murine Model of Type 2 Diabetic Kidney Disease
title_fullStr Urinary 2-Hydroxyglutarate Enantiomers Are Markedly Elevated in a Murine Model of Type 2 Diabetic Kidney Disease
title_full_unstemmed Urinary 2-Hydroxyglutarate Enantiomers Are Markedly Elevated in a Murine Model of Type 2 Diabetic Kidney Disease
title_short Urinary 2-Hydroxyglutarate Enantiomers Are Markedly Elevated in a Murine Model of Type 2 Diabetic Kidney Disease
title_sort urinary 2 hydroxyglutarate enantiomers are markedly elevated in a murine model of type 2 diabetic kidney disease
topic diabetic kidney disease
biomarker
mitochondria
2-hydroxyglutarate
TCA cycle
url https://www.mdpi.com/2218-1989/11/8/469
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AT subramaniampennathur urinary2hydroxyglutarateenantiomersaremarkedlyelevatedinamurinemodeloftype2diabetickidneydisease