Urinary podocyte-associated mRNA profile in various stages of diabetic nephropathy.

BACKGROUND: Podocyte injury and subsequent excretion in urine play a crucial role in the pathogenesis and progression of diabetic nephropathy (DN). Quantification of messenger RNA (mRNA) expression in urinary sediment by real-time PCR is emerging as a noninvasive method of screening DN-associated bi...

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Main Authors: Min Zheng, Lin-Li Lv, Jie Ni, Hai-Feng Ni, Qing Li, Kun-Ling Ma, Bi-Cheng Liu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2011-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3105067?pdf=render
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author Min Zheng
Lin-Li Lv
Jie Ni
Hai-Feng Ni
Qing Li
Kun-Ling Ma
Bi-Cheng Liu
author_facet Min Zheng
Lin-Li Lv
Jie Ni
Hai-Feng Ni
Qing Li
Kun-Ling Ma
Bi-Cheng Liu
author_sort Min Zheng
collection DOAJ
description BACKGROUND: Podocyte injury and subsequent excretion in urine play a crucial role in the pathogenesis and progression of diabetic nephropathy (DN). Quantification of messenger RNA (mRNA) expression in urinary sediment by real-time PCR is emerging as a noninvasive method of screening DN-associated biomarkers. We hypothesized that the urinary mRNA profile of podocyte-associated molecules may provide important clinical insight into the different stages of diabetic nephropathy. METHODS: DN patients (N = 51) and healthy controls (N = 13) were enrolled in this study. DN patients were divided into a normoalbuminuria group (UAE<30 mg/g, n = 17), a microalbuminuria group (UAE 30∼300 mg/g, n = 15), and a macroalbuminuria group (UAE>300 mg/g, n = 19), according to their urinary albumin excretion (UAE). Relative mRNA abundance of synaptopodin, podocalyxin, CD2-AP, α-actin4, and podocin were quantified, and correlations between target mRNAs and clinical parameters were examined. RESULTS: The urinary mRNA levels of all genes studied were significantly higher in the DN group compared with controls (p<0.05), and mRNA levels increased with DN progression. Urinary mRNA levels of all target genes positively correlated with both UAE and BUN. The expression of podocalyxin, CD2-AP, α-actin4, and podocin mRNA correlated with serum creatinine (r = 0.457, p = 0.001; r = 0.329, p = 0.01; r = 0.286, p = 0.021; r = 0.357, p = 0.006, respectively). Furthermore, podocalyxin mRNA was found to negatively correlate with eGFR (r = -0.349, p = 0.01). CONCLUSION: The urinary mRNA profiles of synaptopodin, podocalyxin, CD2-AP, α-actin4, and podocin were found to increase with the progression of DN, which suggested that quantification of podocyte-associated molecules will be useful biomarkers of DN.
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spelling doaj.art-fcf78d95f588469ab91dd2c45faa31cc2022-12-22T00:59:53ZengPublic Library of Science (PLoS)PLoS ONE1932-62032011-01-0165e2043110.1371/journal.pone.0020431Urinary podocyte-associated mRNA profile in various stages of diabetic nephropathy.Min ZhengLin-Li LvJie NiHai-Feng NiQing LiKun-Ling MaBi-Cheng LiuBACKGROUND: Podocyte injury and subsequent excretion in urine play a crucial role in the pathogenesis and progression of diabetic nephropathy (DN). Quantification of messenger RNA (mRNA) expression in urinary sediment by real-time PCR is emerging as a noninvasive method of screening DN-associated biomarkers. We hypothesized that the urinary mRNA profile of podocyte-associated molecules may provide important clinical insight into the different stages of diabetic nephropathy. METHODS: DN patients (N = 51) and healthy controls (N = 13) were enrolled in this study. DN patients were divided into a normoalbuminuria group (UAE<30 mg/g, n = 17), a microalbuminuria group (UAE 30∼300 mg/g, n = 15), and a macroalbuminuria group (UAE>300 mg/g, n = 19), according to their urinary albumin excretion (UAE). Relative mRNA abundance of synaptopodin, podocalyxin, CD2-AP, α-actin4, and podocin were quantified, and correlations between target mRNAs and clinical parameters were examined. RESULTS: The urinary mRNA levels of all genes studied were significantly higher in the DN group compared with controls (p<0.05), and mRNA levels increased with DN progression. Urinary mRNA levels of all target genes positively correlated with both UAE and BUN. The expression of podocalyxin, CD2-AP, α-actin4, and podocin mRNA correlated with serum creatinine (r = 0.457, p = 0.001; r = 0.329, p = 0.01; r = 0.286, p = 0.021; r = 0.357, p = 0.006, respectively). Furthermore, podocalyxin mRNA was found to negatively correlate with eGFR (r = -0.349, p = 0.01). CONCLUSION: The urinary mRNA profiles of synaptopodin, podocalyxin, CD2-AP, α-actin4, and podocin were found to increase with the progression of DN, which suggested that quantification of podocyte-associated molecules will be useful biomarkers of DN.http://europepmc.org/articles/PMC3105067?pdf=render
spellingShingle Min Zheng
Lin-Li Lv
Jie Ni
Hai-Feng Ni
Qing Li
Kun-Ling Ma
Bi-Cheng Liu
Urinary podocyte-associated mRNA profile in various stages of diabetic nephropathy.
PLoS ONE
title Urinary podocyte-associated mRNA profile in various stages of diabetic nephropathy.
title_full Urinary podocyte-associated mRNA profile in various stages of diabetic nephropathy.
title_fullStr Urinary podocyte-associated mRNA profile in various stages of diabetic nephropathy.
title_full_unstemmed Urinary podocyte-associated mRNA profile in various stages of diabetic nephropathy.
title_short Urinary podocyte-associated mRNA profile in various stages of diabetic nephropathy.
title_sort urinary podocyte associated mrna profile in various stages of diabetic nephropathy
url http://europepmc.org/articles/PMC3105067?pdf=render
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