TY - JOUR
T1 - Circulating epigenomic biomarkers correspond with kidney disease susceptibility in high-risk populations with type 2 diabetes mellitus
AU - Khurana, Ishant
AU - Howard, Natasha J.
AU - Maxwell, Scott
AU - Du Preez, Anelle
AU - Kaipananickal, Harikrishnan
AU - Breen, James
AU - Buckberry, Sam
AU - Okabe, Jun
AU - Al-Hasani, Keith
AU - Nakasatien, Soontaree
AU - Himathongkam, Thep
AU - Cooper, Mark E.
AU - Maple-Brown, Louise
AU - Thewjitcharoen, Yotsapon
AU - Brown, Alex
AU - El-Osta, Assam
N1 - Publisher Copyright:
© 2023 The Author(s)
PY - 2023/10
Y1 - 2023/10
N2 - Aims: To investigate epigenomic indices of diabetic kidney disease (DKD) susceptibility among high-risk populations with type 2 diabetes mellitus. Methods: KDIGO (Kidney Disease: Improving Global Outcomes) clinical guidelines were used to classify people living with or without DKD. Differential gene methylation of DKD was then assessed in a discovery Aboriginal Diabetes Study cohort (PROPHECY, 89 people) and an external independent study from Thailand (THEPTARIN, 128 people). Corresponding mRNA levels were also measured and linked to levels of albuminuria and eGFR. Results: Increased DKD risk was associated with reduced methylation and elevated gene expression in the PROPHECY discovery cohort of Aboriginal Australians and these findings were externally validated in the THEPTARIN diabetes registry of Thai people living with type 2 diabetes mellitus. Conclusions: Novel epigenomic scores can improve diagnostic performance over clinical modelling using albuminuria and GFR alone and can distinguish DKD susceptibility.
AB - Aims: To investigate epigenomic indices of diabetic kidney disease (DKD) susceptibility among high-risk populations with type 2 diabetes mellitus. Methods: KDIGO (Kidney Disease: Improving Global Outcomes) clinical guidelines were used to classify people living with or without DKD. Differential gene methylation of DKD was then assessed in a discovery Aboriginal Diabetes Study cohort (PROPHECY, 89 people) and an external independent study from Thailand (THEPTARIN, 128 people). Corresponding mRNA levels were also measured and linked to levels of albuminuria and eGFR. Results: Increased DKD risk was associated with reduced methylation and elevated gene expression in the PROPHECY discovery cohort of Aboriginal Australians and these findings were externally validated in the THEPTARIN diabetes registry of Thai people living with type 2 diabetes mellitus. Conclusions: Novel epigenomic scores can improve diagnostic performance over clinical modelling using albuminuria and GFR alone and can distinguish DKD susceptibility.
KW - DNA methylation
KW - Diabetic kidney disease
KW - Epigenomics
KW - Gene expression
KW - Indigenous Aboriginal Australians
KW - Population diversity
UR - http://www.scopus.com/inward/record.url?scp=85172670184&partnerID=8YFLogxK
U2 - 10.1016/j.diabres.2023.110918
DO - 10.1016/j.diabres.2023.110918
M3 - Article
SN - 0168-8227
VL - 204
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
M1 - 110918
ER -