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- W2807407838 abstract "Objective: There are differences in the development of diabetic nephropathy (DN) between men and women but the molecular mechanisms underlying these are incompletely understood. The urinary proteome may contain sex-specific biomarkers and thereby highlight differentially regulated mechanisms leading to DN in men and women. Design and method: Urine samples were obtained from 157 patients with type 2 diabetes (age, 61 [29–71] years; 120 men and 37 women), preserved renal function (eGFR, 88 ± 17 mL/min) and confirmed microalbuminuria (UAER, 85 [34;194] mg/d). Peptidomic analysis was undertaken using capillary electrophoresis coupled to mass spectrometry. We compared individual urinary peptides between men and women. Results: We detected a total of 4914 individual peptides in at least one participant. Sex-specific differences were seen in expression of 343 peptides (Chi squared, P < 0.05) with 86 and 257 peptides being more common in men and women, respectively. We then performed quantitative analysis of the abundance of 196 peptides that were found in at least 25% of male or female subjects and were more frequent compared to the other sex. Of these, 165 peptides were significantly (Mann-Whitney U-test, P < 0.05) differently expressed in urine. Sex remained the strongest determinant of these peptides’ abundance after adjustment for age, eGFR and urinary albumin excretion. In men, presence of Peptide 186095 was associated with lower levels of UAER (P < 0.001), and in women this was the case for Peptide 187114 (P = 0.024). Of the 196 peptides with significant sex-specific regulation, 25 are also components of the CKD273 peptidomic panel for prediction of DN. Conclusions: Out of 4914 urinary peptides 196 exhibit sex-specific regulation in a cohort of patients at early stage of DN. Biological activity and predictive value of these peptides are currently unknown. The majority of peptides within the CKD273 classifier are not sex-specific. CKD273 is therefore a robust biomarker in both men and women but probably less ideally suited to dissect sex differences in the initiation and progression of DN. Larger datasets will have to be explored to confirm these results and to investigate whether sex-specific regulation of urinary peptides explains differences in DN progression between men and women." @default.
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- W2807407838 date "2018-06-01" @default.
- W2807407838 modified "2023-10-16" @default.
- W2807407838 title "SEX-SPECIFIC REGULATION OF URINARY PEPTIDES IN EARLY DIABETIC NEPHROPTHY" @default.
- W2807407838 doi "https://doi.org/10.1097/01.hjh.0000539675.87970.2e" @default.
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