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Data · dataset · 2026

<b>Blood-Derived DNA Methylation Biomarkers Predict Diabetic Kidney Disease and Map to Epigenomic Remodeling in Renal Cells</b>

Listed in ZivaHub and Deakin Research Online and DMU Figshare — shown once because both records carry DOI 10.2337/figshare.33467938.v1

<p dir="ltr"><a href="" target="_blank">Diabetic kidney disease (DKD) is a leading cause of end-stage kidney disease in type 1 diabetes (T1D), yet albuminuria and eGFR lack precision for early prognostication.

Description

We sought blood-derived DNA methylation biomarkers that predict DKD progression and reflect renal epigenomic remodeling. In the PROFIL cohort, we performed high-depth genome-wide methylation sequencing of leukocyte DNA from 101 adults with T1D and 20 non-diabetic controls, stratified by KDIGO risk and followed for a median of 5.6 years.

Differentially methylated regions were identified across baseline KDIGO strata and prioritised based on hypomethylation, ≥4 CpGs per region, and discrimination between KDIGO categories; their associations with eGFR decline and rising albumin excretion were then evaluated. From these candidates, we derived a four-locus Methylation Risk Score (MRS; <i>SLC4A4</i>, <i>FSTL4</i>, <i>ICA1</i>, <i>PTK2</i>), validated by targeted assays in an independent subset of 330 T1D participants with low or moderate KDIGO risk at baseline.

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T1D showed global loss of 5-methylcytosine with hypomethylated regions enriched at regulatory sites. In the discovery cohort, the combined MRS+clinical model discriminated baseline KDIGO moderate-risk and high/very-high-risk strata (AUC 0.91 and 0.86, respectively). In the independent validation cohort, the four-locus MRS predicted DKD progression within baseline LR and MR categories and improved risk stratification beyond clinical covariates including eGFR and albumin excretion.

In human podocytes, high glucose induced locus-specific hypomethylation, altered chromatin binding, and increased expression of MRS genes. These findings support a four-locus MRS for earlier, mechanistically grounded DKD risk stratification in T1D.</a></p>

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Catalogue records · 1

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Inferred from text
Disease 75% · Sequencing 75%
Provenance · 3 source records, 19 field assertions
SourceKeyLast seenRaw
ZivaHuboai:figshare.com:article/3346793812 d agoJSON v1
Deakin Research Onlineoai:figshare.com:article/3346793812 d agoJSON v1
DMU Figshareoai:figshare.com:article/3346793812 d agoJSON v1
FieldAssertionExtractorEvidence
access_levelsource · zivahub uct ac zaconnector:zivahub_uct_ac_za@1.0.0
concepts[disease].local:disease:diseaseenrichment · zivahub uct ac zakeyword-concept-rules@1.0.0title+description (75%)
concepts[field].anzsrc:field:310504mapping · zivahub uct ac zavocabulary-mapper@1.0.0keywords['Epigenetics']
concepts[field].anzsrc:field:310504mapping · figshare dmu ac ukvocabulary-mapper@1.0.0keywords['Epigenetics']
concepts[field].anzsrc:field:310504mapping · dro deakin edu auvocabulary-mapper@1.0.0keywords['Epigenetics']
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concepts[field].local:field:medicine-healthmapping · zivahub uct ac zaconnector:zivahub_uct_ac_za@1.0.0
concepts[field].local:field:medicine-healthmapping · dro deakin edu auconnector:dro_deakin_edu_au@1.0.0
concepts[field].local:field:medicine-healthmapping · figshare dmu ac ukconnector:figshare_dmu_ac_uk@1.0.0
concepts[modality].local:modality:sequencingenrichment · zivahub uct ac zakeyword-concept-rules@1.0.0title+description (75%)
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