Choi Dughyun, Kim Sewon, Woo Jeyoung, Lee Haekyung, Kim Hyoungnae, Jeon Jin Seok, Noh Hyunjin, Han Dong Cheol, Kim Sang Hyun, Cho Ho Chan, Choi Jong-Soo, Bae Yun-Ui, Kwon Soon Hyo
Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
Macrogen Inc., Seoul, Republic of Korea.
Obes Facts. 2022;15(2):292-301. doi: 10.1159/000521730. Epub 2022 Jan 10.
Various kidney diseases reportedly show different urinary extracellular vesicle (EV) RNA profiles. Although obesity is one of the main causes of chronic kidney disease, the expression pattern of urinary EV RNA in obesity is uncertain. Our aim was to sequence the small RNA profiles of urinary EVs in obese patients before and after weight reduction and compare them to those of healthy volunteers (HVs).
We recruited age-sex-matched obese patients and HVs. The small RNA profiles of urinary EVs were analyzed using RNA sequencing. To evaluate the effect of weight reduction, small RNA profiles of urinary EVs 6 months after bariatric surgery were also analyzed.
The proportion of urinary EVs transfer RNA and microRNA of obese patients differed from that of HVs. Obese patients showed differential expression of 1,343 small RNAs in urinary EVs compared to HVs (fold change ≥2 and p value <0.05). Among those, 61 small RNAs were upregulated in obese patients and downregulated after weight reduction, whereas 167 small RNAs were downregulated in obese patients and upregulated after weight reduction. RNA sequencing revealed the correlation between the specific urinary EV small RNAs and clinical parameters including body weight, low-density lipoprotein cholesterol, triglyceride, high-density lipoprotein cholesterol, serum glucose, estimated glomerular filtration rate, and albuminuria.
Obese patients showed distinct urinary EV small RNA profiles compared to HVs. Weight reduction altered urinary EV small-RNA profiles in obese patients.
据报道,各种肾脏疾病表现出不同的尿细胞外囊泡(EV)RNA谱。尽管肥胖是慢性肾脏病的主要病因之一,但肥胖患者尿EV RNA的表达模式尚不确定。我们的目的是对肥胖患者减重前后尿EV的小RNA谱进行测序,并将其与健康志愿者(HV)的进行比较。
我们招募了年龄和性别匹配的肥胖患者和HV。使用RNA测序分析尿EV的小RNA谱。为了评估减重的效果,还分析了减肥手术后6个月尿EV的小RNA谱。
肥胖患者尿EV转运RNA和微小RNA的比例与HV不同。与HV相比,肥胖患者尿EV中有1343种小RNA表达存在差异(倍数变化≥2且p值<0.05)。其中,61种小RNA在肥胖患者中上调,减重后下调,而167种小RNA在肥胖患者中下调,减重后上调。RNA测序揭示了特定尿EV小RNA与包括体重、低密度脂蛋白胆固醇、甘油三酯、高密度脂蛋白胆固醇、血糖、估计肾小球滤过率和蛋白尿在内的临床参数之间的相关性。
与HV相比,肥胖患者表现出独特的尿EV小RNA谱。减重改变了肥胖患者尿EV的小RNA谱。