Evidence map›Paper›PMID 31165727›Full record

ArticleNature communications2019

Kidney cytosine methylation changes improve renal function decline estimation in patients with diabetic kidney disease.

Caroline Gluck, Chengxiang Qiu, Sang Youb Han, Matthew Palmer, Jihwan Park, Yi-An Ko, Yuting Guan, Xin Sheng, Robert L Hanson, Jing Huang and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
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  4. Article
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  7. Microbiota-gut-kidney axis in health and renal disease.International journal of biological sciences · 2026
    Review
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  11. Article
  12. Integrated multiomic analyses: An approach to improve understanding of diabetic kidney disease.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Review
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Caroline GluckDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, 19104, PA, USA.ORCID http://orcid.org/0000-0003-1880-2506
Chengxiang QiuDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, 19104, PA, USA.ORCID http://orcid.org/0000-0002-6346-8669
Sang Youb HanDivision of Nephrology, Department of Internal Medicine, Inje University College of Medicine, Goyang, 10380, Korea.
Matthew PalmerDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, 19104, PA, USA.
Jihwan ParkDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, 19104, PA, USA.ORCID http://orcid.org/0000-0002-5728-912X
Yi-An KoDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, 19104, PA, USA.ORCID http://orcid.org/0000-0002-0066-358X
Yuting GuanDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, 19104, PA, USA.
Xin ShengDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, 19104, PA, USA.
Robert L HansonDiabetes Epidemiology and Clinical Research Section, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, 86014, AZ, USA.ORCID http://orcid.org/0000-0002-4252-7068
Jing HuangDepartment of Biostatistics, Epidemiology, and Informatics, Center for Clinical Epidemiology and Biostatistics, School of Medicine, University of Pennsylvania Perelman, Philadelphia, 19104, PA, USA.
Yong ChenDepartment of Biostatistics, Epidemiology, and Informatics, Center for Clinical Epidemiology and Biostatistics, School of Medicine, University of Pennsylvania Perelman, Philadelphia, 19104, PA, USA.
Ae Seo Deok ParkDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, 19104, PA, USA.
Maria Concepcion IzquierdoDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, 19104, PA, USA.
Ioannis MantzarisDepartment of Medicine, Albert Einstein College of Medicine, Bronx, 10461, NY, USA.
Amit VermaDepartment of Medicine, Albert Einstein College of Medicine, Bronx, 10461, NY, USA.ORCID http://orcid.org/0000-0001-7592-7693
James PullmanDepartment of Pathology Montefiore Medical Center, Bronx, 10467, NY, USA.ORCID http://orcid.org/0000-0002-2677-945X
Hongzhe LiDepartment of Biostatistics, Epidemiology, and Informatics, Center for Clinical Epidemiology and Biostatistics, School of Medicine, University of Pennsylvania Perelman, Philadelphia, 19104, PA, USA.
Katalin SusztakDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, 19104, PA, USA. ksusztak@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-1005-3726
University of Pennsylvania · USAlbert Einstein College of Medicine · USChildren's Hospital of Philadelphia · USInje University · KRMontefiore Medical Center · USNational Institute of Diabetes and Digestive and Kidney Diseases · US

Funding

Genetic Epidemiology of Diabetic NephropathyZIADK069094 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI HANSON, ROBERT · 2009 to 2025
$7.7M
Epigenetics of Chronic Kidney DiseaseR01DK087635 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI KATALIN SUSZTAK · 2009 to 2026
$7.0M
Epigenetic drivers and biomarkers of diabetic kidney diseaseDP3DK108220 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI SUSZTAK, KATALIN · 2015 to 2015
$2.4M
Characterizing the Epigenome in Chronic Kidney DiseaseF32DK112635 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI GLUCK, CAROLINE ANNE · 2016 to 2016
$62k
NIDDK NIH HHS DP3 DK108220NIDDK NIH HHS F32 DK112635NIDDK NIH HHS R01 DK087635U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) DP3 DK108220U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) F32 DK112635U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) RO1 DK087635
6 · The paper itself

Abstract

Epigenetic changes might provide the biological explanation for the long-lasting impact of metabolic alterations of diabetic kidney disease development. Here we examined cytosine methylation of human kidney tubules using Illumina Infinium 450 K arrays from 91 subjects with and without diabetes and varying degrees of kidney disease using a cross-sectional design. We identify cytosine methylation changes associated with kidney structural damage and build a model for kidney function decline. We find that the methylation levels of 65 probes are associated with the degree of kidney fibrosis at genome wide significance. In total 471 probes improve the model for kidney function decline. Methylation probes associated with kidney damage and functional decline enrich on kidney regulatory regions and associate with gene expression changes, including epidermal growth factor (EGF). Altogether, our work shows that kidney methylation differences can be detected in patients with diabetic kidney disease and improve kidney function decline models indicating that they are potentially functionally important.

Indexed as

DNA MethylationAgedCase-Control StudiesCpG IslandsCross-Sectional StudiesCytosineDiabetic NephropathiesDisease ProgressionEpigenesis, GeneticFemaleFibrosisGene Expression RegulationGlomerular Filtration RateHumansKidneyMaleCytosine

Identifiers

PMID31165727
PMCPMC6549146
OpenAlexW2948156596

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.