Evidence map›Paper›PMID 41840960›Full record

ArticleJournal of diabetes research2026

The Link Between Serum Copper and Diabetic Kidney Disease: A Plasma Proteomic Perspective.

Zhenbang Feng, Jinyu Yu, Junzhuo Wang, Sirui Lu, Weixia Sun, Sensen Su, Wei Liu, Hongzhao Xu

Abstract read
In one paragraph

Article in Journal of diabetes research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Zhenbang FengCenter of Oncology, The First Hospital of Jilin University, Changchun, China, jlu.edu.cn.ORCID https://orcid.org/0009-0000-9694-2761
Jinyu YuDepartment of Urology, The First Hospital of Jilin University, Changchun, China, jlu.edu.cn.ORCID https://orcid.org/0000-0001-8004-537X
Junzhuo WangDepartment of Nephrology, The First Hospital of Jilin University, Changchun, China, jlu.edu.cn.ORCID https://orcid.org/0009-0006-1094-1439
Sirui LuThe First Norman Bethune Clinical College, Jilin University, Changchun, China, jlu.edu.cn.ORCID https://orcid.org/0009-0007-3763-6546
Weixia SunDepartment of Nephrology, The First Hospital of Jilin University, Changchun, China, jlu.edu.cn.ORCID https://orcid.org/0000-0001-8823-0713
Sensen SuDepartment of Nephrology, The First Hospital of Jilin University, Changchun, China, jlu.edu.cn.ORCID https://orcid.org/0000-0003-2012-9699
Wei LiuDepartment of Nephrology, The First Hospital of Jilin University, Changchun, China, jlu.edu.cn.ORCID https://orcid.org/0009-0006-8090-6583
Hongzhao XuDepartment of Nephrology, The First Hospital of Jilin University, Changchun, China, jlu.edu.cn.ORCID https://orcid.org/0009-0008-7218-1214

Funding

Natural Science Foundation of Jilin Province 20240602091RC
6 · The paper itself

Abstract

backgroundDiabetic kidney disease (DKD) is a significant microvascular complication of diabetes, accounting for the majority of cases of end-stage renal disease. Copper, an essential trace element, has been identified as a factor closely associated with the onset and progression of DKD. However, the precise causal link between serum copper levels and DKD, along with the mechanisms governing their association, remains unclear.

methodsThis study employed Mendelian randomization (MR) analysis based on large-scale GWAS data to explore the causal relationship between serum copper levels and DKD. Additionally, mediation analysis was conducted using plasma proteomic data, complemented by enrichment analysis to explore the mediating metabolic pathways or signaling pathways through which serum copper may mediate the development of DKD.

resultsMR results demonstrated that elevated serum copper levels significantly increased the risk of DKD (OR = 1.123, p < 0.001). Additionally, no evidence of pleiotropy or heterogeneity was detected, which provides further assurance of the reliability of results. Protein mediation analysis identified 10 plasma proteins, including FABP, Netrin-1, and glutathione S-transferase A4 as critical mediators in copper-driven DKD, with mediation effects ranging from 6.42% to 28.02%. Following the identification of these 10 mediator proteins, 11 intermediary pathways that mediated the effect of serum copper levels on the onset of DKD were identified.

conclusionThis study elucidates the causal effect of copper levels on DKD and reveals the underlying mechanism by which increased serum copper levels lead to the development of DKD, offering novel insights and potential therapeutic targets for DKD prevention and treatment.

Indexed as

CopperDiabetic NephropathiesBiomarkersFatty Acid-Binding ProteinsGenome-Wide Association StudyGlutathione TransferaseHumansMendelian Randomization AnalysisNetrin-1ProteomicsBiomarkersCopperFatty Acid-Binding ProteinsGlutathione TransferaseNetrin-1causal relationshipcopperdiabetic kidney diseasemediation analysisplasma proteomics

Identifiers

PMID41840960
PMCPMC13140866

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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.