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Weight Change Alters the Small RNA Profile of Urinary Extracellular Vesicles in Obesity
Dughyun Choi1, Sewon Kim2,3, Jeyoung Woo2
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.
Introduction:
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).
Methods:
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.
Results:
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.
Conclusion:
Obese patients showed distinct urinary EV small RNA profiles compared to HVs. Weight reduction altered urinary EV small-RNA profiles in obese patients.
Insights
Obesity alters urinary extracellular vesicle (EV) RNA profiles, with weight loss normalizing these patterns. This study reveals distinct small RNA signatures in obese individuals and their changes post-bariatric surgery.
Area of Science:
- Biochemistry
- Genomics
- Nephrology
Background:
- Obesity is a major risk factor for chronic kidney disease.
- Urinary extracellular vesicle (EV) RNA profiles vary across kidney diseases.
- The impact of obesity on urinary EV RNA is not well understood.
Purpose of the Study:
- To analyze small RNA profiles of urinary EVs in obese patients before and after weight reduction.
- To compare urinary EV RNA profiles of obese patients with healthy volunteers (HVs).
Main Methods:
- Recruited age-sex-matched obese patients and HVs.
- Performed small RNA sequencing on urinary EVs.
- Analyzed urinary EV RNA profiles 6 months after bariatric surgery.
Main Results:
- Obese patients exhibited significantly different urinary EV RNA proportions (transfer RNA and microRNA) compared to HVs.
- 1,343 small RNAs were differentially expressed in obese patients' urinary EVs.
- Weight reduction modulated the expression of specific urinary EV small RNAs, correlating with clinical parameters.
Conclusions:
- Obese patients possess distinct urinary EV small RNA profiles compared to healthy individuals.
- Weight reduction significantly alters urinary EV small RNA profiles in obese patients.
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