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Updated: Sep 16, 2025

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
CTSS and CD53: Emerging m6A methylation markers in diabetic kidney disease pathogenesis and their clinical
Meng Leilei1, Huang Bin2, Li Rui3
1Department of Pathophysiology, Anhui Medical University, Hefei, 230000, China.
Objective:
Diabetic kidney disease (DKD) is increasingly recognized as a leading cause of chronic kidney disease (CKD) worldwide. Although N6-methyladenosine (m6A) mRNA modification is abundant in eukaryotes, its specific contribution to DKD pathogenesis is not well understood. This study aims to investigate the role of N6-methyladenosine (m6A) RNA modification patterns in DKD and their relationship with immune regulation.
Methods:
Three GEO datasets were analyzed to explore m6A modification patterns. Random forest modeling and consensus clustering were used for subtype identification. Immune cell infiltration was evaluated using ssGSEA. Key candidate genes were refined through LASSO regression and experimental verification in diabetic mouse models via qPCR.
Results:
Eight differentially expressed m6A regulators were identified in DKD. Two distinct m6A modification patterns were established, with cluster B showing enhanced immune cell infiltration. WTAP positively correlated with immune cell populations, while YTHDC2 showed negative correlations. CTSS and CD53 were identified as potential biomarkers and validated in diabetic mouse models, showing negative correlations with glomerular filtration rate.
Conclusions:
This study reveals two m6A methylation patterns in DKD, with one associated with increased immune infiltration. We identified CTSS and CD53 as hub genes and validated them in diabetic mouse kidney tissues, suggesting their potential as clinical biomarkers for DKD.
Clinical Trial Number:
Not applicable.
Insights
This study identifies two N6-methyladenosine (m6A) RNA modification patterns in diabetic kidney disease (DKD), with one linked to increased immune cell infiltration. CTSS and CD53 show potential as clinical biomarkers for DKD.
Area of Science:
- Molecular Biology
- Immunology
- Genomics
Background:
- Diabetic kidney disease (DKD) is a major global cause of chronic kidney disease (CKD).
- The role of N6-methyladenosine (m6A) RNA modification in DKD pathogenesis remains unclear.
Purpose of the Study:
- Investigate m6A RNA modification patterns in DKD.
- Explore the relationship between m6A patterns and immune regulation in DKD.
Main Methods:
- Analyzed three GEO datasets for m6A modification patterns.
- Utilized random forest modeling and consensus clustering for subtype identification.
- Assessed immune cell infiltration via ssGSEA and validated key genes in mouse models.
Main Results:
- Identified eight differentially expressed m6A regulators in DKD.
- Established two distinct m6A modification patterns, one with enhanced immune cell infiltration.
- Validated CTSS and CD53 as potential biomarkers negatively correlated with glomerular filtration rate.
Conclusions:
- Revealed two m6A methylation patterns in DKD, one associated with increased immune infiltration.
- Identified CTSS and CD53 as hub genes with potential as clinical biomarkers for DKD.
Related Concept Videos
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease III: Interprofessional Care

