The CNDP1 (CTG)5 Polymorphism Is Associated with Biopsy-Proven Diabetic Nephropathy, Time on Hemodialysis, and Diabetes Duration

Considering that the homozygous CNDP1 (CTG)5 genotype affords protection against diabetic nephropathy (DN) in female patients with type 2 diabetes, this study assessed if this association remains gender-specific when applying clinical inclusion criteria (CIC-DN) or biopsy proof (BP-DN). Additionally...

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Main Authors: Thomas Albrecht, Shiqi Zhang, Jana D. Braun, Li Xia, Angelica Rodriquez, Jiedong Qiu, Verena Peters, Claus P. Schmitt, Jacob van den Born, Stephan J. L. Bakker, Alexander Lammert, Hannes Köppel, Peter Schnuelle, Bernhard K. Krämer, Benito A. Yard, Sibylle J. Hauske
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2017/9506730
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author Thomas Albrecht
Shiqi Zhang
Jana D. Braun
Li Xia
Angelica Rodriquez
Jiedong Qiu
Verena Peters
Claus P. Schmitt
Jacob van den Born
Stephan J. L. Bakker
Alexander Lammert
Hannes Köppel
Peter Schnuelle
Bernhard K. Krämer
Benito A. Yard
Sibylle J. Hauske
author_facet Thomas Albrecht
Shiqi Zhang
Jana D. Braun
Li Xia
Angelica Rodriquez
Jiedong Qiu
Verena Peters
Claus P. Schmitt
Jacob van den Born
Stephan J. L. Bakker
Alexander Lammert
Hannes Köppel
Peter Schnuelle
Bernhard K. Krämer
Benito A. Yard
Sibylle J. Hauske
author_sort Thomas Albrecht
collection DOAJ
description Considering that the homozygous CNDP1 (CTG)5 genotype affords protection against diabetic nephropathy (DN) in female patients with type 2 diabetes, this study assessed if this association remains gender-specific when applying clinical inclusion criteria (CIC-DN) or biopsy proof (BP-DN). Additionally, it assessed if the prevalence of the protective genotype changes with diabetes duration and time on hemodialysis and if this occurs in association with serum carnosinase (CN-1) activity. Whereas the distribution of the (CTG)5 homozygous genotype in the no-DN and CIC-DN patients was comparable, a lower frequency was found in the BP-DN patients, particularly in females. We observed a significant trend towards high frequencies of the (CTG)5 homozygous genotype with increased time on dialysis. This was also observed for diabetes duration but only reached significance when both (CTG)5 homo- and heterozygous patients were included. CN-1 activity negatively correlated with time on hemodialysis and was lower in (CTG)5 homozygous patients. The latter remained significant in female subjects after gender stratification. We confirm the association between the CNDP1 genotype and DN to be likely gender-specific. Although our data also suggest that (CTG)5 homozygous patients may have a survival advantage on dialysis and in diabetes, this hypothesis needs to be confirmed in a prospective cohort study.
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spelling doaj-art-4401c6d5bd114c28a0b7fbf0e4c602fd2025-02-03T01:22:00ZengWileyJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/95067309506730The CNDP1 (CTG)5 Polymorphism Is Associated with Biopsy-Proven Diabetic Nephropathy, Time on Hemodialysis, and Diabetes DurationThomas Albrecht0Shiqi Zhang1Jana D. Braun2Li Xia3Angelica Rodriquez4Jiedong Qiu5Verena Peters6Claus P. Schmitt7Jacob van den Born8Stephan J. L. Bakker9Alexander Lammert10Hannes Köppel11Peter Schnuelle12Bernhard K. Krämer13Benito A. Yard14Sibylle J. Hauske15Fifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyCentre for Pediatric and Adolescent Medicine, University of Heidelberg, Heidelberg, GermanyCentre for Pediatric and Adolescent Medicine, University of Heidelberg, Heidelberg, GermanyNephrology, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsNephrology, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyFifth Medical Department (Nephrology/Endocrinology/Rheumatology), University Medical Center Mannheim, University of Heidelberg, Mannheim, GermanyConsidering that the homozygous CNDP1 (CTG)5 genotype affords protection against diabetic nephropathy (DN) in female patients with type 2 diabetes, this study assessed if this association remains gender-specific when applying clinical inclusion criteria (CIC-DN) or biopsy proof (BP-DN). Additionally, it assessed if the prevalence of the protective genotype changes with diabetes duration and time on hemodialysis and if this occurs in association with serum carnosinase (CN-1) activity. Whereas the distribution of the (CTG)5 homozygous genotype in the no-DN and CIC-DN patients was comparable, a lower frequency was found in the BP-DN patients, particularly in females. We observed a significant trend towards high frequencies of the (CTG)5 homozygous genotype with increased time on dialysis. This was also observed for diabetes duration but only reached significance when both (CTG)5 homo- and heterozygous patients were included. CN-1 activity negatively correlated with time on hemodialysis and was lower in (CTG)5 homozygous patients. The latter remained significant in female subjects after gender stratification. We confirm the association between the CNDP1 genotype and DN to be likely gender-specific. Although our data also suggest that (CTG)5 homozygous patients may have a survival advantage on dialysis and in diabetes, this hypothesis needs to be confirmed in a prospective cohort study.http://dx.doi.org/10.1155/2017/9506730
spellingShingle Thomas Albrecht
Shiqi Zhang
Jana D. Braun
Li Xia
Angelica Rodriquez
Jiedong Qiu
Verena Peters
Claus P. Schmitt
Jacob van den Born
Stephan J. L. Bakker
Alexander Lammert
Hannes Köppel
Peter Schnuelle
Bernhard K. Krämer
Benito A. Yard
Sibylle J. Hauske
The CNDP1 (CTG)5 Polymorphism Is Associated with Biopsy-Proven Diabetic Nephropathy, Time on Hemodialysis, and Diabetes Duration
Journal of Diabetes Research
title The CNDP1 (CTG)5 Polymorphism Is Associated with Biopsy-Proven Diabetic Nephropathy, Time on Hemodialysis, and Diabetes Duration
title_full The CNDP1 (CTG)5 Polymorphism Is Associated with Biopsy-Proven Diabetic Nephropathy, Time on Hemodialysis, and Diabetes Duration
title_fullStr The CNDP1 (CTG)5 Polymorphism Is Associated with Biopsy-Proven Diabetic Nephropathy, Time on Hemodialysis, and Diabetes Duration
title_full_unstemmed The CNDP1 (CTG)5 Polymorphism Is Associated with Biopsy-Proven Diabetic Nephropathy, Time on Hemodialysis, and Diabetes Duration
title_short The CNDP1 (CTG)5 Polymorphism Is Associated with Biopsy-Proven Diabetic Nephropathy, Time on Hemodialysis, and Diabetes Duration
title_sort cndp1 ctg 5 polymorphism is associated with biopsy proven diabetic nephropathy time on hemodialysis and diabetes duration
url http://dx.doi.org/10.1155/2017/9506730
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