SH3YL1 protein as a novel biomarker for diabetic nephropathy in type 2 diabetes mellitus

• Published in: Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2021-02, Vol.31 (2), p.498-505
• Main Authors: Choi, Gyu S., Min, Hye S., Cha, Jin J., Lee, Ji E., Ghee, Jung Y., Yoo, Ji A., Kim, Ki T., Kang, Young S., Han, Sang Y., Bae, Yun S., Lee, Sae R., Yoo, Jung Y., Moon, Sung H., Lee, Soo J., Cha, Dae R.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Albuminuria - blood; Albuminuria - diagnosis; Albuminuria - etiology; Animals; Biomarker; Biomarkers - blood; Case-Control Studies; Cell Line; Diabetes Mellitus, Type 2 - blood; Diabetes Mellitus, Type 2 - complications; Diabetes Mellitus, Type 2 - diagnosis; Diabetic Nephropathies - blood; Diabetic Nephropathies - diagnosis; Diabetic Nephropathies - etiology; Diabetic nephropathy; Disease Models, Animal; Female; Humans; Male; Membrane Proteins - blood; Mice; Mice, Inbred C57BL; Middle Aged; Podocytes - metabolism; Retinol-Binding Proteins, Plasma - metabolism; SH3YL1; Up-Regulation
• ISSN: 0939-4753; 1590-3729
• DOI: 10.1016/j.numecd.2020.09.024

Oxidative stress contributes to development of diabetic nephropathy. We implicated SH3YL1 in oxidative stress-induced inflammation and examined whether SH3YL1 could be used as a new biomarker of diabetic nephropathy. In this study, we investigated the relationship between plasma level of SH3YL1 and diabetic nephropathy in patients with type 2 diabetes. In addition, we examined the physiological role of SH3YL1 in db/db mice and cultured podocytes. Plasma SH3YL1 concentration was significantly higher in patients with diabetes than in controls, even in normoalbuminuric patients, and was markedly increased in the macroalbuminuria group. Plasma SH3YL1 level was positively correlated with systolic blood pressure, HOMA-IR, postprandial blood glucose, plasma level of retinol binding protein 4 (RBP 4), and urinary albumin excretion (UAE) and was inversely correlated with BMI. Regression analysis showed that plasma level of RBP 4, UAE, and BMI were the only independent determinants of plasma SH3YL1 concentration. In db/db mice, plasma and renal SH3YL1 levels were significantly increased in mice with diabetes compared with control mice. In cultured podocytes, high glucose and angiotensin II stimuli markedly increased SH3YL1 synthesis. These findings suggest that plasma level of SH3YL1 offers a promising new biomarker for diabetic nephropathy. •Plasma SH3YL1 concentrations may be new biomarker for diabetic nephropathy in patients with type 2 diabetes.•Plasma SH3YL1 level was correlated with urinary albumin excretion.•Plasma and renal SH3YL1 levels were significantly increased in diabetic mice.•High glucose and angiotensin II stimuli increased SH3YL1 synthesis in podocytes.