PMID- 29626590 OWN - NLM STAT- MEDLINE DCOM- 20180725 LR - 20181202 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 140 DP - 2018 Jun TI - Altered expression of WFS1 and NOTCH2 genes associated with diabetic nephropathy in T2DM patients. PG - 304-313 LID - S0168-8227(18)30064-0 [pii] LID - 10.1016/j.diabres.2018.03.053 [doi] AB - AIM: The increased incidence of type 2 diabetes mellitus (T2DM) and the importance of early identification and management of its complications, especially diabetic nephropathy (DN), have spotted the light on genetic factors that increase risk of T2DM and its related nephropathy. The present study aimed at investigating expression of (KCNJ11, ABCC8, JAZF1, WFS1, PPARG, NOTCH2 and EXOSC4) genes in peripheral blood of T2DM patients. METHOD: The study included 30 non-complicated T2DM patients, 30 patients with DN and 40 healthy controls. Quantitative Real Time PCR Array was used to study gene expression. RESULTS: NOTCH2 showed higher expression while KCNJ11, JAZF1, WFS1 and PPARG genes showed lower expression in DN patients compared to non-complicated patients. KCNJ11, JAZF1, WFS1, PPARG, and EXOSC4 expression showed significant negative correlation with microalbumin, while NOTCH2 expression was significantly positively correlated with microalbumin. AS regard HbA1c and studied genes expression, there was significant negative correlation between WFS1 expression and HbA1c, while NOTCH2, KCNJ11, JAZF1, PPARG, EXOSC4 expression didn't show significant correlation with HbA1c. Risk ratio of studied genes expression showed that WFS1 and NOTCH2 had highest risk ratio (30) and highest sensitivity and specificity, in relation to DN and they were the best predictors in the group of studied genes at cut off value of /=0.678 for NOTCH2. CONCLUSION: Altered expression of WFS1 and NOTCH2 genes may play a role in pathogenesis and development of DN in patients with T2DM. These results may contribute in early identification and management of DN. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Sharaf, Sahar A AU - Sharaf SA AD - Clinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. FAU - Kantoush, Nagwa A AU - Kantoush NA AD - Clinical and Chemical Pathology Department, National Research Centre, Cairo, Egypt. FAU - Ayoub, Dina F AU - Ayoub DF AD - Clinical and Chemical Pathology Department, National Research Centre, Cairo, Egypt. FAU - Ibrahim, Alshaymaa A AU - Ibrahim AA AD - Clinical and Chemical Pathology Department, National Research Centre, Cairo, Egypt. Electronic address: shaymaa_t@hotmail.com. FAU - Abdelaal, Amaal A AU - Abdelaal AA AD - Clinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. FAU - Aziz, Rokaya Abdel AU - Aziz RA AD - Internal Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt. FAU - ElHefnawi, Mahmoud M AU - ElHefnawi MM AD - Biomedical Informatics and Chemoinformatics Group, Informatics and Systems Department, Division of Engineering Research, National Research Centre, Cairo, Egypt. FAU - Ahmed, Amira N AU - Ahmed AN AD - Clinical and Chemical Pathology Department, National Research Centre, Cairo, Egypt. LA - eng PT - Journal Article DEP - 20180404 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Membrane Proteins) RN - 0 (NOTCH2 protein, human) RN - 0 (Receptor, Notch2) RN - 0 (wolframin protein) SB - IM MH - Adult MH - Aged MH - Diabetes Mellitus, Type 2/*complications MH - Diabetic Nephropathies/*etiology/pathology MH - Female MH - Humans MH - Male MH - Membrane Proteins/*metabolism MH - Middle Aged MH - Receptor, Notch2/*metabolism OTO - NOTNLM OT - Diabetic nephropathy OT - Gene expression OT - Real Time PCR Array OT - T2DM EDAT- 2018/04/08 06:00 MHDA- 2018/07/26 06:00 CRDT- 2018/04/08 06:00 PHST- 2018/02/19 00:00 [received] PHST- 2018/03/18 00:00 [revised] PHST- 2018/03/29 00:00 [accepted] PHST- 2018/04/08 06:00 [pubmed] PHST- 2018/07/26 06:00 [medline] PHST- 2018/04/08 06:00 [entrez] AID - S0168-8227(18)30064-0 [pii] AID - 10.1016/j.diabres.2018.03.053 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2018 Jun;140:304-313. doi: 10.1016/j.diabres.2018.03.053. Epub 2018 Apr 4.