PMID- 33020132 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20210621 IS - 2052-4897 (Electronic) IS - 2052-4897 (Linking) VI - 8 IP - 1 DP - 2020 Oct TI - Effect of bariatric surgery on circulating and urinary mitochondrial DNA copy numbers in obesity with or without diabetes. LID - 10.1136/bmjdrc-2020-001372 [doi] LID - e001372 AB - INTRODUCTION: Recent studies have suggested that extracellular circulating and urinary mitochondrial DNA (mtDNA) are associated with mitochondrial dysfunction in obesity and type 2 diabetes mellitus (T2DM). However, the changes to cell-free serum and urinary mtDNA after bariatric surgery in patients with obesity with T2DM have not been investigated to date. RESEARCH DESIGN AND METHODS: We prospectively recruited patients with obesity (n=18), and with obesity and T2DM (n=14) who underwent bariatric surgery, along with healthy volunteers (HV) as a control group (n=22). Serum and urinary mitochondrial nicotinamide adenine dinucleotide dehydrogenase subunit-1 (mtND-1) and cytochrome-c oxidase 3 (mtCOX-3) copy numbers were measured using quantitative PCR (qPCR). The mtDNA copy numbers of patients with obesity (with and without T2DM) were followed up 6 months after surgery. RESULTS: The copy numbers of urinary mtND-1 and mtCOX-3 in patients with obesity, with or without T2DM, were higher than those in the HVs. Moreover, urinary mtCOX-3 copy number increased in patients with obesity with T2DM compared with patients with obesity without T2DM (p=0.018). Meanwhile, serum mtCOX-3 copy numbers in HV were higher in both obesity patient groups (p=0.040). Bariatric surgery reduced urinary mtND-1 and mtCOX-3 copy numbers, as well as serum mtCOX-3 copy numbers only in patients with obesity with T2DM. CONCLUSION: These results suggest that T2DM induces greater kidney mitochondrial dysfunction in patients with obesity, which can be effectively restored with bariatric surgery. CI - (c) Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Seo, Mihae AU - Seo M AD - Internal Medicine, Soonchunhyang University Hospital, Gumi, Gyeongsangbuk-do, The Republic of Korea. FAU - Kim, Hyoungnae AU - Kim H AUID- ORCID: 0000-0002-5359-0214 AD - Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. AD - Hyaonam Kidney Laboratory, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. FAU - Noh, Hyunjin AU - Noh H AD - Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. AD - Hyaonam Kidney Laboratory, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. FAU - Jeon, Jin Seok AU - Jeon JS AD - Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. AD - Hyaonam Kidney Laboratory, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. FAU - Byun, Dong Won AU - Byun DW AD - Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. FAU - Kim, Sang Hyun AU - Kim SH AD - Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. FAU - Kim, Hye Jeong AU - Kim HJ AD - Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. FAU - Suh, Kyoil AU - Suh K AD - Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. FAU - Park, Hyeong Kyu AU - Park HK AD - Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea ksoonhyo@schmc.ac.kr hkpark@schmc.ac.kr. FAU - Kwon, Soon Hyo AU - Kwon SH AUID- ORCID: 0000-0002-4114-4196 AD - Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea ksoonhyo@schmc.ac.kr hkpark@schmc.ac.kr. AD - Hyaonam Kidney Laboratory, Soonchunhyang University Seoul Hospital, Seoul, The Republic of Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - BMJ Open Diabetes Res Care JT - BMJ open diabetes research & care JID - 101641391 RN - 0 (DNA, Mitochondrial) SB - IM MH - *Bariatric Surgery MH - DNA Copy Number Variations MH - DNA, Mitochondrial/genetics MH - *Diabetes Mellitus, Type 2/complications/genetics MH - Humans MH - Mitochondria MH - Obesity/complications/genetics/surgery PMC - PMC7536782 OTO - NOTNLM OT - DNA OT - bariatric surgery OT - complementary OT - diabetes mellitus OT - obesity OT - type 2 COIS- Competing interests: None declared. EDAT- 2020/10/07 06:00 MHDA- 2021/06/22 06:00 PMCR- 2020/10/05 CRDT- 2020/10/06 05:26 PHST- 2020/03/19 00:00 [received] PHST- 2020/07/22 00:00 [revised] PHST- 2020/08/23 00:00 [accepted] PHST- 2020/10/06 05:26 [entrez] PHST- 2020/10/07 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/10/05 00:00 [pmc-release] AID - 8/1/e001372 [pii] AID - bmjdrc-2020-001372 [pii] AID - 10.1136/bmjdrc-2020-001372 [doi] PST - ppublish SO - BMJ Open Diabetes Res Care. 2020 Oct;8(1):e001372. doi: 10.1136/bmjdrc-2020-001372.