RT Journal Article SR Electronic T1 Alterations in protein translation and carboxylic acid catabolic processes in diabetic kidney disease JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.04.18.440341 DO 10.1101/2021.04.18.440341 A1 Kimberly S. Collins A1 Michael T. Eadon A1 Ying-Hua Cheng A1 Daria Barwinska A1 Ricardo Melo Ferreira A1 Thomas W. McCarthy A1 Danielle Janosevic A1 Farooq Syed A1 Bernhard Maier A1 Tarek M. El-Achkar A1 Katherine J. Kelly A1 Carrie L. Phillips A1 Takashi Hato A1 Timothy A. Sutton A1 Pierre C. Dagher YR 2021 UL http://biorxiv.org/content/early/2021/04/19/2021.04.18.440341.abstract AB Diabetic kidney disease (DKD) remains the leading cause of end stage kidney disease despite decades of study. Alterations in the glomerulus and kidney tubules both contribute to the pathogenesis of DKD although the majority of investigative efforts have focused on the glomerulus. We sought to examine the differential expression signature of human DKD in the glomerulus and proximal tubule and corroborate our findings in the db/db mouse model of diabetes. A transcriptogram network analysis of RNAseq data from laser microdissected (LMD) human glomerulus and proximal tubule of DKD and reference nephrectomy samples revealed enriched pathways including rhodopsin-like receptors, olfactory signaling, and ribosome (protein translation) in the proximal tubule of human DKD biopsy samples. The translation pathway was also enriched in the glomerulus. Increased translation in diabetic kidneys was validated using polyribosomal profiling in the db/db mouse model of diabetes. Using single nuclear RNA sequencing (snRNAseq) of kidneys from db/db mice, we prioritized additional pathways identified in human DKD. The top overlapping pathway identified in the murine snRNAseq proximal tubule clusters and the human LMD proximal tubule compartment was carboxylic acid catabolism. Using ultra-performance liquid chromatography-mass spectrometry, the fatty acid catabolism pathway was also found to be dysregulated in the db/db mouse model. The Acetyl-CoA metabolite was down-regulated in db/db mice, aligning with the human differential expression of the genes ACOX1 and ACACB. In summary, our findings demonstrate that proximal tubular alterations in protein translation and carboxylic acid catabolism are key features in both human and murine DKD.Competing Interest StatementThe authors have declared no competing interest.