Bariatric Surgery Reduces Elevated Urinary Mitochondrial DNA Copy Number in Patients With Obesity

Abstract Objective Obesity is an independent risk factor for chronic kidney disease. Recently, urinary mitochondrial DNA (mtDNA) has been used as a surrogate marker of mitochondrial damage in various kidney diseases. However, there are no data regarding its use in patients with obesity or the change...

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Veröffentlicht in:The journal of clinical endocrinology and metabolism 2019-06, Vol.104 (6), p.2257-2266
Hauptverfasser: Lee, Haekyung, Oh, Songhee, Yang, Wonmi, Park, Rojin, Kim, Hyoungnae, Jeon, Jin Seok, Noh, Hyunjin, Han, Dong Cheol, Cho, Kae Won, Kim, Yong Jin, Kwon, Soon Hyo
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container_issue 6
container_start_page 2257
container_title The journal of clinical endocrinology and metabolism
container_volume 104
creator Lee, Haekyung
Oh, Songhee
Yang, Wonmi
Park, Rojin
Kim, Hyoungnae
Jeon, Jin Seok
Noh, Hyunjin
Han, Dong Cheol
Cho, Kae Won
Kim, Yong Jin
Kwon, Soon Hyo
description Abstract Objective Obesity is an independent risk factor for chronic kidney disease. Recently, urinary mitochondrial DNA (mtDNA) has been used as a surrogate marker of mitochondrial damage in various kidney diseases. However, there are no data regarding its use in patients with obesity or the change in urinary mtDNA copy number after surgery. Design We prospectively recruited age- and sex-matched healthy volunteers and patients with obesity (n = 22 in each group: nine men and 13 women). The copy number of urinary and serum mtDNA nicotinamide adenine dinucleotide dehydrogenase subunit-1 (mtND-1) and cytochrome-c oxidase 3 (mtCOX-3) was measured using quantitative PCR. We measured urinary mtDNA and body weight and carried out laboratory tests, 6 months after surgery. Results Urinary mtND-1 copy number was significantly higher in the obese group than in healthy volunteers. However, urinary mtCOX-3 and serum ND-1 copy numbers in the obese group did not differ from that in the healthy volunteers. When patients with obesity were divided into two groups, according to their baseline mtND-1 copy number, bariatric surgery reduced the mtND-1 copy number (P = 0.006) in the high baseline mtDNA copy-number group. The change in urinary mtND-1 copy number was correlated with a change in urinary albumin (r = 0.478, P = 0.025). Conclusions Obesity is associated with elevated urinary mtND-1 copy number. Bariatric surgery reduces the elevated urinary mtND-1 copy number in patients with obesity. This suggests that bariatric surgery could attenuate mitochondrial damage in the kidney cells of patients with obesity. Obese patients have elevated urinary mitochondrial DNA (mtDNA) copy number. Bariatric surgery reduces especially high urinary mtDNA copy number.
doi_str_mv 10.1210/jc.2018-01935
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Recently, urinary mitochondrial DNA (mtDNA) has been used as a surrogate marker of mitochondrial damage in various kidney diseases. However, there are no data regarding its use in patients with obesity or the change in urinary mtDNA copy number after surgery. Design We prospectively recruited age- and sex-matched healthy volunteers and patients with obesity (n = 22 in each group: nine men and 13 women). The copy number of urinary and serum mtDNA nicotinamide adenine dinucleotide dehydrogenase subunit-1 (mtND-1) and cytochrome-c oxidase 3 (mtCOX-3) was measured using quantitative PCR. We measured urinary mtDNA and body weight and carried out laboratory tests, 6 months after surgery. Results Urinary mtND-1 copy number was significantly higher in the obese group than in healthy volunteers. However, urinary mtCOX-3 and serum ND-1 copy numbers in the obese group did not differ from that in the healthy volunteers. When patients with obesity were divided into two groups, according to their baseline mtND-1 copy number, bariatric surgery reduced the mtND-1 copy number (P = 0.006) in the high baseline mtDNA copy-number group. The change in urinary mtND-1 copy number was correlated with a change in urinary albumin (r = 0.478, P = 0.025). Conclusions Obesity is associated with elevated urinary mtND-1 copy number. Bariatric surgery reduces the elevated urinary mtND-1 copy number in patients with obesity. This suggests that bariatric surgery could attenuate mitochondrial damage in the kidney cells of patients with obesity. Obese patients have elevated urinary mitochondrial DNA (mtDNA) copy number. Bariatric surgery reduces especially high urinary mtDNA copy number.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/jc.2018-01935</identifier><identifier>PMID: 30657970</identifier><language>eng</language><publisher>Washington, DC: Endocrine Society</publisher><subject>Adenine ; Adult ; Bariatric Surgery ; Body weight ; Copy number ; Cytochrome-c oxidase ; Deoxyribonucleic acid ; DNA ; DNA, Mitochondrial - urine ; Electron Transport Complex IV - blood ; Electron Transport Complex IV - urine ; Female ; Gastrointestinal surgery ; Gene Dosage ; Glomerular Filtration Rate ; Humans ; Kidney diseases ; Male ; Mitochondrial DNA ; NAD ; NADH Dehydrogenase - blood ; NADH Dehydrogenase - urine ; Nicotinamide ; Obesity ; Obesity - genetics ; Prospective Studies ; Risk factors ; Surgery</subject><ispartof>The journal of clinical endocrinology and metabolism, 2019-06, Vol.104 (6), p.2257-2266</ispartof><rights>Copyright © 2019 Endocrine Society 2019</rights><rights>Copyright © 2019 Endocrine Society.</rights><rights>Copyright © 2019 Endocrine Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-613b4f4270a21439c9c01cde869b1108a51e359853a0894d94650494274c0ee23</citedby><cites>FETCH-LOGICAL-c393t-613b4f4270a21439c9c01cde869b1108a51e359853a0894d94650494274c0ee23</cites><orcidid>0000-0002-4114-4196</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2364242826?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21367,27901,27902,33721,33722,43781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30657970$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Haekyung</creatorcontrib><creatorcontrib>Oh, Songhee</creatorcontrib><creatorcontrib>Yang, Wonmi</creatorcontrib><creatorcontrib>Park, Rojin</creatorcontrib><creatorcontrib>Kim, Hyoungnae</creatorcontrib><creatorcontrib>Jeon, Jin Seok</creatorcontrib><creatorcontrib>Noh, Hyunjin</creatorcontrib><creatorcontrib>Han, Dong Cheol</creatorcontrib><creatorcontrib>Cho, Kae Won</creatorcontrib><creatorcontrib>Kim, Yong Jin</creatorcontrib><creatorcontrib>Kwon, Soon Hyo</creatorcontrib><title>Bariatric Surgery Reduces Elevated Urinary Mitochondrial DNA Copy Number in Patients With Obesity</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Abstract Objective Obesity is an independent risk factor for chronic kidney disease. Recently, urinary mitochondrial DNA (mtDNA) has been used as a surrogate marker of mitochondrial damage in various kidney diseases. However, there are no data regarding its use in patients with obesity or the change in urinary mtDNA copy number after surgery. Design We prospectively recruited age- and sex-matched healthy volunteers and patients with obesity (n = 22 in each group: nine men and 13 women). The copy number of urinary and serum mtDNA nicotinamide adenine dinucleotide dehydrogenase subunit-1 (mtND-1) and cytochrome-c oxidase 3 (mtCOX-3) was measured using quantitative PCR. We measured urinary mtDNA and body weight and carried out laboratory tests, 6 months after surgery. Results Urinary mtND-1 copy number was significantly higher in the obese group than in healthy volunteers. However, urinary mtCOX-3 and serum ND-1 copy numbers in the obese group did not differ from that in the healthy volunteers. When patients with obesity were divided into two groups, according to their baseline mtND-1 copy number, bariatric surgery reduced the mtND-1 copy number (P = 0.006) in the high baseline mtDNA copy-number group. The change in urinary mtND-1 copy number was correlated with a change in urinary albumin (r = 0.478, P = 0.025). Conclusions Obesity is associated with elevated urinary mtND-1 copy number. Bariatric surgery reduces the elevated urinary mtND-1 copy number in patients with obesity. This suggests that bariatric surgery could attenuate mitochondrial damage in the kidney cells of patients with obesity. Obese patients have elevated urinary mitochondrial DNA (mtDNA) copy number. 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Oh, Songhee ; Yang, Wonmi ; Park, Rojin ; Kim, Hyoungnae ; Jeon, Jin Seok ; Noh, Hyunjin ; Han, Dong Cheol ; Cho, Kae Won ; Kim, Yong Jin ; Kwon, Soon Hyo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-613b4f4270a21439c9c01cde869b1108a51e359853a0894d94650494274c0ee23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adenine</topic><topic>Adult</topic><topic>Bariatric Surgery</topic><topic>Body weight</topic><topic>Copy number</topic><topic>Cytochrome-c oxidase</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>DNA, Mitochondrial - urine</topic><topic>Electron Transport Complex IV - blood</topic><topic>Electron Transport Complex IV - urine</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Gene Dosage</topic><topic>Glomerular Filtration Rate</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Male</topic><topic>Mitochondrial DNA</topic><topic>NAD</topic><topic>NADH Dehydrogenase - blood</topic><topic>NADH Dehydrogenase - urine</topic><topic>Nicotinamide</topic><topic>Obesity</topic><topic>Obesity - genetics</topic><topic>Prospective Studies</topic><topic>Risk factors</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Haekyung</creatorcontrib><creatorcontrib>Oh, Songhee</creatorcontrib><creatorcontrib>Yang, Wonmi</creatorcontrib><creatorcontrib>Park, Rojin</creatorcontrib><creatorcontrib>Kim, Hyoungnae</creatorcontrib><creatorcontrib>Jeon, Jin Seok</creatorcontrib><creatorcontrib>Noh, Hyunjin</creatorcontrib><creatorcontrib>Han, Dong Cheol</creatorcontrib><creatorcontrib>Cho, Kae Won</creatorcontrib><creatorcontrib>Kim, Yong Jin</creatorcontrib><creatorcontrib>Kwon, Soon Hyo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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Recently, urinary mitochondrial DNA (mtDNA) has been used as a surrogate marker of mitochondrial damage in various kidney diseases. However, there are no data regarding its use in patients with obesity or the change in urinary mtDNA copy number after surgery. Design We prospectively recruited age- and sex-matched healthy volunteers and patients with obesity (n = 22 in each group: nine men and 13 women). The copy number of urinary and serum mtDNA nicotinamide adenine dinucleotide dehydrogenase subunit-1 (mtND-1) and cytochrome-c oxidase 3 (mtCOX-3) was measured using quantitative PCR. We measured urinary mtDNA and body weight and carried out laboratory tests, 6 months after surgery. Results Urinary mtND-1 copy number was significantly higher in the obese group than in healthy volunteers. However, urinary mtCOX-3 and serum ND-1 copy numbers in the obese group did not differ from that in the healthy volunteers. When patients with obesity were divided into two groups, according to their baseline mtND-1 copy number, bariatric surgery reduced the mtND-1 copy number (P = 0.006) in the high baseline mtDNA copy-number group. The change in urinary mtND-1 copy number was correlated with a change in urinary albumin (r = 0.478, P = 0.025). Conclusions Obesity is associated with elevated urinary mtND-1 copy number. Bariatric surgery reduces the elevated urinary mtND-1 copy number in patients with obesity. This suggests that bariatric surgery could attenuate mitochondrial damage in the kidney cells of patients with obesity. Obese patients have elevated urinary mitochondrial DNA (mtDNA) copy number. Bariatric surgery reduces especially high urinary mtDNA copy number.</abstract><cop>Washington, DC</cop><pub>Endocrine Society</pub><pmid>30657970</pmid><doi>10.1210/jc.2018-01935</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-4114-4196</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adenine
Adult
Bariatric Surgery
Body weight
Copy number
Cytochrome-c oxidase
Deoxyribonucleic acid
DNA
DNA, Mitochondrial - urine
Electron Transport Complex IV - blood
Electron Transport Complex IV - urine
Female
Gastrointestinal surgery
Gene Dosage
Glomerular Filtration Rate
Humans
Kidney diseases
Male
Mitochondrial DNA
NAD
NADH Dehydrogenase - blood
NADH Dehydrogenase - urine
Nicotinamide
Obesity
Obesity - genetics
Prospective Studies
Risk factors
Surgery
title Bariatric Surgery Reduces Elevated Urinary Mitochondrial DNA Copy Number in Patients With Obesity
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