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Table 1 Overview of study characteristics, ordered alphabetically by rare renal disease type

From: Differential methylation as a diagnostic biomarker of rare renal diseases: a systematic review

First author, year and rare kidney disease featured.

Methylation measurement method

Participant information.

Outcome

Fujino, Takayuki. 2016

Disease: Membranous Nephropathy

ChIPa assays and H3K4me3b localisation.

Renal biopsies from patients (n = 6) diagnosed with nephrotic syndrome caused by membranous nephropathy compared to controls with other causes of nephrotic syndrome. Two additional control comparisons were participants with microhematuria but no glomerulonephropathy (n = 3) and a single age matched healthy control. Also murine models with induced proteinuria.

The association of increased H3K4me3 and cathepsin L as well as decreased synaptopodin levels and proteinuria in membranous nephropathy.

Hayashi, K. 2014

Disease: Proteinuria

Micro-array based genome wide DNAcmethylation profiling system, MSPd and bisulphite sequencing.

Murine models of proteinuric disease, including FSGSe (n = 11), minimal change disease (n = 10), diabetic nephropathy (n = 9) and normal controls (n = 9). Human renal biopsies from the same proteinuric diseases, number not stated.

Elucidation of a potential novel therapeutic target of proteinuria, the gene KLF4, including investigation of promoter CpG methylation.

Hayashi, K. 2015

Disease: Proteinuria

Bisulphite treatment of DNA and MSP.

Murine models of adriamycin nephropathy, (n = 5 in each treatment group). Samples from patients with proteinuric glomerular diseases including FSGS (n = 8), minimal change disease (n = 9), diabetic nephropathy (n = 8) and normal controls (n = 8). Immortal human podocyte cell lines.

Identification of KLF4 as a potential therapeutic target of proteinuria and angiotensin receptor blockers as a treatment which exerts effects on methylation.

Ito, Y. 2017

Disease: Proteinuria

ChIP assays of histone methylation.

Human embryonic kidney cell lines as well as murine and zebrafish models of proteinuria.

The role of WHSC1L1-L1 in epigenetically modifying the expression of nephrin, with implications for both congenital nephrotic syndrome (rare) and acquired nephrotic syndrome (non-rare).

Jin, M. 2014

Disease:

Congenital renal agenesis

Reduced representation bisulphite sequencing to allow analysis of differentially methylated regions.

Chinese female monozygotic twins discordant for congenital renal agenesis.

Genomic/epigenomic changes, including methylation, which may be correlated with congenital renal agenesis in discordant monozygotic twins.

Li, LX. 2017

Disease: ADPKDf

ChIP with anti-H3K4me2g antibodies and anti-SMYD2 antibodies. Methylation sites localised using a flag-tagged protein.

Double conditional knockout of Pkd1 and Smyd2 in murine models of ADPKD (n = 12) compared to single knockout of Pkd1 (n = 14). Treatment of mice (n = 12) of ADPKD (Pkd1 knockouts) with AZ505 compared to DMSOh injected controls (n = 12) and in conditional Pkd1 knockouts (n = 14) compared again to DMSO injected controls (n = 14). Human ADPKD cells were also utilised and compared to normal kidney cells.

SMYD2’s potential role in ADKPD cyst formation, including differential methylation.

Majumder, Syamantak. 2018.

Disease: Proteinuria

Immunohistochemical staining, RT-qPCRi and ChIP assays of H3K27me3j.

Murine models with induced glomerular injury compared to controls. Kidney samples of human participants with diabetic glomerulosclerosis (n = 12) compared to age matched healthy controls (n = 12) and FSGS (n = 10) compared to non-FSGS tissue biopsies taken at the time of kidney transplantation (n = 9).

Reduced H3K27me3 and subsequent upregulation of the Notch pathway as a contributor to albuminuria in glomerular disease.

Qi, S. 2012

Disease: IgANk

ChIP microarray and real time quantitative MSP.

PBMCsl from IgAN patients (n = 15) and healthy controls (n = 15).

Identification of H3K4me3 as a potential contributor to IgAN.

Sallustio, F. 2016

Disease: IgAN

Whole genome microarray analysis of CD4+ T cells, followed by pyrosequencing for validation.

Renal biopsies from IgAN patients (n = 24) and normal controls (n = 24).

Differential methylation in CD4+ T-cells as a potential contributor to IgAN pathogenesis.

Sui, WG. 2014

Disease: Membranous nephropathy

ChIP-sequencing of H3K9me3m followed by Model-based Analysis of ChIP-sequencing which identified enriched H3K9me3 peaks.

PBMCs from membranous nephropathy patients (n = 10) and healthy controls (n = 10).

Identification of H3K9me3 alterations, including differential methylation, as a potential contributor to membranous nephropathy pathogenesis and a potential biomarker.

Sun, Q. 2015

Disease: IgAN

MSP of bisulphite treated Cosmc gene promoter regions.

PBMCs from paediatric patients with IgAN (n = 26), other renal diseases (n = 11) and healthy control children (n = 13).

Differential methylation in the Cosmc gene as a potential contributor to aberrantly glycosylated IgA1 in IgAN patients.

Woo, YM. 2014

Disease: ADPKD

MIRA-seqn and ChIP-qPCR.

Cystic renal cortex samples from ADPKD patients (n = 3) and non-ADPKD samples from renal cell carcinoma patients (n = 3) used as a normal control. Madin-Darby Canine Kidney cells also used.

Differential methylation in ADPKD cyst formation and the role of methylation inhibitors in repression of cyst formation.

Woo, YM. 2015

Disease: ADPKD

MIRA-seq, methylation-sensitive high-resolution melting and validation using EpiTYPER assay.

Renal tissue from ADPKD patients (n = 3) and non-ADPKD healthy renal tissue from renal cell carcinoma patients (n = 3). Urine samples of ADPKD patients evaluated over a period of 21 months (n = 53).

Identification of differentially methylated MUPCDH as a potential prognostic biomarker of ADPKD.

  1. Abbreviations. aChIP chromatin immunoprecipitation, bH3K4me3 histone three lysine three trimethylation, cDNA Deoxyribonucleic acid, dMSP methylation specific polymerase chain reaction, eFSGS focal segmental glomerulosclerosis. fADPKD autosomal dominant polycystic kidney disease, ganti-H3K4me2 anti-histone 3 lysine 4 dimethylated, hDMSO dimethyl sulfoxide, iRT-qPCR quantitative reverse transcription polymerase chain reaction, jH3K27me3 histone three lysine 27 trimethylation, kIgAN IgA nephropathy, lPBMCs peripheral blood mononuclear cells, mH3K9me3 histone three lysine 9 trimethylation, nMIRA-seq methylated-CpG island recovery assay