Diabetes complications

A renal biopsy–anchored multi-marker signature involving AOPEP SNP-driven splicing, miR-27b-3p and glycated albumin for stratifying renal damage in type 2 diabetes

Diabetes Res Clin PractPublished Diagnostic accuracy study

An erratum to this article was published (Diabetes Res Clin Pract, Mar 2026 ↗)

Authors' conclusion

We identify a genotype- and glucose-dependent mechanism regulating miR-27b-3p via AOPEP splicing and propose a biopsy-anchored, non-invasive biomarker panel (rs10761364, GA, miR-27b-3p) to differentiate DN from NDRD, supporting personalized nephrology care.

Study context

Population
Biopsy-verified chronic kidney disease (CKD) patients with and without T2D
Participants
231 patients
Comparison
Diabetic nephropathy (DN) vs non-diabetic renal disease (NDRD)
Outcome
Discrimination of DN from NDRD
Methodological detailsbiopsy-verified cohort, mechanistic in vitro component
  • Biopsy-verified cohort
  • Mechanistic in vitro component

Performance

As reported in the abstract

AUC of model combining rs10761364, glycated albumin (GA) and urinary miR-27b-3p (up to)

0.93

Further findings

miR-27b-3p inversely correlated with GA
GA-based models outperformed those using HbA1c

Original publication

A renal biopsy–anchored multi-marker signature involving AOPEP SNP-driven splicing, miR-27b-3p and glycated albumin for stratifying renal damage in type 2 diabetes. Diabetes Res Clin Pract. Published 9 September 2025. doi:10.1016/j.diabres.2025.112460

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