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Expression, EMT Regulatory Mechanism and Clinical Significance of Histone Lactylation in Diabetic Nephropathy: A Cross-Sectional Study

Mechanism of Epithelial-Mesenchymal Transition in Diabetic Nephropathy Regulated by Histone Lactylation via Gene Pathways

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600126850
Enrollment
Unknown
Registered
2026-06-17
Start date
2026-06-17
Completion date
Unknown
Last updated
2026-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetic nephropathy

Interventions

Diabetic Nephropathy :None

Sponsors

Zhongshan Hospital of Xiamen University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Aged >=18 years old with no restriction on gender. 2. Diabetic nephropathy group: Patients met the 1999 WHO diagnostic criteria for diabetes (updated in 2021) and were diagnosed with type 2 diabetic nephropathy per Chinese Clinical Guidelines for the Prevention and Treatment of Diabetic Kidney Disease (2021 Edition). Those complicated with acute kidney injury were excluded, and complete clinical medical records were required. 3. Healthy control group: Healthy physical examination participants free of diabetes and primary renal diseases, with normal liver and renal function, routine urine test and blood glucose parameters. 4. All participants voluntarily signed informed consent and could cooperate with serum and urine specimen collection and clinical data collection. 5. No severe cardiac, hepatic or pulmonary failure, as well as no underlying diseases that may interfere with the detection of study biomarkers.

Exclusion criteria

Exclusion criteria: 1. Patients with type 1 diabetes, gestational diabetes and other specific types of diabetes. 2. Renal injury induced by non-diabetic etiologies, including primary glomerulopathy, lupus nephritis, vasculitis-associated nephritis, hypertensive renal damage and polycystic kidney disease. 3. Subjects complicated with acute diabetic complications including diabetic ketoacidosis, hyperosmolar coma or lactic acidosis within the past 3 months. 4. Patients with eGFR =180/110 mmHg). 6. Pregnant or lactating females. 7. Participants enrolled in other clinical trials within 3 months, those with poor compliance or mental disorders unable to complete study follow-up. 8. Cases with incomplete clinical data, medication duration less than 6 months or arbitrary drug withdrawal for more than one month.

Design outcomes

Primary

MeasureTime frame
Lactic acid in serum;LDHA;histone lactylation;KLF5;Lactic acid in urine;

Secondary

MeasureTime frame
E-cadherin;a-SMA;

Countries

China

Contacts

Public ContactMingliang Fan

Zhongshan Hospital of Xiamen University

654363803@qq.com+86 182 5929 1304

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jun 29, 2026