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10.1172/jci.insight.204385
1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Menon, R.
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Otto, E.
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Berthier, C.
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Waikar, S.
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Naik, A.
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Melo Ferreira, R.
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Eadon, M.
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Bitzer, M.
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Hodgin, J.
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1Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, United States of America
2Department of Medicine, Geoge Washington University, Washington DC, United States of America
3Division of Nephrology, University of Michigan Medical School, Ann Arbor, United States of America
4Division of Transplant Surgery, University of California, San Francisco, San Francisco, United States of America
5Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, United States of America
6Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, United States of America
7Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, United States of America
8Medical Specialties and Lerner Research Institutes, Case Western Reserve University, Cleveland, United States of America
9Kidney and Hypertension unit, Harvard Medical School, Boston, United States of America
10Section of Nephrology, Boston Medical Center, Boston, United States of America
11Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America
12Department of Pathology, University of Michigan, Ann Arbor, United States of America
13Department of Computational Medicine and Bioinformatics, University of Michigan Medical School, Ann Arbor, United States of America
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Kretzler, M.
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Published May 20, 2026 - More info
Identifying mechanisms of kidney disease commonly involves comparing diseased samples to healthy reference tissues; however, the effects of variability in tissue procurement, storage, and donor characteristics remain underexplored. In this study, we systematically evaluated three reference tissue types—tumor nephrectomy (TN), pre-transplant biopsies from living donors (LD), and percutaneous biopsies from healthy control volunteers (HC)—to determine their impact on differential gene expression across three diabetic kidney disease (DKD) states. We observed distinct injury markers, cell state proportions, and gene signatures associated with procurement method, sex, and donor age. Adjustment for these confounding factors significantly influenced pathway analysis results. Specifically, correcting for age and sex eliminated significant enrichment of interferon gamma response in the diabetes mellitus–resilient (DM-R) versus HC comparison. Processes related to biological aging were enriched in older reference tissues, potentially confounding disease-specific interpretations. Importantly, tumor necrosis factor signaling via nuclear factor-κB remained enriched in LD and TN samples relative to HC, even after accounting for confounders. These results underscore the critical importance of selecting appropriate control tissues and rigorously adjusting for confounding variables to reliably discern the molecular mechanisms underlying kidney diseases.