Plasma microRNA signature associated with retinopathy in patients with type 2 diabetes

Abstract Diabetic retinopathy (DR) is a leading cause of vision loss and disability. Effective management of DR depends on prompt treatment and would benefit from biomarkers for screening and pre-symptomatic detection of retinopathy in diabetic patients. MicroRNAs (miRNAs) are post-transcriptional r...

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Autores principales: Donato Santovito, Lisa Toto, Velia De Nardis, Pamela Marcantonio, Rossella D’Aloisio, Alessandra Mastropasqua, Domenico De Cesare, Marco Bucci, Camilla Paganelli, Lucia Natarelli, Christian Weber, Agostino Consoli, Rodolfo Mastropasqua, Francesco Cipollone
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:35cd4b47215748fbab275edf21118cab2021-12-02T14:21:58ZPlasma microRNA signature associated with retinopathy in patients with type 2 diabetes10.1038/s41598-021-83047-w2045-2322https://doaj.org/article/35cd4b47215748fbab275edf21118cab2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83047-whttps://doaj.org/toc/2045-2322Abstract Diabetic retinopathy (DR) is a leading cause of vision loss and disability. Effective management of DR depends on prompt treatment and would benefit from biomarkers for screening and pre-symptomatic detection of retinopathy in diabetic patients. MicroRNAs (miRNAs) are post-transcriptional regulators of gene expression which are released in the bloodstream and may serve as biomarkers. Little is known on circulating miRNAs in patients with type 2 diabetes (T2DM) and DR. Here we show that DR is associated with higher circulating miR-25-3p (P = 0.004) and miR-320b (P = 0.011) and lower levels of miR-495-3p (P < 0.001) in a cohort of patients with T2DM with DR (n = 20), compared with diabetic subjects without DR (n = 10) and healthy individuals (n = 10). These associations persisted significant after adjustment for age, gender, and HbA1c. The circulating levels of these miRNAs correlated with severity of the disease and their concomitant evaluation showed high accuracy for identifying DR (AUROC = 0.93; P < 0.001). Gene ontology analysis of validated targets revealed enrichment in pathways such as regulation of metabolic process (P = 1.5 × 10–20), of cell response to stress (P = 1.9 × 10–14), and development of blood vessels (P = 2.7 × 10–14). Pending external validation, we anticipate that these miRNAs may serve as putative disease biomarkers and highlight novel molecular targets for improving care of patients with diabetic retinopathy.Donato SantovitoLisa TotoVelia De NardisPamela MarcantonioRossella D’AloisioAlessandra MastropasquaDomenico De CesareMarco BucciCamilla PaganelliLucia NatarelliChristian WeberAgostino ConsoliRodolfo MastropasquaFrancesco CipolloneNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Donato Santovito
Lisa Toto
Velia De Nardis
Pamela Marcantonio
Rossella D’Aloisio
Alessandra Mastropasqua
Domenico De Cesare
Marco Bucci
Camilla Paganelli
Lucia Natarelli
Christian Weber
Agostino Consoli
Rodolfo Mastropasqua
Francesco Cipollone
Plasma microRNA signature associated with retinopathy in patients with type 2 diabetes
description Abstract Diabetic retinopathy (DR) is a leading cause of vision loss and disability. Effective management of DR depends on prompt treatment and would benefit from biomarkers for screening and pre-symptomatic detection of retinopathy in diabetic patients. MicroRNAs (miRNAs) are post-transcriptional regulators of gene expression which are released in the bloodstream and may serve as biomarkers. Little is known on circulating miRNAs in patients with type 2 diabetes (T2DM) and DR. Here we show that DR is associated with higher circulating miR-25-3p (P = 0.004) and miR-320b (P = 0.011) and lower levels of miR-495-3p (P < 0.001) in a cohort of patients with T2DM with DR (n = 20), compared with diabetic subjects without DR (n = 10) and healthy individuals (n = 10). These associations persisted significant after adjustment for age, gender, and HbA1c. The circulating levels of these miRNAs correlated with severity of the disease and their concomitant evaluation showed high accuracy for identifying DR (AUROC = 0.93; P < 0.001). Gene ontology analysis of validated targets revealed enrichment in pathways such as regulation of metabolic process (P = 1.5 × 10–20), of cell response to stress (P = 1.9 × 10–14), and development of blood vessels (P = 2.7 × 10–14). Pending external validation, we anticipate that these miRNAs may serve as putative disease biomarkers and highlight novel molecular targets for improving care of patients with diabetic retinopathy.
format article
author Donato Santovito
Lisa Toto
Velia De Nardis
Pamela Marcantonio
Rossella D’Aloisio
Alessandra Mastropasqua
Domenico De Cesare
Marco Bucci
Camilla Paganelli
Lucia Natarelli
Christian Weber
Agostino Consoli
Rodolfo Mastropasqua
Francesco Cipollone
author_facet Donato Santovito
Lisa Toto
Velia De Nardis
Pamela Marcantonio
Rossella D’Aloisio
Alessandra Mastropasqua
Domenico De Cesare
Marco Bucci
Camilla Paganelli
Lucia Natarelli
Christian Weber
Agostino Consoli
Rodolfo Mastropasqua
Francesco Cipollone
author_sort Donato Santovito
title Plasma microRNA signature associated with retinopathy in patients with type 2 diabetes
title_short Plasma microRNA signature associated with retinopathy in patients with type 2 diabetes
title_full Plasma microRNA signature associated with retinopathy in patients with type 2 diabetes
title_fullStr Plasma microRNA signature associated with retinopathy in patients with type 2 diabetes
title_full_unstemmed Plasma microRNA signature associated with retinopathy in patients with type 2 diabetes
title_sort plasma microrna signature associated with retinopathy in patients with type 2 diabetes
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/35cd4b47215748fbab275edf21118cab
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