MicroRNA 146a is associated with diabetic complications in type 1 diabetic patients from the EURODIAB PCS
Abstract Background MicroRNA-146a-5p (miR-146a-5p) is a key regulator of inflammatory processes. Expression of miR-146a-5p is altered in target organs of diabetic complications and deficiency of miR-146a-5p has been implicated in their pathogenesis. We investigated if serum miR-146a-5p levels were i...
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oai:doaj.org-article:b0a7a980d04c4a2db4937bdfa7a3c4552021-11-28T12:06:48ZMicroRNA 146a is associated with diabetic complications in type 1 diabetic patients from the EURODIAB PCS10.1186/s12967-021-03142-41479-5876https://doaj.org/article/b0a7a980d04c4a2db4937bdfa7a3c4552021-11-01T00:00:00Zhttps://doi.org/10.1186/s12967-021-03142-4https://doaj.org/toc/1479-5876Abstract Background MicroRNA-146a-5p (miR-146a-5p) is a key regulator of inflammatory processes. Expression of miR-146a-5p is altered in target organs of diabetic complications and deficiency of miR-146a-5p has been implicated in their pathogenesis. We investigated if serum miR-146a-5p levels were independently associated with micro/macrovascular complications of type 1 diabetes (DM1). Methods A nested case–control study from the EURODIAB PCS of 447 DM1 patients was performed. Cases (n = 294) had one or more complications of diabetes, whereas controls (n = 153) did not have any complication. Total RNA was isolated from all subjects and miR-146a-5p levels measured by qPCR. Both the endogenous controls U6 snRNA and the spike (Cel-miR-39) were used to normalize the results. Logistic regression analysis was carried out to investigate the association of miR-146a-5p with diabetes complications. Results MiR-146a-5p levels were significantly lower in cases [1.15 (0.32–3.34)] compared to controls [1.74 (0.44–6.74) P = 0.039]. Logistic regression analysis showed that levels of miR-146a-5p in the upper quartile were inversely associated with reduced odds ratio (OR) of all complications (OR 0.34 [95% CI 0.14–0.76]) and particularly with cardiovascular diseases (CVD) (OR 0.31 [95% CI 0.11–0.84]) and diabetic retinopathy (OR 0.40 [95% CI 0.16–0.99]), independently of age, sex, diabetes duration, A1c, hypertension, AER, eGFR, NT-proBNP, and TNF-α. Conclusions In this large cohort of DM1 patients, we reported an inverse and independent association of miR-146a-5p with diabetes chronic complications and in particular with CVD and retinopathy, suggesting that miR-146a-5p may be a novel candidate biomarker of DM1 complications.Federica BaruttaBeatrice CorbettaStefania BelliniSimonetta GuarreraGiuseppe MatulloMichela ScandellaCasper SchalkwijkCoen D. StehouwerNish ChaturvediSabita S. Soedamah-MuthuMarilena DurazzoGabriella GrudenBMCarticleMicroRNAsType 1 diabetesRetinopathyCardiovascular diseasesMedicineRENJournal of Translational Medicine, Vol 19, Iss 1, Pp 1-10 (2021) |
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DOAJ |
language |
EN |
topic |
MicroRNAs Type 1 diabetes Retinopathy Cardiovascular diseases Medicine R |
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MicroRNAs Type 1 diabetes Retinopathy Cardiovascular diseases Medicine R Federica Barutta Beatrice Corbetta Stefania Bellini Simonetta Guarrera Giuseppe Matullo Michela Scandella Casper Schalkwijk Coen D. Stehouwer Nish Chaturvedi Sabita S. Soedamah-Muthu Marilena Durazzo Gabriella Gruden MicroRNA 146a is associated with diabetic complications in type 1 diabetic patients from the EURODIAB PCS |
description |
Abstract Background MicroRNA-146a-5p (miR-146a-5p) is a key regulator of inflammatory processes. Expression of miR-146a-5p is altered in target organs of diabetic complications and deficiency of miR-146a-5p has been implicated in their pathogenesis. We investigated if serum miR-146a-5p levels were independently associated with micro/macrovascular complications of type 1 diabetes (DM1). Methods A nested case–control study from the EURODIAB PCS of 447 DM1 patients was performed. Cases (n = 294) had one or more complications of diabetes, whereas controls (n = 153) did not have any complication. Total RNA was isolated from all subjects and miR-146a-5p levels measured by qPCR. Both the endogenous controls U6 snRNA and the spike (Cel-miR-39) were used to normalize the results. Logistic regression analysis was carried out to investigate the association of miR-146a-5p with diabetes complications. Results MiR-146a-5p levels were significantly lower in cases [1.15 (0.32–3.34)] compared to controls [1.74 (0.44–6.74) P = 0.039]. Logistic regression analysis showed that levels of miR-146a-5p in the upper quartile were inversely associated with reduced odds ratio (OR) of all complications (OR 0.34 [95% CI 0.14–0.76]) and particularly with cardiovascular diseases (CVD) (OR 0.31 [95% CI 0.11–0.84]) and diabetic retinopathy (OR 0.40 [95% CI 0.16–0.99]), independently of age, sex, diabetes duration, A1c, hypertension, AER, eGFR, NT-proBNP, and TNF-α. Conclusions In this large cohort of DM1 patients, we reported an inverse and independent association of miR-146a-5p with diabetes chronic complications and in particular with CVD and retinopathy, suggesting that miR-146a-5p may be a novel candidate biomarker of DM1 complications. |
format |
article |
author |
Federica Barutta Beatrice Corbetta Stefania Bellini Simonetta Guarrera Giuseppe Matullo Michela Scandella Casper Schalkwijk Coen D. Stehouwer Nish Chaturvedi Sabita S. Soedamah-Muthu Marilena Durazzo Gabriella Gruden |
author_facet |
Federica Barutta Beatrice Corbetta Stefania Bellini Simonetta Guarrera Giuseppe Matullo Michela Scandella Casper Schalkwijk Coen D. Stehouwer Nish Chaturvedi Sabita S. Soedamah-Muthu Marilena Durazzo Gabriella Gruden |
author_sort |
Federica Barutta |
title |
MicroRNA 146a is associated with diabetic complications in type 1 diabetic patients from the EURODIAB PCS |
title_short |
MicroRNA 146a is associated with diabetic complications in type 1 diabetic patients from the EURODIAB PCS |
title_full |
MicroRNA 146a is associated with diabetic complications in type 1 diabetic patients from the EURODIAB PCS |
title_fullStr |
MicroRNA 146a is associated with diabetic complications in type 1 diabetic patients from the EURODIAB PCS |
title_full_unstemmed |
MicroRNA 146a is associated with diabetic complications in type 1 diabetic patients from the EURODIAB PCS |
title_sort |
microrna 146a is associated with diabetic complications in type 1 diabetic patients from the eurodiab pcs |
publisher |
BMC |
publishDate |
2021 |
url |
https://doaj.org/article/b0a7a980d04c4a2db4937bdfa7a3c455 |
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