Journal
JOURNAL OF TRANSLATIONAL MEDICINE
Volume 17, Issue -, Pages -Publisher
BMC
DOI: 10.1186/s12967-019-1983-3
Keywords
Albuminuria; Diabetic nephropathy; Exosome; MicroRNA
Categories
Funding
- National Research Foundation of Korea (NRF) - Ministry of Education [NRF-2017R1D1A3B03029800]
- Basic Science Research Program [NRF-2017R1A2B4010480]
- Bio & Medical Technology Development Program of the National Research Foundation - Ministry of Science and ICT [NRF-2019M3E5D3073092]
- Soonchunhyang University Research Fund
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BackgroundDiabetic nephropathy (DN) is associated with high risk of cardiovascular disease and mortality. Exosomal microRNAs (miRNAs) regulate gene expression in a variety of tissues and play important roles in the pathology of various diseases. We hypothesized that the exosomal miRNA profile would differ between DN patients and patients without nephropathy.MethodsWe prospectively enrolled 74 participants, including healthy volunteers (HVs), diabetic patients without nephropathy, and those with DN. The serum exosomal miRNA profiles of participants were examined using RNA sequencing.ResultsThe expression levels of 107 miRNAs differed between HVs and patients without DN, whereas the expression levels of 95 miRNAs differed between HVs and patients with DN. Among these miRNAs, we found 7 miRNAs (miR-1246, miR-642a-3p, let-7c-5p, miR-1255b-5p, let-7i-3p, miR-5010-5p, miR-150-3p) that were uniquely up-regulated in DN patients compared to HVs, and miR-4449 that was highly expressed in DN patients compared to patients without DN. A pathway analysis revealed that these eight miRNAs are likely involved in MAPK signaling, integrin function in angiogenesis, and regulation of the AP-1 transcription factor. Moreover, they were all significantly correlated with the degree of albuminuria.ConclusionsPatients with DN have a different serum exosomal miRNA profile compared to HVs. These miRNAs may be promising candidates for the diagnosis and treatment of DN and cardiovascular disease.
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