期刊
DIABETES
卷 64, 期 9, 页码 3285-3293出版社
AMER DIABETES ASSOC
DOI: 10.2337/db15-0116
关键词
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资金
- National Institutes of Health [DK-090125, 25034-40/U24-DK-076169, DK-14526, P30-DK-036836]
- JDRF [17-2013-8, 17-2013-311]
- Sunstar Foundation
We investigated whether circulating TGF-beta 1-regulated miRNAs detectable in plasma are associated with the risk of rapid progression to end-stage renal disease (ESRD) in a cohort of proteinuric patients with type 1 diabetes (T1D) and normal eGFR. Plasma specimens obtained at entry to the study were examined in two prospective subgroups that were followed for 7-20 years (rapid progressors and nonprogressors), as well as a reference panel of normoalbuminuric T1D patients. Of the five miRNAs examined in this study, let-7c-5p and miR-29a-3p were significantly associated with protection against rapid progression and let-7b-5p and miR-21-5p were significantly associated with the increased risk of ESRD. In logistic analysis, controlling for HbA(1c) and other covariates, let-7c-5p and miR-29a-3p were associated with more than a 50% reduction in the risk of rapid progression (P <= 0.001), while let-7b-5p and miR-21-5p were associated with a >2.5-fold increase in the risk of ESRD (P <= 0.005). This study is the first prospective study to demonstrate that circulating TGF-beta 1-regulated miRNAs are deregulated early in T1D patients who are at risk for rapid progression to ESRD.
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