Abstract

BackgroundDiabetic retinopathy is a common complication of diabetes mellitus (DM). The purpose of this study was to investigate the expression and clinical significance of miR-210 in DR patients and explore the regulatory effect of miR-210 on vascular endothelial cell function under high-glucose condition.MethodsQuantitative real-time PCR was used to estimate miR-210 expression. A receiver operating characteristics curve (ROC) was plotted to evaluate the diagnostic value of miR-210. Human umbilical vein endothelial cells (HUVECs) were used and treated with high glucose (30 mM), and the cell proliferation was assessed by MTT assay.ResultsSerum expression of miR-210 was upregulated in DR patients compared with DM without DR patients and healthy controls. The expression of miR-210 in proliferative DR (PDR) patients was higher than non-proliferative DR (NPDR) patients. The increased serum miR-210 could be used to distinguish DR cases from healthy individuals and also simple DM patients, and can screen PDR cases from NPDR cases. The overexpression of miR-210 promoted HUVEC proliferation, while the knockdown of miR-210 resulted in the opposite effect under a high-glucose condition.ConclusionThe data of this study demonstrated that serum increased miR-210 serves as a diagnostic biomarker in DR patients and may have the ability to predict DR development and severity. The regulatory effect of miR-210 on vascular endothelial cell proliferation under high-glucose condition, indicating its therapeutic potential in the treatment of diabetic vascular diseases.

Highlights

  • Diabetic retinopathy is a common complication of diabetes mellitus (DM)

  • Compared with the HC group, the levels of fasting plasma glucose (FPG), Glycosylated hemoglobin (HbA1c), and Homoeostasis model assessment of insulin resistance (HOMA-IR) were significantly increased in the NDP, non-proliferative Diabetic retinopathy (DR) (NPDR), and proliferative DR (PDR) groups, and show a gradually increasing trend form the NDP group to the NPDR group to the PDR group

  • The levels of disease course, FPG and HbA1c were significantly higher in both NPDR, and PDR groups than that in NDR group

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Summary

Introduction

Diabetic retinopathy is a common complication of diabetes mellitus (DM). The purpose of this study was to investigate the expression and clinical significance of miR-210 in DR patients and explore the regulatory effect of miR-210 on vascular endothelial cell function under high-glucose condition. Diabetic retinopathy (DR) is one of the most frequent microvascular complications of diabetes mellitus (DM) [1]. It is considered a leading cause of blindness in the working-age adult, leading to a huge economic and social burden [2]. The identification of molecules involving the regulation of vascular endothelial cell function and angiogenesis may help to improve the treatment of DR. Dysregulation of miR-210 is involved in the progression of DM [12], and its promoting effect on angiogenesis by increasing vascular endothelial cell proliferation has been reported in several previous studies [13, 14]. The expression data of miR-210 in DR has not been investigated

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