Abstract

Background and Aims. Although the differential expression of microRNA (miRNA) genes has been identified in many diseases, little information exists concerning the miRNA expression profile in type 2 diabetes mellitus (T2DM) with diarrhea-predominant irritable bowel syndrome (D-IBS). Therefore, the specific expression of miRNAs in diabetes with D-IBS is identified in the study. Materials and Methods. 201 patients with IBS and 220 matched healthy controls were included in the study. Microarray technology and real-time reverse transcriptase-polymerase chain reaction analysis (RT-PCR) were taken to examine the miRNA expression profiles of T2DM patients with diarrhea-predominant irritable bowel syndrome (D-IBS) compared with patients with T2DM, patients with D-IBS, and control subjects. Results. We have found that 35 miRNAs were differentially expressed in T2DM with D-IBS, in which three representative miRNAs, hsa-miR-106b, hsa-miR-26a, and hsa-miR-29b, were found to be significantly elevated in T2DM with D-IBS by RT-PCR. Conclusions. Our study has indicated that hsa-miR-106b, hsa-miR-26a, and hsa-miR-29b were elevated in T2DM with D-IBS, which may be the potential biomarkers of T2DM with D-IBS. To obtain a better understanding of the biological functions of these miRNAs in T2DM with D-IBS, functional annotation analysis suggested that the MAPK pathway may be responsible for T2DM with D-IBS.

Highlights

  • Irritable bowel syndrome (IBS) is a common gastrointestinal (GI) disorder that is characterized by chronic abdominal pain and changes in bowel habits, including the frequent occurrence of diarrhea (D-IBS), constipation (C-IBS), or a combination of both (M-IBS) [1, 2]

  • We found that the expression of hsa-miR-106b, hsa-miR-26a, and hsa-miR-29b was significantly elevated in type 2 diabetes mellitus (T2DM) with diarrhea-predominant irritable bowel syndrome (D-IBS), T2DM, and D-IBS compared to the control subjects (Figures 2(a), 2(b), and 2(c))

  • Because the exact reason of T2DM with D-IBS remains unclear, the detection of novel biomarkers and their potential implications in the etiology of this disease may contribute to a better understanding of the mechanisms of the disease

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Summary

Introduction

Irritable bowel syndrome (IBS) is a common gastrointestinal (GI) disorder that is characterized by chronic abdominal pain and changes in bowel habits, including the frequent occurrence of diarrhea (D-IBS), constipation (C-IBS), or a combination of both (M-IBS) [1, 2]. Diabetes mellitus (DM) is a group of metabolic diseases which are characterized by hyperglycemia, resulting from defects in insulin secretion, insulin action, or both [8]. Previous studies indicate that approximately 70–75% of diabetic patients have a least one gastrointestinal symptom [10, 11]. The differential expression of microRNA (miRNA) genes has been identified in many diseases, little information exists concerning the miRNA expression profile in type 2 diabetes mellitus (T2DM) with diarrhea-predominant irritable bowel syndrome (D-IBS). The specific expression of miRNAs in diabetes with D-IBS is identified in the study. Microarray technology and real-time reverse transcriptase-polymerase chain reaction analysis (RT-PCR) were taken to examine the miRNA expression profiles of T2DM patients with diarrhea-predominant irritable bowel syndrome (D-IBS) compared with patients with T2DM, patients with D-IBS, and control subjects. To obtain a better understanding of the biological functions of these miRNAs in T2DM with D-IBS, functional annotation analysis suggested that the MAPK pathway may be responsible for T2DM with D-IBS

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