MicroRNA-150 (miR-150) as a Potential Biomarker for Diabetic Retinopathy

Conner Smith, Qianyi Luo, Neha Mahajan, Ashay Bhtwadekar
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Abstract

Diabetic retinopathy (DR) is a known chronic complication of diabetes mellitus and is one of the leading causes of visual impairment. The chronic inflammation associated with DR poses large risks not only for the vasculature but also for the surrounding neuronal tissue. Potential biomarkers, especially those surrounding microRNAs (miRNAs), have been proposed to indicate the progression of DR. Levels of certain miRNAs have been shown to be either down or upregulated in type 1 diabetes patients and have shown correlations with specific types of DR. MicroRNA-150 (miR-150) has also been shown to have protective effects on cells in hypoxic environments, but when downregulated, miR-150 actually induces apoptosis. And, it has been shown to be downregulated in patients with type 1 and type 2 diabetes as well as patients with obesity. We hypothesize then that the levels of miR-150 from a peripheral blood sample should be indicative of the progression of DR and may be used for potential early intervention. In this project, we assessed miR-150 levels in the peripheral blood mononuclear cells (MNCs) of individuals with different severities of DR by isolating mononuclear cells and extracting RNA. We then reverse-transcribed the RNA into cDNA and used RT-qPCR to measure the levels of miR-150 in individuals with varying DR severity. MiR-150 levels in the MNCS were decreased in individuals with diabetes with no retinopathy, moderate NPDR and severe NPDR groups when compared to control individuals; however, there was a marginal increase in the miR-150 mild NPDR group. The data could show evidence that a peripheral blood draw could be used as a less invasive approach to assessing the severity of diabetic retinopathy in patients. This would change the disease management and future treatments individually.
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作为糖尿病视网膜病变潜在生物标记物的微RNA-150 (miR-150)
众所周知,糖尿病视网膜病变(DR)是糖尿病的一种慢性并发症,也是导致视力损伤的主要原因之一。与糖尿病视网膜病变相关的慢性炎症不仅对血管,而且对周围的神经元组织都构成巨大风险。有人提出了一些潜在的生物标志物,尤其是与微小核糖核酸(miRNA)有关的生物标志物,以指示 DR 的进展。某些 miRNA 的水平在 1 型糖尿病患者中出现了下调或上调,并显示出与特定类型 DR 的相关性。微RNA-150(miR-150)也被证明对缺氧环境中的细胞有保护作用,但当其被下调时,miR-150实际上会诱导细胞凋亡。而且,在 1 型和 2 型糖尿病患者以及肥胖症患者中,miR-150 已被证明是下调的。因此我们推测,外周血样本中的 miR-150 水平应能指示 DR 的进展,并可用于潜在的早期干预。在该项目中,我们通过分离单核细胞并提取 RNA,评估了不同严重程度的 DR 患者外周血单核细胞(MNCs)中的 miR-150 水平。然后,我们将 RNA 反转录为 cDNA,并使用 RT-qPCR 测定不同严重程度 DR 患者的 miR-150 水平。与对照组相比,无视网膜病变的糖尿病患者、中度NPDR组和重度NPDR组的MNCS中的miR-150水平有所下降;然而,miR-150轻度NPDR组的水平略有上升。这些数据可以证明,外周血抽取可以作为一种创伤较小的方法来评估患者糖尿病视网膜病变的严重程度。这将单独改变疾病管理和未来的治疗方法。
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