PMID- 27279796 OWN - NLM STAT- MEDLINE DCOM- 20170417 LR - 20220317 IS - 1449-1907 (Electronic) IS - 1449-1907 (Linking) VI - 13 IP - 6 DP - 2016 TI - Differential microRNA Profiles Predict Diabetic Nephropathy Progression in Taiwan. PG - 457-65 LID - 10.7150/ijms.15548 [doi] AB - OBJECTIVES: Diabetic nephropathy (DN) is a major leading cause of kidney failure. Recent studies showed that serological microRNAs (miRs) could be utilized as biomarkers to identify disease pathogenesis; the DN-related miRs, however, remained to be explored. METHODS: A prospective case-control study was conducted. The clinical significance of five potential miRs (miR-21, miR-29a, miR-29b, miR-29c and miR192) in type 2 Diabetes Mellitus (T2DM) patients who have existing diabetic retinopathy with differential Albumin:Creatinine Ratio (ACR) and estimated Glomerular Filtration Rate (eGFR) was performed using quantitative RT-PCR analysis. The subjects with diabetic retinopathy enrolled in Taipei City Hospital, Taiwan, were classified into groups of normal albuminuria (ACR<30mg/g; N=12); microalbuminuria (30mg/g300mg/g; N=21) as well as 18 low-eGFR (eGFR<60ml/min) and 32 high-eGFR (eGFR>60ml/min). The level of serum miRs was statistically correlated with age, Glucose AC, ACR, eGFR and DN progression. RESULTS: The levels of miR-21, miR-29a and miR-192 were significantly enriched in the overt proteinuria group compared with microalbuminuria and/or overt proteinuria groups. It was shown that only miR-21 level was significantly up-regulated in low-eGFR group compared with high-eGFR patients. Interestingly, Pearson's correlation coefficient analysis demonstrated that DN progressors showed significantly greater levels of miR-21, miR-29a, miR-29b and miR-29c in comparison with non-progressors implying the clinical potential of DN associated miRs in monitoring and preventing disease advancement. CONCLUSION: Our findings showed that miR-21, miR-29a/b/c and miR-192 could reflect DN pathogenesis and serve as biomarkers during DN progression. FAU - Chien, Hung-Yu AU - Chien HY AD - 1. Department of Endocrinology & Metabolism, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwan; FAU - Chen, Chang-Yi AU - Chen CY AD - 2. Institute of Oral Biology and Department of Dentistry, School of Dentistry, National Yang-Ming University, Taipei, Taiwan; FAU - Chiu, Yen-Hui AU - Chiu YH AD - 3. Department of Education and Research, Taipei City Hospital, Taipei, Taiwan; FAU - Lin, Yi-Chun AU - Lin YC AD - 4. Division of Endocrinology &Metabolism, Taipei Veterans General Hospital, Taipei, Taiwan;; 5. Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan; FAU - Li, Wan-Chun AU - Li WC AD - 2. Institute of Oral Biology and Department of Dentistry, School of Dentistry, National Yang-Ming University, Taipei, Taiwan;; 3. Department of Education and Research, Taipei City Hospital, Taipei, Taiwan; LA - eng PT - Journal Article DEP - 20160601 PL - Australia TA - Int J Med Sci JT - International journal of medical sciences JID - 101213954 RN - 0 (Biomarkers) RN - 0 (MIRN21 microRNA, human) RN - 0 (MIRN29a microRNA, human) RN - 0 (MicroRNAs) RN - AYI8EX34EU (Creatinine) SB - IM MH - Albuminuria/blood MH - Biomarkers/blood MH - Case-Control Studies MH - Creatinine/blood MH - Diabetes Mellitus, Type 2/blood/genetics MH - Diabetic Nephropathies/blood/*genetics MH - Disease Progression MH - Glomerular Filtration Rate/physiology MH - Humans MH - MicroRNAs/*genetics MH - Prospective Studies MH - Risk Factors MH - Taiwan PMC - PMC4893561 OTO - NOTNLM OT - Albumin:creatinine ratio OT - Biomarkers OT - Circulating microRNA OT - Diabetic nephropathy OT - Estimated Glomerular Filtration Rate. COIS- Competing interests: The authors declare no competing interest exists. EDAT- 2016/06/10 06:00 MHDA- 2017/04/18 06:00 PMCR- 2016/01/01 CRDT- 2016/06/10 06:00 PHST- 2016/03/15 00:00 [received] PHST- 2016/05/09 00:00 [accepted] PHST- 2016/06/10 06:00 [entrez] PHST- 2016/06/10 06:00 [pubmed] PHST- 2017/04/18 06:00 [medline] PHST- 2016/01/01 00:00 [pmc-release] AID - ijmsv13p0457 [pii] AID - 10.7150/ijms.15548 [doi] PST - epublish SO - Int J Med Sci. 2016 Jun 1;13(6):457-65. doi: 10.7150/ijms.15548. eCollection 2016.