PMID- 32359340 OWN - NLM STAT- MEDLINE DCOM- 20210318 LR - 20210318 IS - 1875-6417 (Electronic) IS - 1573-3998 (Linking) VI - 17 IP - 2 DP - 2021 TI - MicroRNA 21 Emerging Role in Diabetic Complications: A Critical Update. PG - 122-135 LID - 10.2174/1573399816666200503035035 [doi] AB - BACKGROUND: Diabetes Mellitus is a multifactorial disease encompassing various pathogenic pathways. To avoid morbidity and mortality related to diabetic complications, early detection of disease complications as well as targeted therapeutic strategies are essential. INTRODUCTION: MicroRNAs (miRs) are short non-coding RNA molecules that regulate eukaryotic posttranscriptional gene expression. MicroRNA-21 has diverse gene regulatory functions and plays a significant role in various complications of Type 2 diabetes mellitus (T2DM). METHODS: The study included electronic database searches on Pubmed, Embase, and Web of Science with the search items MicroRNA21 and each of the diabetic complications. The search was carried out up to November, 2019. RESULTS: MicroRNA-21 modulates diabetic cardiomyopathy by affecting vascular smooth muscle cell proliferation and apoptosis, cardiac cell growth and death, and cardiac fibroblast functions. At the renal tubules, miR-21 can regulate the mesangial expansion, interstitial fibrosis, macrophage infiltration, podocyte loss, albuminuria and fibrotic and inflammatory gene expression related to diabetic nephropathy. Overexpression of miR-21 has been seen to play a pivotal role in the pathogenesis of diabetic retinopathy by contributing to diabetes-induced endothelial dysfunction as well as low-grade inflammation. CONCLUSION: Considering the raised levels of miR-21 in various diabetic complications, it may prove to be a candidate biomarker for diabetic complications. Further, miR-21 antagonists have shown great potential in the treatment of diabetic cardiomyopathy, diabetic nephropathy, diabetic retinopathy, and diabetic neuropathy related complications in the future. The current review is the first of its kind encompassing the roles miR-21 plays in various diabetic complications, with a critical discussion of its future potential role as a biomarker and therapeutic target. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Roy, Dipayan AU - Roy D AD - Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Modi, Anupama AU - Modi A AD - Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Khokhar, Manoj AU - Khokhar M AD - Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Sankanagoudar, Shrimanjunath AU - Sankanagoudar S AD - Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Yadav, Dharamveer AU - Yadav D AD - Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Sharma, Shailja AU - Sharma S AD - Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Purohit, Purvi AU - Purohit P AD - Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Sharma, Praveen AU - Sharma P AD - Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Diabetes Rev JT - Current diabetes reviews JID - 101253260 RN - 0 (MIRN21 microRNA, human) RN - 0 (MicroRNAs) SB - IM MH - Albuminuria MH - *Diabetes Mellitus, Type 2/complications/genetics MH - *Diabetic Nephropathies/genetics MH - *Diabetic Retinopathy/genetics MH - Humans MH - *MicroRNAs/genetics OTO - NOTNLM OT - MicroRNA-21 OT - Type 2 diabetes mellitus OT - diabetic neuropathy OT - diabetic cardiomyopathy OT - diabetic nephropathy OT - diabetic retinopathy EDAT- 2020/05/04 06:00 MHDA- 2021/03/19 06:00 CRDT- 2020/05/04 06:00 PHST- 2019/12/25 00:00 [received] PHST- 2020/03/13 00:00 [revised] PHST- 2020/04/13 00:00 [accepted] PHST- 2020/05/04 06:00 [pubmed] PHST- 2021/03/19 06:00 [medline] PHST- 2020/05/04 06:00 [entrez] AID - CDR-EPUB-106300 [pii] AID - 10.2174/1573399816666200503035035 [doi] PST - ppublish SO - Curr Diabetes Rev. 2021;17(2):122-135. doi: 10.2174/1573399816666200503035035.