PMID- 32883688 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20220531 IS - 2052-4897 (Electronic) IS - 2052-4897 (Linking) VI - 8 IP - 1 DP - 2020 Sep TI - Effect of diabetes on exosomal miRNA profile in patients with obesity. LID - 10.1136/bmjdrc-2020-001403 [doi] LID - e001403 AB - INTRODUCTION: Obesity is a risk factor for type 2 diabetes mellitus (T2DM) and cardiovascular disease. T2DM increases the risk of cardiovascular-related death. We investigated changes in circulating exosomal microRNA (miRNA) profiles in patients with DM with obesity compared with patients without DM with obesity. RESEARCH DESIGN AND METHODS: This prospective study involved 29 patients with obesity (patients without DM=16, patients with DM=13) and healthy volunteers (HVs) (n=18). We measured circulating levels of exosomal miRNAs by next-generation sequencing and compared miRNA levels across the three groups. RESULTS: The expression levels of 25 miRNAs (upregulated=14, downregulated=11) differed between patients with obesity with DM and patients with obesity without DM. Compared with HV, patients with DM with obesity had 53 dysregulated miRNAs. Additionally, moving stepwise from HV to patients with obesity without DM to patients with obesity with DM, there was a consistent increase in expression levels of miR-23a-5p and miR-6087 and a consistent decrease in expressions levels of miR-6751-3p. CONCLUSIONS: Our data show that the exosomal miRNAs is altered by dysregulated glucose metabolism in patients with obesity. This circulating exosomal miRNA signature in patients with obesity with or without DM is a potential biomarker and therapeutic target in these patients. CI - (c) Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Kim, Hyoshik AU - Kim H AD - Division of Nephrology, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. FAU - Bae, Yun-Ui AU - Bae YU AD - Department of Clinical Endocrinology and Metabolism, Keimyung University School of Medicine, Daegu, Kyungsang buk do, The Republic of Korea. FAU - Lee, Haekyung AU - Lee H AD - Division of Nephrology, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. FAU - Kim, Hyoungnae AU - Kim H AUID- ORCID: 0000-0002-5359-0214 AD - Division of Nephrology, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. AD - Hyonam Kidney Laboratory, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. FAU - Jeon, Jin Seok AU - Jeon JS AD - Division of Nephrology, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. AD - Hyonam Kidney Laboratory, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. FAU - Noh, Hyunjin AU - Noh H AD - Division of Nephrology, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. AD - Hyonam Kidney Laboratory, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. FAU - Han, Dong Cheol AU - Han DC AD - Division of Nephrology, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. AD - Hyonam Kidney Laboratory, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. FAU - Byun, Dong Won AU - Byun DW AD - Division of Endocrinology and Metabolism, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. FAU - Kim, Sang Hyun AU - Kim SH AD - Department of Surgery, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. FAU - Park, Hyeong Kyu AU - Park HK AD - Division of Endocrinology and Metabolism, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. FAU - Ryu, Seongho AU - Ryu S AD - Soonchunhyang Institute of Med-bio Science (SIMS), Soonchunhyang University, Asan, Chungcheongnam-do, The Republic of Korea ksoonhyo@schmc.ac.kr ryu@sch.ac.kr. FAU - Kwon, Soon Hyo AU - Kwon SH AUID- ORCID: 0000-0002-4114-4196 AD - Division of Nephrology, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea ksoonhyo@schmc.ac.kr ryu@sch.ac.kr. AD - Hyonam Kidney Laboratory, Soonchunhyang University Seoul Hospital, Yongsan-gu, Seoul, The Republic of Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - BMJ Open Diabetes Res Care JT - BMJ open diabetes research & care JID - 101641391 RN - 0 (Biomarkers) RN - 0 (MicroRNAs) SB - IM MH - Biomarkers MH - *Diabetes Mellitus, Type 2/complications/genetics MH - Humans MH - *MicroRNAs/genetics MH - Obesity/genetics MH - Prospective Studies PMC - PMC7473624 OTO - NOTNLM OT - biomarkers OT - diabetes mellitus OT - genetic OT - obesity OT - transcription OT - type 2 COIS- Competing interests: None declared. EDAT- 2020/09/05 06:00 MHDA- 2021/06/22 06:00 PMCR- 2020/09/03 CRDT- 2020/09/05 06:00 PHST- 2020/03/26 00:00 [received] PHST- 2020/07/01 00:00 [revised] PHST- 2020/07/21 00:00 [accepted] PHST- 2020/09/05 06:00 [entrez] PHST- 2020/09/05 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/09/03 00:00 [pmc-release] AID - 8/1/e001403 [pii] AID - bmjdrc-2020-001403 [pii] AID - 10.1136/bmjdrc-2020-001403 [doi] PST - ppublish SO - BMJ Open Diabetes Res Care. 2020 Sep;8(1):e001403. doi: 10.1136/bmjdrc-2020-001403.