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Tear-Derived Exosomal miR-15a as New Diagnostic Tool for Diabetic Retinopathy
Published on: December 30, 2025
KCNQ1OT1 affects the progression of diabetic retinopathy by regulating miR-1470 and epidermal growth factor receptor
Jun Shao1, Xubin Pan1, Xiaowen Yin2
1Department of Ophthalmology, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu, China.
Abstract:
Long noncoding RNAs have been reported to play important roles in the pathogenesis of diabetic retinopathy (DR), which has been considered as the most common disease leading to vision loss. However, it is still unclear whether KCNQ1 overlapping transcript 1 (KCNQ1OT1) could affect DR. In this study, regarding quantitative reverse transcription polymerase chain reaction assay, KCNQ1OT1 level was upregulated while microRNA-1470 (miR-1470) was decreased in DR patients and human retinal endothelial cells. High KCNQ1OT1 expression was correlated with DR stage and low visual function. Using miR-1470 mimic or knockdown of KCNQ1OT1 could lead to the similar phenomenon; phospho-AKT, Bax, B-cell lymphoma 2, and cleaved poly-ADP ribose polymerase (PARP) were regulated, while vascularization was inhibited and apoptosis was promoted. Regarding bioinformatics analysis and in vitro dual luciferase reporter assay, there should be a negative correlation between KCNQ1OT1 and miR-1470. Additionally, mRNA of epidermal growth factor receptor (EGFR) was proved as the target of miR-1470 and EGFR targeting by miR-1470 initiated KCNQ1OT1 deficiency-induced apoptosis and promoted proliferation. KCNQ1OT1 and miR-1470 were proved to be the promoter and repressor of EGFR, respectively. The results suggested that KCNQ1OT1 could sponge miR-1470 and further regulate EGFR in DR.
Insights
KCNQ1 overlapping transcript 1 (KCNQ1OT1) is upregulated in diabetic retinopathy (DR). This long noncoding RNA sponges microRNA-1470, promoting DR progression by regulating epidermal growth factor receptor (EGFR).
Area of Science:
- Ophthalmology
- Molecular Biology
- Genetics
Background:
- Diabetic retinopathy (DR) is a leading cause of vision loss.
- Long noncoding RNAs (lncRNAs) are implicated in DR pathogenesis.
- The role of KCNQ1 overlapping transcript 1 (KCNQ1OT1) in DR remains unclear.
Purpose of the Study:
- To investigate the role of KCNQ1OT1 in diabetic retinopathy.
- To elucidate the molecular mechanism involving KCNQ1OT1, microRNA-1470 (miR-1470), and epidermal growth factor receptor (EGFR) in DR.
Main Methods:
- Quantitative reverse transcription polymerase chain reaction (qRT-PCR) to measure KCNQ1OT1 and miR-1470 levels.
- Bioinformatics analysis and dual-luciferase reporter assays to confirm interactions.
- In vitro studies using human retinal endothelial cells to assess apoptosis and vascularization.
Main Results:
- KCNQ1OT1 was upregulated, and miR-1470 was downregulated in DR patients and cells.
- High KCNQ1OT1 expression correlated with DR severity and visual function.
- KCNQ1OT1 sponged miR-1470, leading to EGFR dysregulation, promoting apoptosis, and inhibiting vascularization in DR.
Conclusions:
- KCNQ1OT1 acts as a molecular sponge for miR-1470 in DR.
- The KCNQ1OT1/miR-1470 axis regulates EGFR, contributing to DR pathogenesis.
- Targeting KCNQ1OT1 or miR-1470 may offer therapeutic strategies for DR.
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