MicroRNAs (-146a, -21 and -34a) are diagnostic and prognostic biomarkers for diabetic retinopathy

Hend Gouda Helal1, Mohammed H Rashed2, Omnia Alsaied Abdullah3

  • 1Department of Ophthalmology, Faculty of Medicine, Benha University, Benha, Egypt.

Biomedical Journal
|March 19, 2022
PubMed
Abstract

Insights

Specific microRNAs (miRs) show altered expression with diabetic retinopathy (DR) severity. These miRs (miR-146a, miR-21, miR-34a) are promising diagnostic and prognostic biomarkers for DR.

Area of Science:

  • Ophthalmology
  • Molecular Biology
  • Biomarker Discovery

Background:

  • Diabetic retinopathy (DR) is a leading cause of blindness in diabetic patients.
  • Early diagnosis of DR is crucial for effective management and preserving vision.
  • The potential of microRNAs (miRs) as diagnostic biomarkers for DR requires further investigation.

Purpose of the Study:

  • To investigate the relationship between serum microRNA (miR-146a, miR-21, miR-34a) expression and the severity of diabetic retinopathy.
  • To assess the diagnostic and prognostic value of these microRNA expression patterns in DR.

Main Methods:

  • Eighty type 2 diabetic patients were categorized based on DR severity (mild, moderate, severe NPDR, PDR).
  • Serum microRNA levels were quantified using quantitative polymerase chain reaction (qPCR).
  • Statistical analysis, including ANOVA and Tukey-Kramer post-test, was employed to compare expression levels across groups.

Main Results:

  • Serum miR-146a and miR-21 levels increased progressively with DR severity.
  • Serum miR-34a levels demonstrated a decreasing trend as DR severity advanced.
  • Distinct expression patterns of miR-146a, miR-21, and miR-34a were observed across different DR stages, suggesting diagnostic and prognostic potential.

Conclusions:

  • MicroRNAs miR-146a, miR-21, and miR-34a show significant potential as biomarkers for diabetic retinopathy.
  • Monitoring these microRNA expression profiles may aid in early diagnosis and management, potentially preventing disease progression.