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Published on: November 30, 2013
MicroRNAs in diabetes mellitus
P Shaik Syed Ali1, Md Parwez Ahmad1, K M Huria Parveen1
1School of Medicine, The Maldives National University, Malé, Maldives.
Abstract:
Diabetes mellitus is one of the most common chronic diseases, with a global distribution. Its prevalence is constantly increasing, along with the rising incidence of diabetes-related complications such as diabetic nephropathy, neuropathy, and retinopathy. MicroRNAs are endogenous, non-coding RNAs that regulate gene expression at the post-transcriptional level. Evidence suggests that altered microRNA expression has been implicated in various human disorders, including diabetes mellitus. Dysregulated expression of microRNAs leads to insulin resistance, causing diabetes mellitus and its associated complications. Moreover, other non-coding RNAs, such as long non-coding RNAs and circular RNAs, along with epigenetic factors and altered gut microbiota, contribute to disease development. Because of the stability of non-coding RNAs in circulation, they have the potential to be used as biomarkers for diagnosis and therapeutic implications. Evidence suggests that a myriad of factors are involved; hence, a collective approach involving non-coding RNAs, epigenetic factors, and gut microbiota could provide the best clinical outcomes for diabetes patients.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s40200-025-01591-y.
Insights
Altered microRNAs, non-coding RNAs, epigenetic factors, and gut microbiota contribute to diabetes mellitus and its complications. Targeting these factors collectively may improve patient outcomes.
Area of Science:
- Endocrinology
- Molecular Biology
- Genetics
Background:
- Diabetes mellitus is a prevalent chronic disease with increasing complications like nephropathy, neuropathy, and retinopathy.
- MicroRNAs (miRNAs) are non-coding RNAs regulating gene expression; their dysregulation is linked to diabetes and insulin resistance.
- Other non-coding RNAs, epigenetic factors, and gut microbiota also play roles in diabetes development.
Purpose of the Study:
- To explore the role of non-coding RNAs, epigenetic factors, and gut microbiota in diabetes mellitus.
- To highlight the potential of circulating non-coding RNAs as biomarkers for diagnosis and therapy.
Main Methods:
- Review of current scientific literature on non-coding RNAs, epigenetics, and gut microbiota in diabetes.
- Analysis of evidence linking dysregulated gene expression and molecular pathways to diabetes pathogenesis.
Main Results:
- Altered miRNA expression is implicated in insulin resistance and diabetes complications.
- Long non-coding RNAs, circular RNAs, epigenetic modifications, and gut microbiota alterations contribute to disease progression.
- Stable circulating non-coding RNAs show promise as diagnostic and therapeutic biomarkers.
Conclusions:
- Diabetes mellitus involves a complex interplay of genetic and environmental factors, including non-coding RNAs, epigenetics, and gut microbiota.
- A comprehensive approach targeting these multiple factors is crucial for effective diabetes management and improved clinical outcomes.
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