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Transcriptome Analysis of Tear-Derived Extracellular Vesicles as Biomarkers for Diabetic Retinopathy
Jiaming Chen1, Zhaowei Zhang1, Xiaoqin Hong1
1State Key Laboratory of Medicinal Chemical Biology, Tianjin Key Laboratory of Molecular Recognition and Biosensing, Frontiers Science Center for New Organic Matter, College of Chemistry, Nankai University, Tianjin 300071, China.
Analytical Chemistry
|September 4, 2025
Summary
Researchers identified novel tear-derived extracellular vesicle messenger RNAs (tEV-mRNAs) as potential biomarkers for early diabetic retinopathy (DR) diagnosis. This noninvasive method could significantly improve DR detection and management.
Area of Science:
- Ophthalmology
- Genomics
- Biomarker Discovery
Background:
- Diabetic retinopathy (DR) is a leading cause of blindness globally.
- Current diagnostic methods for DR lack sufficient early-stage detection biomarkers.
- Tear fluid offers a noninvasive source for ocular biomarkers due to its proximity to the retina.
Purpose of the Study:
- To identify novel biomarkers in tear-derived extracellular vesicles (tEVs) for diabetic retinopathy (DR).
- To evaluate the diagnostic potential of specific tEV-mRNAs for DR detection.
Main Methods:
- Comprehensive transcriptomic analysis of tear-derived extracellular vesicles (tEVs).
- Identification and validation of key tEV-mRNAs (ODF2L, TSR1, TONSL, FUT6) as potential DR biomarkers.
- Analysis of 119 tear samples from healthy individuals and DR patients.
Main Results:
- A panel of tEV-mRNAs, including ODF2L, TSR1, TONSL, and FUT6, was identified as potential biomarkers for DR.
- Validation confirmed the association of these tEV-mRNAs with varying degrees of retinopathy.
- Tear collection is a noninvasive and straightforward procedure.
Conclusions:
- Identified tEV-mRNAs show significant promise for the early, noninvasive diagnosis of diabetic retinopathy.
- This discovery could lead to improved management strategies for DR patients.
- Tear-derived biomarkers offer a novel avenue for ophthalmological diagnostics.

