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microRNA-210 in red blood cells differentially regulates vascular endothelial function between type 1 and type 2
Tong Jiao1,2, John Tengbom1,2, Eftychia Kontidou1,2
1Division of Cardiology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Physiological Reports
|February 24, 2026
Summary
Red blood cells from type 1 diabetes (T1D) and type 2 diabetes (T2D) patients impact vascular health differently. Reduced microRNA-210 in T2D red blood cells impairs endothelial function, unlike in T1D, suggesting a therapeutic target.
Area of Science:
- Cardiovascular Biology
- Endocrinology
- Molecular Medicine
Background:
- Type 2 diabetes (T2D) red blood cells (RBCs) induce endothelial dysfunction, linked to lower microRNA-210 levels.
- Type 1 diabetes (T1D) RBCs do not cause this dysfunction, suggesting microRNA-210 has a protective role.
- Understanding these differences is crucial for addressing diabetes-related vascular complications.
Purpose of the Study:
- To investigate the differential role of microRNA-210 in RBCs from T1D and T2D patients.
- To elucidate the mechanisms by which RBC microRNA-210 influences endothelial function and vascular health.
- To identify potential therapeutic targets for improving vascular health in diabetes.
Main Methods:
- Compared RBCs from T1D, T2D, and healthy individuals matched for glycated hemoglobin and demographics.
- Measured microRNA-210 levels using quantitative polymerase chain reaction (qPCR).
- Assessed endothelium-dependent relaxation (EDR) in rat aortas and nitric oxide (NO) production in endothelial cells.
- Quantified protein levels of microRNA-210 target PTP1B and oxidative stress marker 4-HNE via immunohistochemistry.
Main Results:
- T1D RBCs maintained endothelium-dependent relaxation and nitric oxide production similar to healthy controls.
- T2D RBCs significantly impaired endothelium-dependent relaxation and nitric oxide production.
- microRNA-210 levels were reduced in T2D RBCs but not in T1D RBCs compared to healthy controls.
- Inhibition of microRNA-210 in T1D RBCs mimicked T2D RBC effects, increasing vascular PTP1B and 4-HNE.
- PTP1B inhibition or antioxidant treatment improved EDR in T2D models.
Conclusions:
- RBC microRNA-210 plays a critical role in regulating endothelial function differently in T1D versus T2D.
- Reduced microRNA-210 in T2D RBCs contributes to endothelial dysfunction by increasing vascular PTP1B and mitochondrial oxidative stress.
- Targeting microRNA-210, PTP1B, or oxidative stress pathways presents a promising strategy for improving vascular health in T2D.
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