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Updated: Jun 11, 2026

Tear-Derived Exosomal miR-15a as New Diagnostic Tool for Diabetic Retinopathy
Published on: December 30, 2025
Integrative transcriptomic and machine learning analysis identifies key extracellular matrix-related genes in
Wang Xin1, Wang Ying2, Feng Qiang3
1ITCWM Medical Center, Faculty of Medicine, Tianjin Key Laboratory of Acute Abdomen Disease Associated Organ Injury and ITCWM Repair, Tianjin NanKai Hospital, Tianjin Medical University, Tianjin University, Tianjin, China.
This study identified five key extracellular matrix genes (ECMGs) involved in diabetic retinopathy (DR) pathogenesis. These genes, including SFRP1 and CILP2, are crucial for ECM remodeling, neural signaling, and immune modulation, offering potential therapeutic targets for DR.
Area of Science:
- Ophthalmology
- Genetics
- Biochemistry
Background:
- Diabetic retinopathy (DR) is characterized by extracellular matrix (ECM) remodeling and retinal vascular basement membrane thickening.
- Identifying key ECM-related genes (ECMGs) is crucial for understanding DR pathogenesis.
Purpose of the Study:
- To identify key ECM-related genes (ECMGs) associated with diabetic retinopathy (DR).
- To explore the mechanisms underlying the regulation of DR by identified ECMGs.
- To investigate potential therapeutic targets for DR based on ECMG interactions.
Main Methods:
- Integrated transcriptomic data of DR with ECMGs from MatrixDB to identify differentially expressed ECMGs.
- Employed six machine learning (ML) models for DR classification and SHapley Additive exPlanation (SHAP) for feature interpretation.
- Conducted functional enrichment analysis (GSEA), immune infiltration analysis (CIBERSORT), and constructed regulatory networks (ENCORI, miRWalk, miRNet).
Main Results:
- Identified nine candidate ECMGs, with five key genes (SFRP1, CILP2, FN1, TPSAB1, ECM2) selected based on ML model performance and SHAP values.
- These key ECMGs exhibited distinct expression patterns in healthy, diabetes mellitus (DM), and DR groups and were enriched in neural-related pathways.
- Correlations were found between ECMGs (FN1, TPSAB1, CILP2) and immune cells, and regulatory networks linked key ECMGs to miRNAs, lncRNAs, TFs, drugs, and DM-related diseases.
Conclusions:
- SFRP1, CILP2, FN1, TPSAB1, and ECM2 are identified as key ECMGs in DR pathogenesis.
- These genes play a coordinated role in ECM remodeling, neural signaling, and immune modulation in DR.
- The findings offer novel insights into DR and highlight potential therapeutic targets for the condition.
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