Abstract
AIMS: To investigate whether serum miR-145-5p levels were associated with micro-macrovascular chronic complications in patients with type 1 diabetes (DM1).
METHODS: A nested case-control study from the EURODIAB Prospective Complications Study was performed. Cases (n=289) had one or more complications of diabetes, whereas controls (n=153) did not have any complication. We measured miR-145-5p levels by qPCR and investigated the association with diabetes complications.
RESULTS: Mean miR-145-5p levels were significantly lower in cases with microangiopathy [2.12 (0.86-4.94)] compared to controls [3.15 (1.21-7.36), P<0.05] even after adjustment for age, gender, and diabetes duration. In logistic regression analysis, miR-145-5p levels in the lowest tertile were associated with an over three-fold increased odds ratio (OR) of albuminuria [3.22 (1.17-8.81)], independently of both demographic and diabetes-related factors. In addition, mir145-5p levels in the lowest tertile were independently and inversely associated with arterial hypertension [1.96 (1.08-3.56)] and hypertension was the mediator of the relationship between miR-145-5p and albuminuria.
CONCLUSIONS: In this large cohort of DM1 patients, we found an inverse association between miR-145-5p and albuminuria that was mediated by systemic hypertension.
Original language | English |
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Article number | 109987 |
Number of pages | 8 |
Journal | Diabetes Research and Clinical Practice |
Volume | 190 |
Early online date | 9 Jul 2022 |
DOIs | |
Publication status | Published - Aug 2022 |
Keywords
- Albuminuria
- BIOMARKERS
- CARDIOVASCULAR-DISEASE
- CIRCULATING MICRORNAS
- Cardiovascular diseases
- Diabetic complications
- Diabetic kidney disease
- Diabetic nephropathy
- EXPRESSION
- Hypertension
- MARKERS
- MECHANISMS
- MIRNAS
- RETINOPATHY
- SMOOTH-MUSCLE-CELLS
- TARGETS
- TGF-beta 1
- Type 1 diabetes
- microRNAs