Roles of microRNA-192 in diabetic nephropathy: the clinical applications and mechanisms of action

Diabetic nephropathy (DN) is one of the most common and intractable microvascular complications of diabetes worldwide, serving as the main cause of terminal renal disease. Due to the lack of early specific symptoms and diagnostic markers, DN severely threatens the sufferer’s life. MicroRNA-192 (miR-...

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Main Authors: Xiaoqing Wan, Jian Liao, Hongting Lai, Shilong Zhang, Jianling Cui, Chunyan Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2023.1179161/full
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author Xiaoqing Wan
Jian Liao
Hongting Lai
Shilong Zhang
Jianling Cui
Chunyan Chen
author_facet Xiaoqing Wan
Jian Liao
Hongting Lai
Shilong Zhang
Jianling Cui
Chunyan Chen
author_sort Xiaoqing Wan
collection DOAJ
description Diabetic nephropathy (DN) is one of the most common and intractable microvascular complications of diabetes worldwide, serving as the main cause of terminal renal disease. Due to the lack of early specific symptoms and diagnostic markers, DN severely threatens the sufferer’s life. MicroRNA-192 (miR-192) was early identified in human renal cortical tissue and stored and excreted in urine as microvesicles. MiR-192 was found to be involved in the development of DN. For the first time, the present review summarized all the current evidence on the topic of the roles of miR-192 in DN. Finally, 28 studies (ten clinical trials and eighteen experimental studies) were eligible for thorough reviewing. Most of the clinical trials (7/10, 70%) indicated miR-192 might be a protective factor for DN development and progression, while the majority of experimental studies (14/18, 78%) suggested miR-192 might be a pathogenic factor for DN. Mechanistically, miR-192 interacts with various direct targeted proteins (i.e., ZEB1, ZEB2, SIP1, GLP1R, and Egr1) and signaling cascades (i.e., SMAD/TGF-β and PTEN/PI3K/AKT), together contribute to the pathogenesis of DN through epithelial-to-mesenchymal transition (EMT), extracellular matrix deposition, and fibrosis formation. The current review highlights the dual role of miR-192 in the development of DN. Low serum miR-192 expression could be applied for the early prediction of DN (the early stage of DN), while the high miR-192 level in renal tissues and urine may imply the progression of DN (the late stage of DN). Further investigations are still warranted to illustrate this inconsistent phenomenon, which may facilitate promoting the therapeutic applications of miR-192 in predicting and treating DN.
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spelling doaj.art-88953dbf064e4253aa953426d296ad672023-06-15T05:36:18ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-06-011410.3389/fendo.2023.11791611179161Roles of microRNA-192 in diabetic nephropathy: the clinical applications and mechanisms of actionXiaoqing Wan0Jian Liao1Hongting Lai2Shilong Zhang3Jianling Cui4Chunyan Chen5Department of Nephrology, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, ChinaDepartment of Nephrology, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing, Zhejiang, ChinaClinical Medical College, Tianjin Medical University, Tianjin, ChinaClinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaDepartment of Nephrology, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, Zhejiang, ChinaDepartment of Nephrology, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing, Zhejiang, ChinaDiabetic nephropathy (DN) is one of the most common and intractable microvascular complications of diabetes worldwide, serving as the main cause of terminal renal disease. Due to the lack of early specific symptoms and diagnostic markers, DN severely threatens the sufferer’s life. MicroRNA-192 (miR-192) was early identified in human renal cortical tissue and stored and excreted in urine as microvesicles. MiR-192 was found to be involved in the development of DN. For the first time, the present review summarized all the current evidence on the topic of the roles of miR-192 in DN. Finally, 28 studies (ten clinical trials and eighteen experimental studies) were eligible for thorough reviewing. Most of the clinical trials (7/10, 70%) indicated miR-192 might be a protective factor for DN development and progression, while the majority of experimental studies (14/18, 78%) suggested miR-192 might be a pathogenic factor for DN. Mechanistically, miR-192 interacts with various direct targeted proteins (i.e., ZEB1, ZEB2, SIP1, GLP1R, and Egr1) and signaling cascades (i.e., SMAD/TGF-β and PTEN/PI3K/AKT), together contribute to the pathogenesis of DN through epithelial-to-mesenchymal transition (EMT), extracellular matrix deposition, and fibrosis formation. The current review highlights the dual role of miR-192 in the development of DN. Low serum miR-192 expression could be applied for the early prediction of DN (the early stage of DN), while the high miR-192 level in renal tissues and urine may imply the progression of DN (the late stage of DN). Further investigations are still warranted to illustrate this inconsistent phenomenon, which may facilitate promoting the therapeutic applications of miR-192 in predicting and treating DN.https://www.frontiersin.org/articles/10.3389/fendo.2023.1179161/fullMicroRNA-192diabetic nephropahybiomarkerZeb1mechanism
spellingShingle Xiaoqing Wan
Jian Liao
Hongting Lai
Shilong Zhang
Jianling Cui
Chunyan Chen
Roles of microRNA-192 in diabetic nephropathy: the clinical applications and mechanisms of action
Frontiers in Endocrinology
MicroRNA-192
diabetic nephropahy
biomarker
Zeb1
mechanism
title Roles of microRNA-192 in diabetic nephropathy: the clinical applications and mechanisms of action
title_full Roles of microRNA-192 in diabetic nephropathy: the clinical applications and mechanisms of action
title_fullStr Roles of microRNA-192 in diabetic nephropathy: the clinical applications and mechanisms of action
title_full_unstemmed Roles of microRNA-192 in diabetic nephropathy: the clinical applications and mechanisms of action
title_short Roles of microRNA-192 in diabetic nephropathy: the clinical applications and mechanisms of action
title_sort roles of microrna 192 in diabetic nephropathy the clinical applications and mechanisms of action
topic MicroRNA-192
diabetic nephropahy
biomarker
Zeb1
mechanism
url https://www.frontiersin.org/articles/10.3389/fendo.2023.1179161/full
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