Circulating MicroRNAs Associate With Diabetic Nephropathy and Systemic Microvascular Damage and Normalize After Simultaneous Pancreas–Kidney Transplantation

Because microvascular disease is one of the most important drivers of diabetic complications, early monitoring of microvascular integrity may be of clinical value. By assessing profiles of circulating microRNAs (miRNAs), known regulators of microvascular pathophysiology, in healthy controls and diab...

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Veröffentlicht in:American journal of transplantation 2015-04, Vol.15 (4), p.1081-1090
Hauptverfasser: Bijkerk, R., Duijs, J. M. G. J., Khairoun, M., ter Horst, C. J. H., van der Pol, P., Mallat, M. J., Rotmans, J. I., de Vries, A. P. J., de Koning, E. J., de Fijter, J. W., Rabelink, T. J., van Zonneveld, A. J., Reinders, M. E. J.
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container_end_page 1090
container_issue 4
container_start_page 1081
container_title American journal of transplantation
container_volume 15
creator Bijkerk, R.
Duijs, J. M. G. J.
Khairoun, M.
ter Horst, C. J. H.
van der Pol, P.
Mallat, M. J.
Rotmans, J. I.
de Vries, A. P. J.
de Koning, E. J.
de Fijter, J. W.
Rabelink, T. J.
van Zonneveld, A. J.
Reinders, M. E. J.
description Because microvascular disease is one of the most important drivers of diabetic complications, early monitoring of microvascular integrity may be of clinical value. By assessing profiles of circulating microRNAs (miRNAs), known regulators of microvascular pathophysiology, in healthy controls and diabetic nephropathy (DN) patients before and after simultaneous pancreas–kidney transplantation (SPK), we aimed to identify differentially expressed miRNAs that associate with microvascular impairment. Following a pilot study, we selected 13 candidate miRNAs and determined their circulating levels in DN (n = 21), SPK‐patients (n = 37), healthy controls (n = 19), type 1 diabetes mellitus patients (n = 15) and DN patients with a kidney transplant (n = 15). For validation of selected miRNAs, 14 DN patients were studied longitudinally up to 12 months after SPK. We demonstrated a direct association of miR‐25, ‐27a, ‐126, ‐130b, ‐132, ‐152, ‐181a, ‐223, ‐320, ‐326, ‐340, ‐574‐3p and ‐660 with DN. Of those, miR‐25, ‐27a, ‐130b, ‐132, ‐152, ‐320, ‐326, ‐340, ‐574‐3p and ‐660 normalized after SPK. Importantly, circulating levels of some of these miRNAs tightly associate with microvascular impairment as they relate to aberrant capillary tortuosity, angiopoietin‐2/angiopoietin‐1 ratios, circulating levels of soluble‐thrombomodulin and insulin‐like growth factor. Taken together, circulating miRNA profiles associate with DN and systemic microvascular damage, and might serve to identify individuals at risk of experiencing microvascular complications, as well as give insight into underlying pathologies. Selected circulating microRNAs correlate with diabetic nephropathy and systemic microvascular damage, and normalize after simultaneous pancreas–kidney transplantation, providing novel opportunities for the identification of patients at risk for microvascular complications and pathways involved in disease progression.
doi_str_mv 10.1111/ajt.13072
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M. G. J. ; Khairoun, M. ; ter Horst, C. J. H. ; van der Pol, P. ; Mallat, M. J. ; Rotmans, J. I. ; de Vries, A. P. J. ; de Koning, E. J. ; de Fijter, J. W. ; Rabelink, T. J. ; van Zonneveld, A. J. ; Reinders, M. E. J.</creator><creatorcontrib>Bijkerk, R. ; Duijs, J. M. G. J. ; Khairoun, M. ; ter Horst, C. J. H. ; van der Pol, P. ; Mallat, M. J. ; Rotmans, J. I. ; de Vries, A. P. J. ; de Koning, E. J. ; de Fijter, J. W. ; Rabelink, T. J. ; van Zonneveld, A. J. ; Reinders, M. E. J.</creatorcontrib><description>Because microvascular disease is one of the most important drivers of diabetic complications, early monitoring of microvascular integrity may be of clinical value. By assessing profiles of circulating microRNAs (miRNAs), known regulators of microvascular pathophysiology, in healthy controls and diabetic nephropathy (DN) patients before and after simultaneous pancreas–kidney transplantation (SPK), we aimed to identify differentially expressed miRNAs that associate with microvascular impairment. Following a pilot study, we selected 13 candidate miRNAs and determined their circulating levels in DN (n = 21), SPK‐patients (n = 37), healthy controls (n = 19), type 1 diabetes mellitus patients (n = 15) and DN patients with a kidney transplant (n = 15). For validation of selected miRNAs, 14 DN patients were studied longitudinally up to 12 months after SPK. We demonstrated a direct association of miR‐25, ‐27a, ‐126, ‐130b, ‐132, ‐152, ‐181a, ‐223, ‐320, ‐326, ‐340, ‐574‐3p and ‐660 with DN. Of those, miR‐25, ‐27a, ‐130b, ‐132, ‐152, ‐320, ‐326, ‐340, ‐574‐3p and ‐660 normalized after SPK. Importantly, circulating levels of some of these miRNAs tightly associate with microvascular impairment as they relate to aberrant capillary tortuosity, angiopoietin‐2/angiopoietin‐1 ratios, circulating levels of soluble‐thrombomodulin and insulin‐like growth factor. Taken together, circulating miRNA profiles associate with DN and systemic microvascular damage, and might serve to identify individuals at risk of experiencing microvascular complications, as well as give insight into underlying pathologies. 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M. G. J.</creatorcontrib><creatorcontrib>Khairoun, M.</creatorcontrib><creatorcontrib>ter Horst, C. J. H.</creatorcontrib><creatorcontrib>van der Pol, P.</creatorcontrib><creatorcontrib>Mallat, M. J.</creatorcontrib><creatorcontrib>Rotmans, J. I.</creatorcontrib><creatorcontrib>de Vries, A. P. J.</creatorcontrib><creatorcontrib>de Koning, E. J.</creatorcontrib><creatorcontrib>de Fijter, J. W.</creatorcontrib><creatorcontrib>Rabelink, T. J.</creatorcontrib><creatorcontrib>van Zonneveld, A. J.</creatorcontrib><creatorcontrib>Reinders, M. E. J.</creatorcontrib><title>Circulating MicroRNAs Associate With Diabetic Nephropathy and Systemic Microvascular Damage and Normalize After Simultaneous Pancreas–Kidney Transplantation</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>Because microvascular disease is one of the most important drivers of diabetic complications, early monitoring of microvascular integrity may be of clinical value. 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By assessing profiles of circulating microRNAs (miRNAs), known regulators of microvascular pathophysiology, in healthy controls and diabetic nephropathy (DN) patients before and after simultaneous pancreas–kidney transplantation (SPK), we aimed to identify differentially expressed miRNAs that associate with microvascular impairment. Following a pilot study, we selected 13 candidate miRNAs and determined their circulating levels in DN (n = 21), SPK‐patients (n = 37), healthy controls (n = 19), type 1 diabetes mellitus patients (n = 15) and DN patients with a kidney transplant (n = 15). For validation of selected miRNAs, 14 DN patients were studied longitudinally up to 12 months after SPK. We demonstrated a direct association of miR‐25, ‐27a, ‐126, ‐130b, ‐132, ‐152, ‐181a, ‐223, ‐320, ‐326, ‐340, ‐574‐3p and ‐660 with DN. Of those, miR‐25, ‐27a, ‐130b, ‐132, ‐152, ‐320, ‐326, ‐340, ‐574‐3p and ‐660 normalized after SPK. Importantly, circulating levels of some of these miRNAs tightly associate with microvascular impairment as they relate to aberrant capillary tortuosity, angiopoietin‐2/angiopoietin‐1 ratios, circulating levels of soluble‐thrombomodulin and insulin‐like growth factor. Taken together, circulating miRNA profiles associate with DN and systemic microvascular damage, and might serve to identify individuals at risk of experiencing microvascular complications, as well as give insight into underlying pathologies. Selected circulating microRNAs correlate with diabetic nephropathy and systemic microvascular damage, and normalize after simultaneous pancreas–kidney transplantation, providing novel opportunities for the identification of patients at risk for microvascular complications and pathways involved in disease progression.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>25716422</pmid><doi>10.1111/ajt.13072</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source Wiley Online Library - AutoHoldings Journals; MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library
subjects Adolescent
Adult
basic (laboratory) research/science
biomarker
clinical research/practice
Diabetes
diabetes: secondary complications
Diabetic Nephropathies - blood
Female
Humans
Kidney Transplantation
kidney transplantation/nephrology
Male
MicroRNAs
MicroRNAs - blood
Middle Aged
molecular biology: micro RNA
Pancreas
Pancreas Transplantation
pancreas/simultaneous pancreas–kidney transplantation
Transplants & implants
vascular biology
Young Adult
title Circulating MicroRNAs Associate With Diabetic Nephropathy and Systemic Microvascular Damage and Normalize After Simultaneous Pancreas–Kidney Transplantation
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