Gomaa Amir Ramadan, Elsayed Eman Tayae, Moftah Reham Fadl
Department of Ophthalmology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Ophthalmic Res. 2017;58(3):168-175. doi: 10.1159/000475671. Epub 2017 Jun 2.
The role of microRNA (miRNA)-200b in the pathogenesis of proliferative diabetic retinopathy (PDR) has been studied in diabetic animal models. The aim of this study was to assess miRNA-200b expression in the vitreous of patients with PDR and to determine its correlation with vascular endothelial growth factor (VEGF), one of the pathogenic mechanisms in PDR.
Quantitative reverse transcription polymerase chain reaction was used to measure miRNA-200b expression in the vitreous from 29 eyes with PDR and 30 eyes with idiopathic macular holes (IMH; control group). Vitreous VEGF was measured using an enzyme-linked immunosorbent assay.
miRNA-200b expression was about 5-fold increased in the vitreous samples from eyes with PDR compared with the controls (p ≤ 0.001). Vitreous VEGF expression was also significantly higher in the PDR group than in the IMH group (p ≤ 0.001), but no significant correlation was found between miRNA-200b and VEGF.
Both miRNA-200b and VEGF are increased in the vitreous of patients with PDR but in a noncorrelated pattern. miRNA-200b may be involved in the pathogenesis of PDR but through VEGF-independent mechanisms. Further studies are needed to identify the miRNA-200b-targeted genes involved in the pathogenesis of PDR and to examine the potential role of miRNA-200b as a target for PDR treatment.
在糖尿病动物模型中已对微小RNA(miRNA)-200b在增殖性糖尿病视网膜病变(PDR)发病机制中的作用进行了研究。本研究的目的是评估PDR患者玻璃体中miRNA-200b的表达,并确定其与PDR致病机制之一的血管内皮生长因子(VEGF)的相关性。
采用定量逆转录聚合酶链反应检测29只PDR患眼和30只特发性黄斑裂孔(IMH;对照组)患眼玻璃体中miRNA-200b的表达。采用酶联免疫吸附测定法检测玻璃体VEGF。
与对照组相比,PDR患眼玻璃体样本中miRNA-200b的表达增加了约5倍(p≤0.001)。PDR组玻璃体VEGF表达也显著高于IMH组(p≤0.001),但未发现miRNA-200b与VEGF之间存在显著相关性。
PDR患者玻璃体中miRNA-200b和VEGF均升高,但呈非相关模式。miRNA-200b可能参与PDR的发病机制,但通过不依赖VEGF的机制。需要进一步研究以确定参与PDR发病机制的miRNA-200b靶向基因,并研究miRNA-200b作为PDR治疗靶点的潜在作用。