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非编码 RNA 作为 2 型糖尿病发病机制和临床管理的生物标志物。

Non-Coding RNA as Biomarkers for Type 2 Diabetes Development and Clinical Management.

机构信息

School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.

First Clinical Medical College, Beijing University of Chinese Medicine, Beijing, China.

出版信息

Front Endocrinol (Lausanne). 2021 Sep 17;12:630032. doi: 10.3389/fendo.2021.630032. eCollection 2021.

Abstract

Diabetes, a metabolic disease characterized by high blood glucose and other complications, has undefined causes and multiple risk factors, including inappropriate diet, unhealthy lifestyles, and genetic predisposition. The two most distinguished types of diabetes are type 1 and type 2 diabetes, resulting from the autoimmune impairment of insulin-generating pancreatic β cells and insulin insensitivity, respectively. Non-coding RNAs (ncRNAs), a cohort of RNAs with little transcriptional value, have been found to exert substantial importance in epigenetic and posttranscriptional modulation of gene expression such as messenger RNA (mRNA) silencing. This review mainly focuses on the pathology of type 2 diabetes (T2D) and ncRNAs as potential biomarkers in T2D development and clinical management. We consolidate the pathogenesis, diagnosis, and current treatments of T2D, and present the existing evidence on changes in multiple types of ncRNAs in response to various pathological changes and dysfunctions in different stages of T2D.

摘要

糖尿病是一种以高血糖为特征的代谢性疾病,还有其他并发症,其病因尚未明确,且有多种危险因素,包括饮食不当、生活方式不健康和遗传易感性。两种最显著的糖尿病类型是 1 型和 2 型糖尿病,分别由产生胰岛素的胰腺β细胞的自身免疫损伤和胰岛素敏感性下降引起。非编码 RNA(ncRNA)是一类转录价值较低的 RNA,已被发现对基因表达的表观遗传和转录后调控具有重要作用,如信使 RNA(mRNA)沉默。本综述主要关注 2 型糖尿病(T2D)的发病机制以及 ncRNA 作为 T2D 发展和临床管理中潜在的生物标志物。我们总结了 T2D 的发病机制、诊断和当前治疗方法,并提出了多种 ncRNA 类型在不同阶段 T2D 发生各种病理变化和功能障碍时的变化的现有证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5304/8484715/b8957548760d/fendo-12-630032-g001.jpg

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