Yin Ziwen, Dong Jingyun, Meng Yachao, Yang Zhiqiang, Zhao Chunhong, Wu Qiuyun
Department of Ophthalmology, Luohe Municipal Hospital, Luohe, China.
Department of Nursing, Luohe Municipal Hospital, Luohe, China.
J Diabetes Investig. 2025 Sep 1. doi: 10.1111/jdi.70091.
This study was to ascertain the clinical performance of OIP5-AS1 in diabetic retinopathy (DR) and its molecular mechanism in the disease progression.
Subjects included 85 healthy controls, 79 patients with type 2 diabetes mellitus (T2DM), and 114 T2DM-DR patients. qRT-PCR was conducted to measure the relative abundances of OIP5-AS1 and miR-181a-5p in the research subjects. Receiver operating characteristic (ROC) and logistic regression analyses were employed for the diagnostic capability and risk factor prediction. Cell activities were assessed using CCK-8 and transwell assays. Luciferase reporter assay was used for the correlation confirmation of OIP5-AS1 and miR-181a-5p. Bioinformatic analysis was applied to predict the potential targets of miR-181a-5p.
A significant decrease of OIP5-AS1 was detected in serum from patients with T2MD and T2DM-DR (P < 0.001), exhibiting a high diagnostic value for detecting T2DM (AUC = 0.973) and T2DM-DR patients (AUC = 0.913). OIP5-AS1 was an independent protective indicator for the onset of T2DM-proliferative DR (T2DM-PDR; P = 0.021, OR = 0.306, 95%CI = 0.112-0.837). OIP5-AS1 was markedly reduced in human retinal vascular endothelial cells (HRVECs) with high glucose (HG) (P < 0.001). Overexpression of OIP5-AS1 could significantly suppress the cell growth of HRVECs (P < 0.001). OIP5-AS1 was negatively correlated with miR-181a-5p (r = -0.5327, P < 0.001). Additionally, the impacts caused by OIP5-AS1 on cell events were canceled by transfection of miR-181a-5p mimic (P < 0.001). The possible targets of miR-181a-5p were mined, suggesting mainly enriched in cellular senescence and the MAPK signaling pathway.
OIP5-AS1 was downregulated in T2DM-DR patients and regulated cellular functions via targeting miR-181a-5p. It might offer a new therapeutic target for the disease.
本研究旨在确定OIP5-AS1在糖尿病视网膜病变(DR)中的临床表现及其在疾病进展中的分子机制。
研究对象包括85名健康对照者、79名2型糖尿病(T2DM)患者和114名T2DM-DR患者。采用qRT-PCR检测研究对象中OIP5-AS1和miR-181a-5p的相对丰度。采用受试者工作特征(ROC)和逻辑回归分析进行诊断能力和危险因素预测。使用CCK-8和transwell试验评估细胞活性。荧光素酶报告基因试验用于确认OIP5-AS1与miR-181a-5p的相关性。应用生物信息学分析预测miR-181a-5p的潜在靶点。
在T2MD和T2DM-DR患者的血清中检测到OIP5-AS1显著降低(P<0.001),对检测T2DM(AUC=0.973)和T2DM-DR患者(AUC=0.913)具有较高的诊断价值。OIP5-AS1是T2DM增殖性DR(T2DM-PDR)发病的独立保护指标(P=0.021,OR=0.306,95%CI=0.112-0.837)。在高糖(HG)培养的人视网膜血管内皮细胞(HRVECs)中,OIP5-AS1显著降低(P<0.001)。OIP5-AS1的过表达可显著抑制HRVECs的细胞生长(P<0.001)。OIP5-AS1与miR-181a-5p呈负相关(r=-0.5327,P<0.001)。此外,转染miR-181a-5p模拟物可消除OIP5-AS1对细胞事件的影响(P<0.001)。挖掘了miR-181a-5p的可能靶点,提示主要富集于细胞衰老和MAPK信号通路。
OIP5-AS1在T2DM-DR患者中表达下调,并通过靶向miR-181a-5p调节细胞功能。它可能为该疾病提供一个新的治疗靶点。