The Association of Cell-Free LncH19 and miR-29b Expression with the PI3K/AKT/HIF-1/VEGF Pathway in Patients with Diabetic Nephropathy: In Silico Prediction and Clinical Validation

Diabetic nephropathy (DN) affects about one-third of patients with diabetes and can lead to end-stage renal disease despite numerous trials aimed at improving diabetic management. Non-coding RNAs (ncRNAs) represent a new frontier in DN research, as increasing evidence suggests their involvement in t...

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Main Authors: Noha M. Abd El-Fadeal, Basma Osman Sultan, Asmaa K. K. AbdelMaogood, Essam Al Ageeli, Fatma Tohamy Mekhamer, Sherihan Rohayem, Ahmed Shahidy, Nora Hosny, Manal S. Fawzy, Mohammed M. Ismail, Hidi A. A. Abdellatif
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Language:English
Published: MDPI AG 2024-12-01
Series:Current Issues in Molecular Biology
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Online Access:https://www.mdpi.com/1467-3045/47/1/20
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author Noha M. Abd El-Fadeal
Basma Osman Sultan
Asmaa K. K. AbdelMaogood
Essam Al Ageeli
Fatma Tohamy Mekhamer
Sherihan Rohayem
Ahmed Shahidy
Nora Hosny
Manal S. Fawzy
Mohammed M. Ismail
Hidi A. A. Abdellatif
author_facet Noha M. Abd El-Fadeal
Basma Osman Sultan
Asmaa K. K. AbdelMaogood
Essam Al Ageeli
Fatma Tohamy Mekhamer
Sherihan Rohayem
Ahmed Shahidy
Nora Hosny
Manal S. Fawzy
Mohammed M. Ismail
Hidi A. A. Abdellatif
author_sort Noha M. Abd El-Fadeal
collection DOAJ
description Diabetic nephropathy (DN) affects about one-third of patients with diabetes and can lead to end-stage renal disease despite numerous trials aimed at improving diabetic management. Non-coding RNAs (ncRNAs) represent a new frontier in DN research, as increasing evidence suggests their involvement in the occurrence and progression of DN. A growing body of evidence suggests that long non-coding RNAs (lncRNAs) and microRNAs (miRNAs) in DN signaling pathways might serve as novel biomarkers or therapeutic targets, although this remains to be fully explored. Our study included four groups, each comprising 40 adults: patients with diabetes (a) without albuminuria, (b) with microalbuminuria, (c) with macroalbuminuria, and a control group. All participants underwent history-taking and clinicolaboratory assessments, including CBC, fasting blood sugar, HbA1c, lipid profile, liver function, and renal function tests. Additionally, expressions of lncRNA H19, miRNA-29b, PI3K, AKT, mTOR, and HIF-1 alpha were assessed using qPCR. lncRNA H19 expression was upregulated in patients with albuminuria compared to the DM group. Furthermore, based on qPCR, the level of lncRNA H19 was negatively correlated with eGFR and miRNA-29b expression. On the other hand, the lncRNA H19 level was positively correlated with PI3K, AKT, mTOR, and HIF-1 alpha levels. We also found that the lncH19/miRNA-29b ratio was significantly increased in patients with DN and macroalbuminuria. In conclusion, lncRNA H19 was upregulated in patients with DN, and this increase was associated with miRNA29b downregulation. Therefore, our study suggests a novel link between the lncH19/miRNA-29b ratio and DN, indicating that it might serve as a potential biomarker for the dynamic monitoring of DN.
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spelling doaj-art-a7e28c5eccd14cc69ca3441ba506ad1c2025-01-24T13:27:25ZengMDPI AGCurrent Issues in Molecular Biology1467-30371467-30452024-12-014712010.3390/cimb47010020The Association of Cell-Free LncH19 and miR-29b Expression with the PI3K/AKT/HIF-1/VEGF Pathway in Patients with Diabetic Nephropathy: In Silico Prediction and Clinical ValidationNoha M. Abd El-Fadeal0Basma Osman Sultan1Asmaa K. K. AbdelMaogood2Essam Al Ageeli3Fatma Tohamy Mekhamer4Sherihan Rohayem5Ahmed Shahidy6Nora Hosny7Manal S. Fawzy8Mohammed M. Ismail9Hidi A. A. Abdellatif10Medical Biochemistry and Molecular Biology Department, Faculty of Medicine, Suez Canal University, Ismailia 41522, EgyptNephrology Unit, Internal Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia 41522, EgyptClinical and Chemical Pathology Department, Faculty of Medicine, Suez Canal University, Ismailia 41522, EgyptDepartment of Basic Medical Sciences, Faculty of Medicine, Jazan University, Jazan 45141, Saudi ArabiaFamily Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia 41522, EgyptMicrobiology and Medical Immunology Department, Faculty of Medicine, Port Said University, Port Said 42523, EgyptCardiothoracic Surgery Resident, Faculty of Medicine, Suez Canal University, Ismailia 41522, EgyptMedical Biochemistry and Molecular Biology Department, Faculty of Medicine, Suez Canal University, Ismailia 41522, EgyptCenter for Health Research, Northern Border University, Arar 91431, Saudi ArabiaDepartment of Anatomy, Faculty of Medicine, Northern Border University, Arar 91431, Saudi ArabiaMedical Biochemistry and Molecular Biology Department, Faculty of Medicine, Suez Canal University, Ismailia 41522, EgyptDiabetic nephropathy (DN) affects about one-third of patients with diabetes and can lead to end-stage renal disease despite numerous trials aimed at improving diabetic management. Non-coding RNAs (ncRNAs) represent a new frontier in DN research, as increasing evidence suggests their involvement in the occurrence and progression of DN. A growing body of evidence suggests that long non-coding RNAs (lncRNAs) and microRNAs (miRNAs) in DN signaling pathways might serve as novel biomarkers or therapeutic targets, although this remains to be fully explored. Our study included four groups, each comprising 40 adults: patients with diabetes (a) without albuminuria, (b) with microalbuminuria, (c) with macroalbuminuria, and a control group. All participants underwent history-taking and clinicolaboratory assessments, including CBC, fasting blood sugar, HbA1c, lipid profile, liver function, and renal function tests. Additionally, expressions of lncRNA H19, miRNA-29b, PI3K, AKT, mTOR, and HIF-1 alpha were assessed using qPCR. lncRNA H19 expression was upregulated in patients with albuminuria compared to the DM group. Furthermore, based on qPCR, the level of lncRNA H19 was negatively correlated with eGFR and miRNA-29b expression. On the other hand, the lncRNA H19 level was positively correlated with PI3K, AKT, mTOR, and HIF-1 alpha levels. We also found that the lncH19/miRNA-29b ratio was significantly increased in patients with DN and macroalbuminuria. In conclusion, lncRNA H19 was upregulated in patients with DN, and this increase was associated with miRNA29b downregulation. Therefore, our study suggests a novel link between the lncH19/miRNA-29b ratio and DN, indicating that it might serve as a potential biomarker for the dynamic monitoring of DN.https://www.mdpi.com/1467-3045/47/1/20diabetic nephropathylncRNA H19miRNA29bPI3KAKTHIF-1 alpha
spellingShingle Noha M. Abd El-Fadeal
Basma Osman Sultan
Asmaa K. K. AbdelMaogood
Essam Al Ageeli
Fatma Tohamy Mekhamer
Sherihan Rohayem
Ahmed Shahidy
Nora Hosny
Manal S. Fawzy
Mohammed M. Ismail
Hidi A. A. Abdellatif
The Association of Cell-Free LncH19 and miR-29b Expression with the PI3K/AKT/HIF-1/VEGF Pathway in Patients with Diabetic Nephropathy: In Silico Prediction and Clinical Validation
Current Issues in Molecular Biology
diabetic nephropathy
lncRNA H19
miRNA29b
PI3K
AKT
HIF-1 alpha
title The Association of Cell-Free LncH19 and miR-29b Expression with the PI3K/AKT/HIF-1/VEGF Pathway in Patients with Diabetic Nephropathy: In Silico Prediction and Clinical Validation
title_full The Association of Cell-Free LncH19 and miR-29b Expression with the PI3K/AKT/HIF-1/VEGF Pathway in Patients with Diabetic Nephropathy: In Silico Prediction and Clinical Validation
title_fullStr The Association of Cell-Free LncH19 and miR-29b Expression with the PI3K/AKT/HIF-1/VEGF Pathway in Patients with Diabetic Nephropathy: In Silico Prediction and Clinical Validation
title_full_unstemmed The Association of Cell-Free LncH19 and miR-29b Expression with the PI3K/AKT/HIF-1/VEGF Pathway in Patients with Diabetic Nephropathy: In Silico Prediction and Clinical Validation
title_short The Association of Cell-Free LncH19 and miR-29b Expression with the PI3K/AKT/HIF-1/VEGF Pathway in Patients with Diabetic Nephropathy: In Silico Prediction and Clinical Validation
title_sort association of cell free lnch19 and mir 29b expression with the pi3k akt hif 1 vegf pathway in patients with diabetic nephropathy in silico prediction and clinical validation
topic diabetic nephropathy
lncRNA H19
miRNA29b
PI3K
AKT
HIF-1 alpha
url https://www.mdpi.com/1467-3045/47/1/20
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