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Gene & Protein in Disease                                 lncRNAs dysregulation in diabetes and its complications




            Table 1. Summary of known interactions between specific lncRNAs and their target genes in diabetes
            lncRNA   Target gene  Experimental model         Functions             Clinical relevance  References
            HI-LNC25  GLIS3       Mice              HI-LNC25 promotes the expression of   Clinically relevant for β-cell   15
                                                    GLIS3 messenger RNA (mRNA), which   programming and diabetes
                                                    contains type 1 and type 2 diabetes risk   pathophysiology for T2DM
                                                    factors.
            lncLST   ApoC2        Mice              ncLSTR regulates the FXR/apoC2/PLP   LncLSTR is a potential   36
                                                    passage through TDP-43/Cyp8b1 to   therapeutic target for
                                                    maintain systemic lipid homeostasis.  hyperlipidemia and related
                                                                                complications
            MALAT1   CPNL1        Rat               MALAT1 is potential MALAT1 is   Increased TGF-β expression   37,38
                                                    a potential biomarker for diabetes   and its role in extracellular
                                                    because it is markedly upregulated   matrix production are
                                                    fibers and conducting cell membranes   implicated in the progression
                                                    of diabetes-suffering patients, aqueous   of diabetic nephropathy
                                                    humor samples, and a hyperglycemic
                                                    RF/6A cell line.
            PVT1     FN1, COL4A1,   Human coronary artery   PVT1 has been linked to ESRD in   SENCR is implicated in   32
                     TGFB1 and PAI‑1  smooth muscle cells  T1DM and also in T2DM, most likely   vascular smooth muscle cell
                                                    causing the kidney to accumulate an   phenotype regulation, with
                                                    extracellular matrix.       potential relevance to vascular
                                                                                diseases by influencing cell
                                                                                migration and stability
            Lnc13    STAT1 mRNA   Human pancreatic islets  In an allele-specific manner, to   Lnc13 contributes to the   39
                                                    sustain-cell inflammation, Lnc13-PCBP2  pathogenesis of type 1 diabetes
                                                    interactivity controls STAT1 mRNA   by increasing inflammation in
                                                    secureness.                 pancreatic β-cells, linked to
                                                                                disease-associated SNPs
            Abbreviations: ApoC2: Apolipoprotein C2; COL4A1: Collagen type IV alpha 1; CPNL1: Carboxypeptidase N, polypeptide 1; Cyp8b1: Cytochrome P450
            8B1; ESRD: End-stage renal disease; FN1: Fibronectin 1; FXR: Farnesoid X receptor; GLIS3: GLIS family zinc finger 3; HI-LNC25: Hypoxia-inducible
            long noncoding RNA 25;lncLST: Long noncoding RNA LST; lncRNA: Long noncoding RNA; MALAT1: Metastasis-associated lung adenocarcinoma
            transcript 1; PAI-1: Plasminogen activator inhibitor-1; PLP: Phospholipid transfer protein; PVT1: Plasmacytoma variant translocation 1;
            RF/6A: Rat fetal retinal cell line; SENCR: Smooth muscle-enriched long noncoding RNA; STAT1: Signal transducer and activator of transcription 1;
            T1DM: Type 1 diabetes mellitus; T2DM: Type 2 diabetes mellitus; TDP-43: TAR DNA-binding protein 43; TGF-β: Transforming growth factor beta;
            TGFB1: Transforming growth factor beta 1.

            complications have been reported. Nonetheless, these   modifications  –  in DN pathogenesis.   Multiple molecular
                                                                                            48
            findings offer promising directions for future research.  pathways, including inflammation, oxidative stress, the
                                                               hexosamine biosynthetic pathway, and the polyol pathway,
            4.1. LncRNAs and diabetic nephropathy (DN)         drive DN progression.  These factors, combined with
                                                                                  49
            DN is a prevalent and severe complication of diabetes,   ECM  remodeling, contribute to  declining renal  function,
            significantly contributing to the global burden of chronic   eventually leading to kidney failure.
            kidney disease.  It accounts for roughly 40% of end-stage renal
                       40
            disease cases.  Early indicators of DN include the buildup   4.2. LncRNAs and diabetic retinopathy (DR)
                      41
            of extracellular matrix (ECM) proteins, such as collagen   DR is a chronic microvascular complication of DM that
            and fibronectin, glomerular mesangial cell (MC) expansion,   affects the retina due to prolonged hyperglycemia. Several
            hypertrophy, and podocyte effacement. 42,43  Clinically,   lncRNAs are involved in DR pathogenesis. One notable
            albuminuria serves as a key biomarker for diagnosing and   lncRNA is the retina ncRNA 2 gene, also known as
            staging DN. 44,45  Alongside albuminuria, excessive ECM   myocardial infarction-associated transcript (MIAT) in mice
            accumulation and thickening of the glomerular basement   and gomafu in humans. MIAT is located on chromosome
            membrane, primarily in MCs, are distinct pathological   22q12.1, a region linked to increased myocardial infarction
            features of DN (Figure  2). Genetic predispositions play a   risk. 56,57  Initially, MIAT was identified for regulating
            crucial role in DN susceptibility. 46,47  Recent studies also   retinal cell proliferation in mammals.  In DR, MIAT is
                                                                                              58
            emphasize the role of epigenetic mechanisms – such as   upregulated, contributing to retinal vascular dysfunction
            miRNAs, lncRNAs (Table 2), DNA methylation, and histone   and worsening microvascular complications.


            Volume 4 Issue 2 (2025)                         5                               doi: 10.36922/gpd.4000
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