title: The role of circulating microRNA-126 (miR-126): a novel biomarker for screening prediabetes and newly diagnosed type 2 diabetes mellitus.
abstract: Recent studies suggested an association of endothelial microRNA-126 (miR-126) with type 2 diabetes mellitus (T2DM). In the current study, we examined whether circulating miR-126 is associated with T2DM and pre-diabetic syndrome. The study included 82 subjects with impaired glucose tolerance (IGT), 75 subjects with impaired fasting glucose (IFG), 160 patients with newly diagnosed T2DM, and 138 healthy individuals. Quantitative polymerase chain reaction (qPCR) was used to examine serum miR-126. Serum miR-126 was significantly lower in IGT/IFG subjects and T2DM patients than in healthy controls (p<0.05). After six months of treatment (diet control and exercise in IGT/IFG subjects, insulin plus diet control and exercise in T2DM patients), serum miR-126 increased significantly (p<0.05). An analysis based on serum miR-126 in the sample revealed a significantly higher odds ratio (OR) for the subjects with the lowest 1/3 of serum miR-126 for T2DM (OR: 3.500, 95% confidence interval: 1.901-6.445, p<0.05) than subjects within the highest 1/3 of serum miR-126. Such an association was still apparent after adjusting for other major risk factors. The area under the curve (AUC) for the receiver-operating characteristic (ROC) analysis was 0.792 (95% confidence interval: 0.707-0.877, p<0.001). These results encourage the use of serum miR-126 as a biomarker for pre-diabetes and diabetes mellitus, as well as therapeutic response.
authors.affiliation: Department of Clinical Biochemistry Laboratory, the 4th Affiliated Hospital of Harbin Medical University, #37 Yiyuan Street, Nangang District, Harbin 150001, China. yl15904506198@163.com.
authors.forename: Yang
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Clinical Biochemistry Laboratory, the 4th Affiliated Hospital of Harbin Medical University, #37 Yiyuan Street, Nangang District, Harbin 150001, China. ggqsyjyk@163.com.
authors.forename: Guangqiang
authors.initials: G
authors.lastname: Gao
authors.affiliation: Department of Clinical Biochemistry Laboratory, the 4th Affiliated Hospital of Harbin Medical University, #37 Yiyuan Street, Nangang District, Harbin 150001, China. ycsyjyk@126.com.
authors.forename: Chun
authors.initials: C
authors.lastname: Yang
authors.affiliation: Department of Clinical Biochemistry Laboratory, the 4th Affiliated Hospital of Harbin Medical University, #37 Yiyuan Street, Nangang District, Harbin 150001, China. zksyjyk@126.com.
authors.forename: Kun
authors.initials: K
authors.lastname: Zhou
authors.affiliation: Heilongjiang Province Key Laboratory of Molecular Image, Harbin 150001, China. sbzsyyx@163.com.
authors.forename: Baozhong
authors.initials: B
authors.lastname: Shen
authors.affiliation: Department of Clinical Biochemistry Laboratory, the 4th Affiliated Hospital of Harbin Medical University, #37 Yiyuan Street, Nangang District, Harbin 150001, China. aileenliang2005@163.com.
authors.forename: Hongyan
authors.initials: H
authors.lastname: Liang
authors.affiliation: Department of Clinical Biochemistry Laboratory, the 4th Affiliated Hospital of Harbin Medical University, #37 Yiyuan Street, Nangang District, Harbin 150001, China. jiangxiaofeng@ems.hrbmu.edu.cn.
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Jiang
mesh_terms: D000328:Adult; D019540:Area Under Curve; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000032:analysis; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000178:diet therapy / Q000235:genetics; D015444:Exercise; D005260:Female; D018149:Glucose Intolerance; D006801:Humans; D008297:Male; D035683:MicroRNAs / Q000097:blood*; D008875:Middle Aged; D016017:Odds Ratio; D011236:Prediabetic State; D012372:ROC Curve; D012307:Risk Factors
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; C527111:MIRN126 microRNA, human; D035683:MicroRNAs