Review Article

To the Future: The Role of Exosome-Derived microRNAs as Markers, Mediators, and Therapies for Endothelial Dysfunction in Type 2 Diabetes Mellitus

Table 2

Exosomal microRNAs associated with type 2 diabetes mellitus and endothelial dysfunction.

miRNANormaglycemic (concentration/excretion)T2DM (concentration/excretion)Targets/pathwaysSource of exosomesMethod of isolationComplicationReference

miR-451LowHighYWHAZ
CAB39
UrineUltracentrifugationDiabetic nephropathy[33, 54, 60]
Let-7c-5pLowHighUrineDifferential centrifugationDiabetic nephropathy[99]
miR-192LowHighEgr1UrineUltracentrifugationDiabetic nephropathy[100, 101]
Let-7e-5pLowHighFASLG (migration and tube formation of endothelial progenitor cellsUrinemiRCURY™ exosome isolation kits (Qiagen)Diabetic nephropathy[58, 102, 103]
miR-15bLowHighTNF-alphaUrineUltracentrifugationDiabetic nephropathy[59]
miR-34aLowHighGrowth arrest specific 1 (GAS1)
miR-636LowHighAdipogenesis
miR-30b-5pLowHighEpithelial-to-mesenchymal transitionUrineUltracentrifugationDiabetic nephropathy[58]
miR-20-5pLowHighWnt9b/ß-catenin signaling pathwayPeripheral bloodUltracentrifugationWound healing
Angiogenesis
[49, 50]
miR-126LowHighAngiogenesis
Vascular integrity
Mouse brain endothelial cellsExoQuick-TC (exosome precipitation solution kit, system biosciences)Stroke[53]
miR-320cLowHighADAMTS5
CDK6
TSP-4
BMP6
UrineExoQuick-TC (exosome precipitation solution kit, system biosciences)Diabetic nephropathy[28]
Let-7i-3pLowHighWnt/b-catenin signaling cascade, activin receptor signaling, and cell differentiation and proliferationUrinemiRCURY™ exosome isolation kits (Qiagen)Diabetic nephropathy[62]
miR-24-3pLowHighDiabetic nephropathy
miR-27b-3pLowHighDiabetic nephropathy
miR-15b-5pHighLowDiabetic nephropathy
miR-25-3pLowHighEndothelial cell proliferation
Angiogenesis
PlasmaExoQuick-TC (exosome precipitation solution kit, system biosciencesDiabetic retinopathy[36]
miR-320bLowHigh
miR-495-3pLowHigh