1. Assessment of Vascular Endothelial Growth Factor mRNA and miR-200b Levels in Type 2 Diabetes Mellites in Correlation with Clinicopathological and Anatomical Distribution of Diabetic Foot Ulcer.
- Author
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Rashad, Nearmeen M., Khalil, Usama A., Soliman, Sameh A., Abbdelfattah, Azza. H., Hussien, Marwa H. S., Elshamy, Abdelmonem Mohamed, Elsheikh, Azza O., Mohamed Soliman, Rania Hassan, Salem, Mai H., and Nawara, Abdella M.
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DIABETIC foot , *VASCULAR endothelial growth factors , *TYPE 2 diabetes , *MESSENGER RNA , *GENE expression - Abstract
Background: Diabetic foot ulcer (DFU) is one of the most distressing complications in patients with type 2 diabetes mellitus (T2DM). Vascular endothelial growth factor (VEGF) is a strong angiogenic factor associated with wound healing and development. This study aimed to investigate the VEGF mRNA and miR-200b levels in patients with T2DM and to discover their relations with the clinicopathological and anatomical distribution of DFU. Methods: This case-control study enrolled 70 patients with T2DM and 70 healthy subjects as controls. Physical and neurological examination to assess Wagner classification. RT-PCR was done to assess VEGF mRNA and miR- 200b expression levels. Results: There were significantly higher values of VEGF mRNA levels in patients with DFU (3.13±1.87) compared to patients without DFU (2.41±0.197) and controls (1.07±0.363), with P value <0.001* Additionally, miR-200b levels were significantly higher in patients with DFU (3.48±1.47) compared to patients without DFU (2.94±0.187) and controls (1.13±0.37), with P value <0.001*. The power of VEGF mRNA and miR-200b levels as a diagnostic marker for DFU were projected (2.5 and 3.1, respectively), which yielded a sensitivity of (77.1% and 74.3, respectively) and a specificity of (77.3% and 75.2%), with the AUC at (0.886 and 0.845, respectively). The size of DFU in cm was 3.5±0.421 and the number of ulcers was 2.45±0.433. Conclusions: The VEGF mRNA and miR-200b levels were significantly higher in patients with T2DM, particularly those with DFU. Consequently, we believed that VEGF mRNA and miR-200b might serve as promising predictive biomarkers for diabetes and DFU. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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