Type 2 & other diabetes

Dynamic changes in circulating microRNAs during oral glucose tolerance testing support their potential as diagnostic and monitoring biomarkers in cystic fibrosis-related diabetes

DiabetologiaPublished Cross-sectional study

Authors' conclusion

MiR-34a-5p and miR-122-5p show potential as biomarkers for CFRD development and liver damage. MiR-122-5p and miR-223-3p could mitigate CFRD development by increasing the secretory capacity of the beta cells while miR-34a-5p might propagate CFRD development by reducing cell viability. We propose that circulating microRNAs can serve as biomarkers for CF complications. We further advocate that circulating microRNAs can play a part in the intricate crosstalk between metabolic organs and the endocrine pancreas in health and disease.

Study context

Population
Adult Danish participants with cystic fibrosis12 sequenced
Participants
93 participants
Exposure
Circulating microRNAs across glucose tolerance categories in cystic fibrosis (CF)
Outcome
Serum microRNA expression by glucose tolerance status and during OGTT
Methodological detailsOGTT sampling at baseline, 10, 30, 60 and 180 min, serum microRNA sequencing in 12 selected individuals, LNA RT-qPCR validation in full cohort, in vitro assessment in insulin-secreting cells
  • OGTT sampling at baseline, 10, 30, 60 and 180 min
  • Serum microRNA sequencing in 12 selected individuals
  • LNA RT-qPCR validation in full cohort
  • In vitro assessment in insulin-secreting cells

Main finding

As reported in the abstract

MicroRNAs differentially expressed at baseline (miR-34a-5p, miR-122-5p, miR-885-3, miR-885-5p)

4

MicroRNAs with differential expression changes in response to glucose ingestion

12

MicroRNAs validated by LNA RT-qPCR

8

Observational data: associations, not effects.

Further findings

In vitro effects in insulin-secreting cells

Glucose-stimulated insulin secretion increased after overexpression of miR-122-5p or miR-223-3p
Cell viability decreased after overexpression of miR-34a-5p

Original publication

Dynamic changes in circulating microRNAs during oral glucose tolerance testing support their potential as diagnostic and monitoring biomarkers in cystic fibrosis-related diabetes. Diabetologia. Published 7 January 2026. doi:10.1007/s00125-025-06645-7

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