Diabetes complications

LncRNA VCAN‐AS1 serves as a diagnostic biomarker and drives pathogenesis in diabetic nephropathy via the miR‐205‐5p/vascular endothelial growth factor A (VEGFA) axis

Diabet MedPublished Case-control and mechanistic study

Authors' conclusion

VCAN-AS1 serves as a potential diagnostic biomarker for DN and promotes disease pathogenesis through the miR-205-5p/VEGFA axis, highlighting its potential as a therapeutic target.

Study context

Population
Patients with diabetes mellitus (DM) with or without diabetic nephropathy (DN), and healthy controls
Participants
85 / 66 / 62
Comparison
DN vs DM without nephropathy vs healthy controls
  • DNn = 85
  • DM without nephropathyn = 66
  • Healthy controlsn = 62reference
Outcome
Serum VCAN-AS1 (qRT-PCR) and diagnostic performance for DN
Methodological detailsin vitro HK-2 cell experiments, dual-luciferase reporter assays
  • In vitro HK-2 cell experiments
  • Dual-luciferase reporter assays

Main finding

As reported in the abstract

GroupAUC
DN0.879

DN

AUC0.879

Observational data: associations, not effects.

Further findings

In vitro mechanism (high glucose-treated HK-2 cells)

High glucose up-regulated VCAN-AS1 in HK-2 cells, promoting cellular injury phenotypes
miR-205-5p inhibition reversed the protective effects of VCAN-AS1 knockdown
VCAN-AS1 directly bound miR-205-5p, suppressing it and enhancing VEGFA expression

Original publication

LncRNA VCAN‐AS1 serves as a diagnostic biomarker and drives pathogenesis in diabetic nephropathy via the miR‐205‐5p/VEGFA axis. Diabet Med. Published 19 March 2026. doi:10.1111/dme.70259

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