International Journal of Medical Sciences



Title: MALAT1 As A Diagnostic and Therapeutic Target in Diabetes-Related Complications: A Promising Long-Noncoding RNAAuthor List1.# Leila Elmi Abdulle, M.D.Department of Ophthalmology, the First Hospital of Jilin University, No. 71 of Xinmin St.Changchun, Jilin Province, 130021, China. Email address: leilabdulle@2. # Ji-long Hao M.D., Ph.D.Department of Ophthalmology, the First Hospital of Jilin University, No. 71 of Xinmin St. Changchun, Jilin Province, 130021, China. Email address: 289736582@3. # Om Prakash Pant, M.D.Department of Ophthalmology, the First Hospital of Jilin University, No. 71 of Xinmin St. Changchun, Jilin Province, 130021, China. Email address: ompant201@4. # Xiu-fen Liu, M.D., Ph.D.Department of Ophthalmology, the First Hospital of Jilin University, No. 71 of Xinmin St. Changchun, Jilin Province, 130021, China. Email address: xiufenliu16@5. # Dan-dan Zhou, M.D., Ph.D.Department of Radiology, The First Hospital of Jilin University, No. 71 of Xinmin St. Changchun, Jilin Province, 130021, China Email address: zhoudan0928@6. # Ying-Gao, M.D., Ph.D.Department of Endocrinology, The First Hospital of Jilin University, No. 71 of Xinmin St. Changchun, Jilin Province, 130021, China Email address: gaoyingcc@7. #Abhishek Suwal, M.D.Department of Ophthalmology, the First Hospital of Jilin University, No. 71 of Xinmin St. Changchun, Jilin Province, 130021, China. Email address: abhisheksuwal@ 8.*Cheng-wei Lu, M.D., Ph.D.Department of Ophthalmology, the First Hospital of Jilin University, No. 71 of Xinmin St. Changchun, Jilin Province, 130021, China. Email address: lcwchina800@# Leila Elmi Abdulle, Ji-long Hao, Om Prakash Pant, Xiu-fen Liu, Dan-Dan Zhou, Ying-Gao and Abhishek Suwal are co-first authors.*Corresponding author:Cheng-wei Lu, M.D., Ph.D.Department of Ophthalmology, the First Hospital of Jilin University, No. 71 of Xinmin St. Changchun, Jilin Province, 130021, China. Email address: lcwchina800@ Telephone No: +8618684317115.AbstractDiabetes mellitus is a global issue with increasing incidence rate worldwide. In an uncontrolled case, it can advance to various organ-related complications leading to an increase in morbidity and mortality. Long non-coding RNA (lncRNA) Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) appears to be a fairly novel lncRNA that is relevant to diabetes and its role in diabetic-related diseases initiation and progression have long been a subject of attention to many scholars. The expression of MALAT1 is elevated in different diabetic-related diseases. In this review, we demonstrate the various functions of MALAT1 in the different diabetes-related complications including ischemic reperfusion injury, retinopathy, cataract, atherosclerosis, cardiomyopathy, non-alcoholic steatohepatitis, gastroparesis, kidney disease, and gestational diabetes. The emerging evidence showed that the role of MALAT1 in diabetic-related complications is both pro-inflammatory and apoptosis in different cell types. These results concluded that MALAT1 is a potential diagnostic and future targeted therapy for diabetes-associated complications. Keywords: Diabetes mellitus; Diabetes-related complications; Long non-coding RNA; MALAT1.IntroductionDiabetes mellitus (DM) is a clinical condition characterized by a high glucose level either due to decreased insulin level or due to insulin insensitivity ADDIN EN.CITE <EndNote><Cite><Author>Guay</Author><Year>2013</Year><RecNum>1</RecNum><DisplayText>[1]</DisplayText><record><rec-number>1</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">1</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Guay, C.</author><author>Regazzi, R.</author></authors></contributors><auth-address>University of Lausanne, Department of Fundamental Neurosciences, Rue du Bugnon 9, 1005 Lausanne, Switzerland.</auth-address><titles><title>Circulating microRNAs as novel biomarkers for diabetes mellitus</title><secondary-title>Nat Rev Endocrinol</secondary-title><alt-title>Nature reviews. Endocrinology</alt-title></titles><pages>513-21</pages><volume>9</volume><number>9</number><keywords><keyword>Diabetes Mellitus, Type 1/*blood/genetics/pathology</keyword><keyword>Diabetes Mellitus, Type 2/*blood/genetics/pathology</keyword><keyword>Humans</keyword><keyword>MicroRNAs/*blood</keyword></keywords><dates><year>2013</year><pub-dates><date>Sep</date></pub-dates></dates><isbn>1759-5037 (Electronic)&#xD;1759-5029 (Linking)</isbn><accession-num>23629540</accession-num><urls><related-urls><url>;[1]. The International Diabetes Federation (IDF) estimated on the overall prevalence of DM to be 366 million in 2011, and it is predicted to rise to 552 million by 2030 ADDIN EN.CITE <EndNote><Cite><Author>Whiting</Author><Year>2011</Year><RecNum>2</RecNum><DisplayText>[2]</DisplayText><record><rec-number>2</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">2</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Whiting, D. R.</author><author>Guariguata, L.</author><author>Weil, C.</author><author>Shaw, J.</author></authors></contributors><auth-address>International Diabetes Federation, Brussels, Belgium. david@davidwhiting.me.uk</auth-address><titles><title>IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030</title><secondary-title>Diabetes Res Clin Pract</secondary-title><alt-title>Diabetes research and clinical practice</alt-title></titles><pages>311-21</pages><volume>94</volume><number>3</number><keywords><keyword>Diabetes Mellitus/*epidemiology</keyword><keyword>*Global Health</keyword><keyword>Humans</keyword><keyword>Models, Statistical</keyword><keyword>Prevalence</keyword><keyword>Time Factors</keyword><keyword>World Health Organization</keyword></keywords><dates><year>2011</year><pub-dates><date>Dec</date></pub-dates></dates><isbn>1872-8227 (Electronic)&#xD;0168-8227 (Linking)</isbn><accession-num>22079683</accession-num><urls><related-urls><url>;[2]. In uncontrolled cases, DM can affect various organs including the brain, eye, heart, stomach, kidney and liver leading to various severe and organ-threatening complications PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IYW5lZmVsZDwvQXV0aG9yPjxZZWFyPjIwMTM8L1llYXI+

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ADDIN EN.CITE.DATA [3-5]. Currently, there is no specific biomarker for diabetes complicated diseases as well as treatment regimens that could halt and prevent the disease progression. Hence it is urgent to explore the specific biomarkers to diagnose, detect, and catch the early sequence of disease development. Long non-coding RNA (lncRNA) are well-defined enormous and different class of transcribed RNA molecules with dimension of more than 200 nucleotides but lack an open reading structure of considerable size. Similar to the protein-coding RNAs, most of the lncRNA are RNA polymerase II transcripts with a 5 ‘cap and poly-A tail. The majority of lncRNA are predominant inside the cell nucleus and show either low revolutionary conservation or lesser expression level than mRNAs PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5SaW5uPC9BdXRob3I+PFllYXI+MjAxMjwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA [6, 7]. LncRNA is an important regulator of various biological processes, including proliferation, differentiation, invasion and apoptosis ADDIN EN.CITE <EndNote><Cite><Author>Liu</Author><Year>2018</Year><RecNum>8</RecNum><DisplayText>[8]</DisplayText><record><rec-number>8</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">8</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Liu, X. F.</author><author>Hao, J. L.</author><author>Xie, T.</author><author>Pant, O. P.</author><author>Lu, C. B.</author><author>Lu, C. W.</author><author>Zhou, D. D.</author></authors></contributors><auth-address>Department of Ophthalmology, The First Hospital of Jilin University, Jilin, China.&#xD;Department of. Neurosurgery, The People&apos;s Hospital of Jilin Province, Jilin, China.&#xD;Department of Cardiology, The First Hospital of Jiamusi University, Heilongjiang, China.&#xD;Department of Radiology, The First Hospital of Jilin University, Jilin, China.</auth-address><titles><title>The BRAF activated non-coding RNA: A pivotal long non-coding RNA in human malignancies</title><secondary-title>Cell Prolif</secondary-title><alt-title>Cell proliferation</alt-title></titles><pages>e12449</pages><volume>51</volume><number>4</number><dates><year>2018</year><pub-dates><date>Aug</date></pub-dates></dates><isbn>1365-2184 (Electronic)&#xD;0960-7722 (Linking)</isbn><accession-num>29484737</accession-num><urls><related-urls><url>;[8]. Hence, lncRNA are evolving as new biomarkers and therapeutic targets in several human diseases ADDIN EN.CITE <EndNote><Cite><Author>Weidle</Author><Year>2017</Year><RecNum>9</RecNum><DisplayText>[9]</DisplayText><record><rec-number>9</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">9</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Weidle, U. H.</author><author>Birzele, F.</author><author>Kollmorgen, G.</author><author>Ruger, R.</author></authors></contributors><auth-address>Roche Innovation Center Munich, Roche Diagnostics GmbH, Penzberg, Germany.&#xD;Roche Innovation Center Basel, F. Hofman La Roche, Basel, Switzerland.&#xD;Roche Innovation Center Munich, Roche Diagnostics GmbH, Penzberg, Germany ruediger.rueger@.</auth-address><titles><title>Long Non-coding RNAs and their Role in Metastasis</title><secondary-title>Cancer Genomics Proteomics</secondary-title><alt-title>Cancer genomics &amp; proteomics</alt-title></titles><pages>143-160</pages><volume>14</volume><number>3</number><keywords><keyword>Gene Expression Regulation, Neoplastic/genetics</keyword><keyword>Humans</keyword><keyword>Neoplasm Metastasis</keyword><keyword>Neoplasms/*genetics/pathology</keyword><keyword>RNA, Long Noncoding/classification/*genetics</keyword></keywords><dates><year>2017</year><pub-dates><date>May-Jun</date></pub-dates></dates><isbn>1790-6245 (Electronic)&#xD;1109-6535 (Linking)</isbn><accession-num>28446530</accession-num><urls><related-urls><url>;[9]. LncRNA-Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) is among well studied and highly conserved lncRNA, which was linked to a variety of pathological processes including diabetes-related complications and various malignancies PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TdTwvQXV0aG9yPjxZZWFyPjIwMTY8L1llYXI+PFJlY051

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ADDIN EN.CITE.DATA [10]. MALAT1 coding gene is located on the short arm of human chromosome 11q13.1, and its transcript is approximately 8 kb ADDIN EN.CITE <EndNote><Cite><Author>Wilusz</Author><Year>2008</Year><RecNum>11</RecNum><DisplayText>[11]</DisplayText><record><rec-number>11</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">11</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Wilusz, J. E.</author><author>Freier, S. M.</author><author>Spector, D. L.</author></authors></contributors><auth-address>Watson School of Biological Sciences, Cold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.</auth-address><titles><title>3&apos; end processing of a long nuclear-retained noncoding RNA yields a tRNA-like cytoplasmic RNA</title><secondary-title>Cell</secondary-title><alt-title>Cell</alt-title></titles><pages>919-32</pages><volume>135</volume><number>5</number><keywords><keyword>Amino Acid Sequence</keyword><keyword>Animals</keyword><keyword>Base Sequence</keyword><keyword>Cell Line, Tumor</keyword><keyword>Cell Nucleus/genetics/metabolism</keyword><keyword>Cytoplasm/*metabolism</keyword><keyword>Endoribonucleases/metabolism</keyword><keyword>HeLa Cells</keyword><keyword>Humans</keyword><keyword>Mice</keyword><keyword>Molecular Sequence Data</keyword><keyword>Neoplasms/genetics/metabolism</keyword><keyword>*RNA Processing, Post-Transcriptional</keyword><keyword>RNA, Transfer/genetics/metabolism</keyword><keyword>RNA, Untranslated/genetics/*metabolism</keyword><keyword>Ribonuclease P/metabolism</keyword></keywords><dates><year>2008</year><pub-dates><date>Nov 28</date></pub-dates></dates><isbn>1097-4172 (Electronic)&#xD;0092-8674 (Linking)</isbn><accession-num>19041754</accession-num><urls><related-urls><url>;[11]. Recent studies had revealed that MALAT1 can play significant roles in the pathophysiological process, tissue inflammation, tumor progression, angiogenesis, cardiovascular remodelling, liver fibrosis, and diabetes progression by modulating gene transcription ADDIN EN.CITE <EndNote><Cite><Author>Lei</Author><Year>2018</Year><RecNum>12</RecNum><DisplayText>[12]</DisplayText><record><rec-number>12</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">12</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Lei, L.</author><author>Chen, J.</author><author>Huang, J.</author><author>Lu, J.</author><author>Pei, S.</author><author>Ding, S.</author><author>Kang, L.</author><author>Xiao, R.</author><author>Zeng, Q.</author></authors></contributors><auth-address>Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China.&#xD;Department of Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China.&#xD;Department of Dermatology, Third Xiangya Hospital, Central South University, Changsha, Hunan, China.&#xD;Department of Dermatology, Second Xiangya Hospital, Central South University, Changsha, Hunan, China.</auth-address><titles><title>Functions and regulatory mechanisms of metastasis-associated lung adenocarcinoma transcript 1</title><secondary-title>J Cell Physiol</secondary-title><alt-title>Journal of cellular physiology</alt-title></titles><dates><year>2018</year><pub-dates><date>Aug 21</date></pub-dates></dates><isbn>1097-4652 (Electronic)&#xD;0021-9541 (Linking)</isbn><accession-num>30132842</accession-num><urls><related-urls><url>;[12]. In this review, we focused on the correlation between MALAT1 and diabetes-related complications and highlighted the currently advanced research evolutions on the different expression pattern of MALAT1, along with the precise biological role in those diseases (Table 1). MALAT1 may act as an innovative biomarker and therapeutic target for the diagnosis and treatment of diabetes-related complications and disease prognosis assessment. Furthermore, MALAT1- targeting therapeutic inventions may be identified as a promising prevention and treatment option for associated diabetic diseases. MALAT1 in Diabetes-Related Complications Cerebral Ischemic Reperfusion Injury Cerebrovascular disease has a high incidence of neurological disorders, disability and mortality that severely depreciate the human health PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CYWNraG91c2U8L0F1dGhvcj48WWVhcj4yMDE3PC9ZZWFy

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ADDIN EN.CITE.DATA [14-16]. MALAT1 mediates the production of glucose-induced inflammatory cytokines, namely tumor necrosis factor alpha (TNF-α) and interleukin 6 (IL-6), in the endothelial cells which promote DM-associated vascular insult PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5QdXRoYW52ZWV0aWw8L0F1dGhvcj48WWVhcj4yMDE1PC9Z

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ADDIN EN.CITE.DATA [17]. MALAT1, MyD88, IRAK1 and TRAF6 were notably up-regulated by DM-ischemic reperfusion models contrasted to the ischemic reperfusion models both in vivo and in vitro. Subsequently, MyD88-dependent signalling provoked cytokine activation and inflammatory reactions for the development of cerebral ischemic reperfusion injury ADDIN EN.CITE <EndNote><Cite><Author>Gao</Author><Year>2009</Year><RecNum>18</RecNum><DisplayText>[18]</DisplayText><record><rec-number>18</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">18</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Gao, Y.</author><author>Fang, X.</author><author>Tong, Y.</author><author>Liu, Y.</author><author>Zhang, B.</author></authors></contributors><auth-address>Department of Neurobiology, Basic Medical College, China Medical University, Shenyang, China.</auth-address><titles><title>TLR4-mediated MyD88-dependent signaling pathway is activated by cerebral ischemia-reperfusion in cortex in mice</title><secondary-title>Biomed Pharmacother</secondary-title><alt-title>Biomedicine &amp; pharmacotherapy = Biomedecine &amp; pharmacotherapie</alt-title></titles><pages>442-50</pages><volume>63</volume><number>6</number><keywords><keyword>Animals</keyword><keyword>Brain Ischemia/genetics/*physiopathology</keyword><keyword>Cerebral Cortex/physiopathology</keyword><keyword>Gene Expression Regulation</keyword><keyword>Interleukin-1beta/metabolism</keyword><keyword>Mice</keyword><keyword>Myeloid Differentiation Factor 88/*genetics</keyword><keyword>NF-kappa B/metabolism</keyword><keyword>RNA, Messenger/metabolism</keyword><keyword>Reperfusion Injury/genetics/*physiopathology</keyword><keyword>Signal Transduction</keyword><keyword>Time Factors</keyword><keyword>Toll-Like Receptor 4/*genetics</keyword><keyword>Tumor Necrosis Factor-alpha/genetics</keyword></keywords><dates><year>2009</year><pub-dates><date>Jul</date></pub-dates></dates><isbn>1950-6007 (Electronic)&#xD;0753-3322 (Linking)</isbn><accession-num>18804339</accession-num><urls><related-urls><url>;[18]. MALAT1 up-regulation increased MyD88 adaptor proteins and TRAF6 as well as IRAK1 and again get into a complex, resulting in the activation of NF-κB cascade reaction ADDIN EN.CITE <EndNote><Cite><Author>Nishida</Author><Year>2017</Year><RecNum>19</RecNum><DisplayText>[19]</DisplayText><record><rec-number>19</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">19</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Nishida, A.</author><author>Inatomi, O.</author><author>Fujimoto, T.</author><author>Imaeda, H.</author><author>Tani, M.</author><author>Andoh, A.</author></authors></contributors><auth-address>From the Department of Medicine, Shiga University of Medical Science, Otsu, Japan.</auth-address><titles><title>Interleukin-36alpha Induces Inflammatory Mediators From Human Pancreatic Myofibroblasts Via a MyD88 Dependent Pathway</title><secondary-title>Pancreas</secondary-title><alt-title>Pancreas</alt-title></titles><pages>539-548</pages><volume>46</volume><number>4</number><keywords><keyword>Blotting, Western</keyword><keyword>Cells, Cultured</keyword><keyword>Cytokines/genetics/*metabolism</keyword><keyword>Gene Expression</keyword><keyword>Humans</keyword><keyword>Immunohistochemistry</keyword><keyword>Inflammation Mediators/*metabolism</keyword><keyword>Interleukin-1/genetics/*metabolism</keyword><keyword>Myeloid Differentiation Factor 88/genetics/*metabolism</keyword><keyword>Myofibroblasts/*metabolism</keyword><keyword>Pancreas/cytology/metabolism</keyword><keyword>RNA Interference</keyword><keyword>Receptors, Interleukin/genetics/metabolism</keyword><keyword>*Signal Transduction</keyword></keywords><dates><year>2017</year><pub-dates><date>Apr</date></pub-dates></dates><isbn>1536-4828 (Electronic)&#xD;0885-3177 (Linking)</isbn><accession-num>28099250</accession-num><urls><related-urls><url>;[19]. On an overall, the pre-cortical infracted tissues from ischemic reperfusion injury model in diabetic rats showed a severe form of neuronal damage by presenting significant neurological deficit scores and increasingly brain oedema. MALAT1 was therefore as a component for DM-associated cerebral ischemic reperfusion injury via positive regulation of MyD88 expression as well as increasing H3 histone acetylation of the MyD88 promoter ADDIN EN.CITE <EndNote><Cite><Author>Wang</Author><Year>2018</Year><RecNum>20</RecNum><DisplayText>[20]</DisplayText><record><rec-number>20</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">20</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Wang, L. Q.</author><author>Zhou, H. J.</author></authors></contributors><auth-address>Department of Anesthesiology, The First Affiliated Hospital of Zhejiang University, Hangzhou, 310003, China.&#xD;Department of Neurosurgery, The First Affiliated Hospital of Zhejiang University, Hangzhou, 310003, China. 1510027@zju..</auth-address><titles><title>LncRNA MALAT1 promotes high glucose-induced inflammatory response of microglial cells via provoking MyD88/IRAK1/TRAF6 signaling</title><secondary-title>Sci Rep</secondary-title><alt-title>Scientific reports</alt-title></titles><pages>8346</pages><volume>8</volume><number>1</number><dates><year>2018</year><pub-dates><date>May 29</date></pub-dates></dates><isbn>2045-2322 (Electronic)&#xD;2045-2322 (Linking)</isbn><accession-num>29844328</accession-num><urls><related-urls><url>;[20]. Therefore, MALAT1 is obviously an essential regulatory factor for ischemic reperfusion injury due to DM. It could be an effective therapeutic target for the management and future prevention of ischemic reperfusion injury-induced by DM. However, more in-depth studies are needed to give more insights on MALAT1 MyD88 promoter acetylation mechanism.Diabetic Retinopathy Diabetic retinopathy (DR) is a devastating ocular impediment and the leading cause of vision loss among working-age adults in developed countries ADDIN EN.CITE <EndNote><Cite><Author>Klein</Author><Year>2007</Year><RecNum>21</RecNum><DisplayText>[21]</DisplayText><record><rec-number>21</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">21</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Klein, B. E.</author></authors></contributors><auth-address>Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53726, USA. kleinb@epi.ophth.wisc.edu</auth-address><titles><title>Overview of epidemiologic studies of diabetic retinopathy</title><secondary-title>Ophthalmic Epidemiol</secondary-title><alt-title>Ophthalmic epidemiology</alt-title></titles><pages>179-83</pages><volume>14</volume><number>4</number><keywords><keyword>Blindness/epidemiology</keyword><keyword>Diabetic Retinopathy/*epidemiology</keyword><keyword>Epidemiologic Studies</keyword><keyword>Humans</keyword><keyword>Incidence</keyword><keyword>Prevalence</keyword><keyword>Quality of Life</keyword></keywords><dates><year>2007</year><pub-dates><date>Jul-Aug</date></pub-dates></dates><isbn>0928-6586 (Print)&#xD;0928-6586 (Linking)</isbn><accession-num>17896294</accession-num><urls><related-urls><url>;[21]. Worldwide, the prevalence of DR has been predicted to be 35% and the prevalence of vision-impairing is estimated around 10% PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5MZWFzaGVyPC9BdXRob3I+PFllYXI+MjAxNjwvWWVhcj48

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ADDIN EN.CITE.DATA [22, 23]. Various risk factors such as poor glycaemic control, hypertension, hyperlipidaemia, longer diabetes duration and albuminuria are reported to be the origination and development of DR PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5GdTwvQXV0aG9yPjxZZWFyPjIwMTA8L1llYXI+PFJlY051

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ADDIN EN.CITE PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5GdTwvQXV0aG9yPjxZZWFyPjIwMTA8L1llYXI+PFJlY051

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ADDIN EN.CITE.DATA [24, 25]. Biao et al. reported that MALAT1 is considerably up-regulated in the diabetic mice retinas, RF/6A cell model of hyperglycaemia, aqueous humour samples, and fibrovascular membranes (FVMs) of diabetic patients. Thus, they documented that MALAT1 dysregulation might contribute to the occurrence of DR via the in vitro study, experimental animal study and the analysis of clinical samples ADDIN EN.CITE <EndNote><Cite><Author>Yan</Author><Year>2014</Year><RecNum>26</RecNum><DisplayText>[26]</DisplayText><record><rec-number>26</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">26</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Yan, B.</author><author>Tao, Z. F.</author><author>Li, X. M.</author><author>Zhang, H.</author><author>Yao, J.</author><author>Jiang, Q.</author></authors></contributors><auth-address>Eye Hospital, Nanjing Medical University, Nanjing, China.</auth-address><titles><title>Aberrant expression of long noncoding RNAs in early diabetic retinopathy</title><secondary-title>Invest Ophthalmol Vis Sci</secondary-title><alt-title>Investigative ophthalmology &amp; visual science</alt-title></titles><pages>941-51</pages><volume>55</volume><number>2</number><keywords><keyword>Animals</keyword><keyword>Blood Glucose/metabolism</keyword><keyword>Diabetes Mellitus, Experimental/*genetics</keyword><keyword>Diabetic Retinopathy/*genetics</keyword><keyword>Female</keyword><keyword>Gene Expression Profiling</keyword><keyword>Gene Expression Regulation/*physiology</keyword><keyword>Male</keyword><keyword>Mice</keyword><keyword>Mice, Inbred C57BL</keyword><keyword>Oligonucleotide Array Sequence Analysis</keyword><keyword>RNA, Long Noncoding/*genetics</keyword><keyword>RNA, Messenger/genetics</keyword><keyword>Real-Time Polymerase Chain Reaction</keyword><keyword>Retina/metabolism</keyword></keywords><dates><year>2014</year><pub-dates><date>Feb 18</date></pub-dates></dates><isbn>1552-5783 (Electronic)&#xD;0146-0404 (Linking)</isbn><accession-num>24436191</accession-num><urls><related-urls><url>;[26]. MALAT1 is also capable of implicating the expressions of inflammatory transcripts through association with the components of the PRC2 complex in diabetes. Likewise, vitreous humour collected from diabetic patients has shown expressions of MALAT1, IL-6, and TNF-α. Unusually, the DNA methylation array revealed that transient high glucose contact in human retinal microvascular endothelium cells (HRECs) does not add to significant methylation modifications at CpG sites through the MALAT1 gene. Conversely, overall inhibition of DNA methyltransferases prompted the major increase in MALAT1 and related inflammatory transcripts in HRECs ADDIN EN.CITE <EndNote><Cite><Author>Biswas</Author><Year>2018</Year><RecNum>27</RecNum><DisplayText>[27]</DisplayText><record><rec-number>27</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">27</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Biswas, S.</author><author>Thomas, A. A.</author><author>Chen, S.</author><author>Aref-Eshghi, E.</author><author>Feng, B.</author><author>Gonder, J.</author><author>Sadikovic, B.</author><author>Chakrabarti, S.</author></authors></contributors><auth-address>Department of Pathology and Laboratory Medicine, Western University, London, Ontario, Canada.&#xD;Department of Ophthalmology, Western University, London, Ontario, Canada.&#xD;Department of Pathology and Laboratory Medicine, Western University, London, Ontario, Canada. subrata.chakrabarti@lhsc.on.ca.</auth-address><titles><title>MALAT1: An Epigenetic Regulator of Inflammation in Diabetic Retinopathy</title><secondary-title>Sci Rep</secondary-title><alt-title>Scientific reports</alt-title></titles><pages>6526</pages><volume>8</volume><number>1</number><dates><year>2018</year><pub-dates><date>Apr 25</date></pub-dates></dates><isbn>2045-2322 (Electronic)&#xD;2045-2322 (Linking)</isbn><accession-num>29695738</accession-num><urls><related-urls><url>;[27]. Guo et al. also explained that methyl donor could diminish MALAT1 expression in this cells-entailing that DNA methylation involved the regulation of MALAT1 expression PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5HdW88L0F1dGhvcj48WWVhcj4yMDE1PC9ZZWFyPjxSZWNO

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ADDIN EN.CITE.DATA [28]. As a result, it is not a confounding that MALAT1 dysregulation may perhaps disrupt the proliferation and migration of FVM-related cells, which affect the DR pathogenesis. In another study, MALAT 1 expression was highly up-regulated in STZ-induced diabetic rat’s retina and db/db mice. MALAT1 ablation enhances DR in vivo. Furthermore, MALAT1 knockdown regulates migration and retinal endothelial cell proliferation. MALAT1 over-expression denotes a crucial pathogenic mechanism for diabetes-related microvascular dysfunction, hyperproliferation of endothelial cells through p38MAPK signalling. MALAT1 inhibition may become a potent anti-angiogenic therapy for diabetic microvascular complications PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5MaXU8L0F1dGhvcj48WWVhcj4yMDE0PC9ZZWFyPjxSZWNO

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ADDIN EN.CITE.DATA [29]. All these findings collectively determine the impact of MALAT1 in inflammation and epigenetic regulation in DR. In conclusion, MALAT1 a preserved lncRNA may turn out to be a potential biomarker for the diagnosis and prognosis of DR. More studies are essential to examine the correlations among lncRNA change and DR development at different stages. Additionally, in vivo and in vitro studies should be conducted to clarify the molecular mechanisms of lncRNA mediated DR occurrence and evaluate their potential for the diagnosis, prognosis and treatment of DR.Diabetic Cataract Diabetic cataract (DC) commonly occurs earlier and develops rapidly PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IYXJkaW5nPC9BdXRob3I+PFllYXI+MTk5MzwvWWVhcj48

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ADDIN EN.CITE.DATA [32, 33]. Although there are no treatment guidelines for DC, there is a need to understand the progression and pathogenesis of cataract formation to deliver therapeutic targets for the prevention and treatment of DC apart from surgical methods. A recent study revealed that the expression of MALAT1 was elevated in diabetic cataract tissues cells, hyperglycaemia (HG)-induced human lens epithelial cells (HLECs) as well as up-regulated by HG to provoke the apoptosis and oxidative stress of HLECs. Moreover, HG prompted the up-regulation of MALAT1 by SP1 binding of MALAT1 promoter regions to exert its role in the apoptosis oxidative stress of HLECs ADDIN EN.CITE <EndNote><Cite><Author>Lei</Author><Year>2018</Year><RecNum>12</RecNum><DisplayText>[12]</DisplayText><record><rec-number>12</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">12</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Lei, L.</author><author>Chen, J.</author><author>Huang, J.</author><author>Lu, J.</author><author>Pei, S.</author><author>Ding, S.</author><author>Kang, L.</author><author>Xiao, R.</author><author>Zeng, Q.</author></authors></contributors><auth-address>Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China.&#xD;Department of Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China.&#xD;Department of Dermatology, Third Xiangya Hospital, Central South University, Changsha, Hunan, China.&#xD;Department of Dermatology, Second Xiangya Hospital, Central South University, Changsha, Hunan, China.</auth-address><titles><title>Functions and regulatory mechanisms of metastasis-associated lung adenocarcinoma transcript 1</title><secondary-title>J Cell Physiol</secondary-title><alt-title>Journal of cellular physiology</alt-title></titles><dates><year>2018</year><pub-dates><date>Aug 21</date></pub-dates></dates><isbn>1097-4652 (Electronic)&#xD;0021-9541 (Linking)</isbn><accession-num>30132842</accession-num><urls><related-urls><url>;[12]. Yuan et al. further studied the mechanism between MALAT1 and the apoptosis as well as oxidative stress of HLECs and discovered that p38MAPK was up-regulated in HG-treated HLECs. Likewise, previous studies demonstrated that p38MAPK play a pivotal role in HLEC activity and apoptosis induced by oxidative stress PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5ZdWFuPC9BdXRob3I+PFllYXI+MjAxMzwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA [34-36]. Meanwhile, knockdown of p38MAPK restrained the influence of MALAT1 over-expression on HLECs [37]. Hence, it was confirmed that MALAT1 promote the apoptosis and oxidative stress of HLECs through the initiation of the p38MAPK signalling pathway ADDIN EN.CITE <EndNote><Cite><Author>Gong</Author><Year>2018</Year><RecNum>42</RecNum><DisplayText>[37]</DisplayText><record><rec-number>42</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">42</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Gong, W.</author><author>Zhu, G.</author><author>Li, J.</author><author>Yang, X.</author></authors></contributors><auth-address>Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.&#xD;Department of Ophthalmology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.&#xD;Department of Ophthalmology, The Henan Provincial People&apos;s Hospital, Zhengzhou, Henan, China.&#xD;Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. Electronic address: Xin_Yang123@.</auth-address><titles><title>TEMPORARY REMOVAL: &quot;LncRNA MALAT1 promotes the apoptosis and oxidative stress of human lens epithelial cells via p38MAPK pathway in diabetic cataract&quot;</title><secondary-title>Diabetes Res Clin Pract</secondary-title><alt-title>Diabetes research and clinical practice</alt-title></titles><dates><year>2018</year><pub-dates><date>Jun 22</date></pub-dates></dates><isbn>1872-8227 (Electronic)&#xD;0168-8227 (Linking)</isbn><accession-num>29936249</accession-num><urls><related-urls><url>;[37]. Thus, MALAT1 might be a likely therapeutic target for DC.AtherosclerosisHyperglycemia is recognized as an independent cardiovascular risk factor. It can accelerate and heightened atherosclerosis, which is a principal reason for morbidity as well as mortality in DM PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TaHJpa2hhbmRlPC9BdXRob3I+PFllYXI+MjAxMDwvWWVh

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ADDIN EN.CITE.DATA [39]. Therefore, it begs to discover the precise molecular processes involved in the development as well as acceleration of atherosclerosis in DM patient and to accomplish possible therapeutic targets. Recent evidence revealed that inflammation coupled with over-activated innate immunity is strongly associated with the pathogenesis of DM and related complications comprising atherosclerosis ADDIN EN.CITE <EndNote><Cite><Author>Dandona</Author><Year>2004</Year><RecNum>45</RecNum><DisplayText>[40]</DisplayText><record><rec-number>45</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">45</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Dandona, P.</author><author>Aljada, A.</author><author>Bandyopadhyay, A.</author></authors></contributors><auth-address>Division of Endocrinology, Diabetes and Metabolism, State University of New York at Buffalo and Kaleida Health, 3 Gates Circle, Buffalo, NY 14209, USA. pdondona@</auth-address><titles><title>Inflammation: the link between insulin resistance, obesity and diabetes</title><secondary-title>Trends Immunol</secondary-title><alt-title>Trends in immunology</alt-title></titles><pages>4-7</pages><volume>25</volume><number>1</number><keywords><keyword>Animals</keyword><keyword>Diabetes Mellitus, Type 2/etiology/*physiopathology</keyword><keyword>Diet</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Inflammation/complications/*physiopathology</keyword><keyword>Insulin/pharmacology</keyword><keyword>Insulin Resistance/*physiology</keyword><keyword>Male</keyword><keyword>Obesity/complications/*physiopathology</keyword><keyword>Oxidative Stress/drug effects</keyword><keyword>Risk Factors</keyword></keywords><dates><year>2004</year><pub-dates><date>Jan</date></pub-dates></dates><isbn>1471-4906 (Print)&#xD;1471-4906 (Linking)</isbn><accession-num>14698276</accession-num><urls><related-urls><url>;[40]. It was revealed that MALAT1 plays an important role in the development and acceleration of diabetic atherosclerosis. Han et al. found that MALAT1 was highly expressed in the macrophages of diabetic atherosclerosis rats along with hypernomic stimulation of NLRP3 inflammasome though sponging miR-23c as well as an increase in the building of systemic inflammatory cytokines. They also suggested that the administration of low-dose sinapic acid (SA) suppresses MALAT1-mediated NLRP3 inflammasome activation, pyroptosis of macrophages as well as generalized inflammation ADDIN EN.CITE <EndNote><Cite><Author>Han</Author><Year>2018</Year><RecNum>46</RecNum><DisplayText>[41]</DisplayText><record><rec-number>46</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">46</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Han, Y.</author><author>Qiu, H.</author><author>Pei, X.</author><author>Fan, Y.</author><author>Tian, H.</author><author>Geng, J.</author></authors></contributors><auth-address>Internal Medicine, Hong-Hui Hospital, Xi&apos;an Jiaotong University College of Medicine, Xi&apos;an, China.&#xD;Peripheral Vascular Section, Xi&apos;an Jiaotong University College of Medicine, Xi&apos;an, China.</auth-address><titles><title>Low-dose Sinapic Acid Abates the Pyroptosis of Macrophages by Downregulation of lncRNA-MALAT1 in Rats With Diabetic Atherosclerosis</title><secondary-title>J Cardiovasc Pharmacol</secondary-title><alt-title>Journal of cardiovascular pharmacology</alt-title></titles><pages>104-112</pages><volume>71</volume><number>2</number><dates><year>2018</year><pub-dates><date>Feb</date></pub-dates></dates><isbn>1533-4023 (Electronic)&#xD;0160-2446 (Linking)</isbn><accession-num>29095793</accession-num><urls><related-urls><url>;[41]. To sum up, MALAT1 might act as an inflammatory factor in the development of diabetic atherosclerosis. The interaction between MALAT1 and low-dose SA may provide a new therapeutic direction in diabetic atherosclerosis.Diabetic Cardiomyopathy Diabetic cardiomyopathy (DC) is an essential cardiovascular system (CVS) complication of DM characterized by a variability of morphological changes, comprising myocyte hypertrophy, myofibril depletion, interstitial fibrosis, as well as intramyocardial microangiopathy ADDIN EN.CITE <EndNote><Cite><Author>Falcao-Pires</Author><Year>2012</Year><RecNum>47</RecNum><DisplayText>[42]</DisplayText><record><rec-number>47</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">47</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Falcao-Pires, I.</author><author>Leite-Moreira, A. F.</author></authors></contributors><auth-address>Department of Physiology and Cardiothoracic Surgery, Cardiovascular R&amp;D Unit, University of Porto, Porto, Portugal.</auth-address><titles><title>Diabetic cardiomyopathy: understanding the molecular and cellular basis to progress in diagnosis and treatment</title><secondary-title>Heart Fail Rev</secondary-title><alt-title>Heart failure reviews</alt-title></titles><pages>325-44</pages><volume>17</volume><number>3</number><keywords><keyword>Diabetic Cardiomyopathies/complications/metabolism/*physiopathology</keyword><keyword>Humans</keyword><keyword>Hyperglycemia/*complications/metabolism/therapy</keyword><keyword>Insulin Resistance/*physiology</keyword><keyword>Myocytes, Cardiac/*metabolism/pathology</keyword><keyword>Oxidative Stress/physiology</keyword><keyword>Ventricular Dysfunction</keyword></keywords><dates><year>2012</year><pub-dates><date>May</date></pub-dates></dates><isbn>1573-7322 (Electronic)&#xD;1382-4147 (Linking)</isbn><accession-num>21626163</accession-num><urls><related-urls><url>;[42]. 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ADDIN EN.CITE.DATA [44]. CVS diseases are responsible for the utmost mortality rate. Hence, it is evident that initial prevention, as well as the development of cardiac function, would significantly decrease the prevalence. Zhang et al. suggested that MALAT1 was considerably upregulated in DM rats. In addition, TNF-α, IL-1β along with IL-6 levels were uncharacteristically high in the diabetic myocardium. MALAT1 knockdown could appreciably decrease inflammatory cytokine concentration, signifying that MALAT1 might be involved in the development of DCM PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5aaGFuZzwvQXV0aG9yPjxZZWFyPjIwMTY8L1llYXI+PFJl

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ADDIN EN.CITE.DATA [45]. Furthermore, MALAT1 knockdown could significantly decrease cardiomyocyte apoptosis in the DM positive MALAT1-shRNA group ADDIN EN.CITE <EndNote><Cite><Author>Zhang</Author><Year>2016</Year><RecNum>51</RecNum><DisplayText>[46]</DisplayText><record><rec-number>51</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">51</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Zhang, M.</author><author>Gu, H.</author><author>Xu, W.</author><author>Zhou, X.</author></authors></contributors><auth-address>Department of Cardiology, The First People&apos;s Hospital of Kunshan Affiliated to Jiangsu University, Kunshan, China.&#xD;Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China.&#xD;Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China. Electronic address: zhou-xiang@suda..</auth-address><titles><title>Down-regulation of lncRNA MALAT1 reduces cardiomyocyte apoptosis and improves left ventricular function in diabetic rats</title><secondary-title>Int J Cardiol</secondary-title><alt-title>International journal of cardiology</alt-title></titles><pages>214-6</pages><volume>203</volume><keywords><keyword>Animals</keyword><keyword>*Apoptosis/drug effects</keyword><keyword>Diabetes Mellitus, Experimental/complications/physiopathology</keyword><keyword>*Down-Regulation</keyword><keyword>Male</keyword><keyword>Myocytes, Cardiac/*pathology</keyword><keyword>RNA, Long Noncoding/pharmacology/*physiology/therapeutic use</keyword><keyword>Rats</keyword><keyword>Rats, Sprague-Dawley</keyword><keyword>Ventricular Dysfunction, Left/*drug therapy/etiology</keyword><keyword>*Ventricular Function, Left/drug effects</keyword></keywords><dates><year>2016</year><pub-dates><date>Jan 15</date></pub-dates></dates><isbn>1874-1754 (Electronic)&#xD;0167-5273 (Linking)</isbn><accession-num>26512840</accession-num><urls><related-urls><url>;[46]. In another study, Bacci et al. concluded that decrease of nitric oxide (NO) or cGMP bio-availability produced by long-standing DM impairs lncRNA expression as well as sildenafil and reestablishing function of NO signaling normalized MALAT1 expression levels, reducing the cardiac symptoms ADDIN EN.CITE <EndNote><Cite><Author>Bacci</Author><Year>2018</Year><RecNum>52</RecNum><DisplayText>[47]</DisplayText><record><rec-number>52</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">52</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bacci, L.</author><author>Barbati, S. A.</author><author>Colussi, C.</author><author>Aiello, A.</author><author>Isidori, A. M.</author><author>Grassi, C.</author><author>Pontecorvi, A.</author><author>Farsetti, A.</author><author>Gaetano, C.</author><author>Nanni, S.</author></authors></contributors><auth-address>Institute of Medical Pathology, Universita Cattolica di Roma, 00168, Rome, Italy.&#xD;Institute of Human Physiology, Universita Cattolica di Roma, 00168, Rome, Italy.&#xD;Institute of Cell Biology and Neurobiology, National Research Council, 00143, Rome, Italy.&#xD;Department of Experimental Medicine, &quot;Sapienza&quot; University, 00161, Rome, Italy.&#xD;Fondazione Policlinico Universitario Gemelli, 00168, Rome, Italy.&#xD;Laboratorio di Epigenetica, Istituti Clinici Scientifici Maugeri, via Maugeri 4, 27100, Pavia, Italy. carlo.gaetano@icsmaugeri.it.&#xD;Institute of Medical Pathology, Universita Cattolica di Roma, 00168, Rome, Italy. simona.nanni@unicatt.it.</auth-address><titles><title>Sildenafil normalizes MALAT1 level in diabetic cardiomyopathy</title><secondary-title>Endocrine</secondary-title><alt-title>Endocrine</alt-title></titles><dates><year>2018</year><pub-dates><date>Apr 24</date></pub-dates></dates><isbn>1559-0100 (Electronic)&#xD;1355-008X (Linking)</isbn><accession-num>29691810</accession-num><urls><related-urls><url>;[47]. In conclusion, MALAT1 is considerably overexpressed in cardiac tissue of DM rats, and its inhibition results in improvement in the cardiac function. Thus, knockdown of MALAT1 may serve as a novel therapeutic approach for DC. Non-alcoholic SteatohepatitisNon-alcoholic steatohepatitis (NASH) is recognized as the major cause of chronic liver disease as well as an important cause of cryptogenic cirrhosis ADDIN EN.CITE <EndNote><Cite><Author>Starley</Author><Year>2010</Year><RecNum>53</RecNum><DisplayText>[48]</DisplayText><record><rec-number>53</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">53</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Starley, B. Q.</author><author>Calcagno, C. J.</author><author>Harrison, S. A.</author></authors></contributors><auth-address>Department of Medicine, Division of Gastroenterology and Hepatology, Brooke Army Medical Center, Fort Sam Houston, TX 78234, USA.</auth-address><titles><title>Nonalcoholic fatty liver disease and hepatocellular carcinoma: a weighty connection</title><secondary-title>Hepatology</secondary-title><alt-title>Hepatology</alt-title></titles><pages>1820-32</pages><volume>51</volume><number>5</number><keywords><keyword>Age Factors</keyword><keyword>Carcinoma, Hepatocellular/*etiology</keyword><keyword>*Diabetes Complications</keyword><keyword>Fatty Liver/*complications</keyword><keyword>Hepatitis C, Chronic/complications</keyword><keyword>Humans</keyword><keyword>Iron/metabolism</keyword><keyword>Liver/metabolism</keyword><keyword>Liver Cirrhosis/etiology</keyword><keyword>Liver Neoplasms/*etiology</keyword><keyword>Obesity/*complications</keyword><keyword>Risk Factors</keyword></keywords><dates><year>2010</year><pub-dates><date>May</date></pub-dates></dates><isbn>1527-3350 (Electronic)&#xD;0270-9139 (Linking)</isbn><accession-num>20432259</accession-num><urls><related-urls><url>;[48]. 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ADDIN EN.CITE.DATA [49, 50]. Additionally, it has been anticipated to be the foremost reason for liver transplantation within the following few years ADDIN EN.CITE <EndNote><Cite><Author>Wong</Author><Year>2014</Year><RecNum>56</RecNum><DisplayText>[51]</DisplayText><record><rec-number>56</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">56</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Wong, R. J.</author><author>Cheung, R.</author><author>Ahmed, A.</author></authors></contributors><auth-address>Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA; Division of Gastroenterology and Hepatology, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA.</auth-address><titles><title>Nonalcoholic steatohepatitis is the most rapidly growing indication for liver transplantation in patients with hepatocellular carcinoma in the U.S</title><secondary-title>Hepatology</secondary-title><alt-title>Hepatology</alt-title></titles><pages>2188-95</pages><volume>59</volume><number>6</number><keywords><keyword>Aged</keyword><keyword>Carcinoma, Hepatocellular/epidemiology/*etiology/surgery</keyword><keyword>Fatty Liver/*complications/epidemiology/surgery</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Liver Neoplasms/epidemiology/*etiology/surgery</keyword><keyword>Liver Transplantation/*statistics &amp; numerical data</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Non-alcoholic Fatty Liver Disease</keyword><keyword>Retrospective Studies</keyword><keyword>United States/epidemiology</keyword></keywords><dates><year>2014</year><pub-dates><date>Jun</date></pub-dates></dates><isbn>1527-3350 (Electronic)&#xD;0270-9139 (Linking)</isbn><accession-num>24375711</accession-num><urls><related-urls><url>;[51]. A recent study emphasized that MALAT1, well-known for involvement in the progression of liver carcinoma may also play a key role in the occurrence of NASH as well as fibrosis in patients with Non-Alcoholic fatty liver disease (NAFLD) via a chemokine-mediated process ADDIN EN.CITE <EndNote><Cite><Author>Li</Author><Year>2015</Year><RecNum>57</RecNum><DisplayText>[52]</DisplayText><record><rec-number>57</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">57</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Li, C.</author><author>Chen, J.</author><author>Zhang, K.</author><author>Feng, B.</author><author>Wang, R.</author><author>Chen, L.</author></authors></contributors><auth-address>Department of Medical Oncology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China.</auth-address><titles><title>Progress and Prospects of Long Noncoding RNAs (lncRNAs) in Hepatocellular Carcinoma</title><secondary-title>Cell Physiol Biochem</secondary-title><alt-title>Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology</alt-title></titles><pages>423-34</pages><volume>36</volume><number>2</number><keywords><keyword>Animals</keyword><keyword>Biomarkers, Tumor/analysis/genetics</keyword><keyword>Carcinoma, Hepatocellular/diagnosis/*genetics/pathology</keyword><keyword>*Gene Expression Regulation, Neoplastic</keyword><keyword>Humans</keyword><keyword>Liver/*pathology</keyword><keyword>Liver Neoplasms/diagnosis/*genetics/pathology</keyword><keyword>Prognosis</keyword><keyword>RNA, Long Noncoding/analysis/*genetics</keyword></keywords><dates><year>2015</year></dates><isbn>1421-9778 (Electronic)&#xD;1015-8987 (Linking)</isbn><accession-num>25968300</accession-num><urls><related-urls><url>;[52]. Several lncRNA including nuclear paraspeckle assembly transcript 1, hepatocellular carcinoma upregulated lncRNA, and MALAT1 were tremendously expressed in liver fibrosis comparative to normal tissue. Moreover, the potential target of MALAT1 has been identified as C-X-C motif chemokine ligand 5 (CXCL5). However, CXCL5 showed discrepancy expression among different histologic cell types. Knockdown of MALAT1 by siRNA diminished protein levels and CXCL5 transcript by 30% and 50% respectively in HepG2 cells, indicating that MALAT1 plays a role in CXCL5 expression regulation ADDIN EN.CITE <EndNote><Cite><Author>Leti</Author><Year>2017</Year><RecNum>58</RecNum><DisplayText>[53]</DisplayText><record><rec-number>58</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">58</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Leti, F.</author><author>Legendre, C.</author><author>Still, C. D.</author><author>Chu, X.</author><author>Petrick, A.</author><author>Gerhard, G. S.</author><author>DiStefano, J. K.</author></authors></contributors><auth-address>National Jewish Health, Denver, Colo.&#xD;Translational Genomics Research Institute, Phoenix, Ariz.&#xD;Geisinger Obesity Institute, Danville, Pa.&#xD;Temple University School of Medicine, Philadelphia, Pa.&#xD;National Jewish Health, Denver, Colo. Electronic address: distefanoj@.</auth-address><titles><title>Altered expression of MALAT1 lncRNA in nonalcoholic steatohepatitis fibrosis regulates CXCL5 in hepatic stellate cells</title><secondary-title>Transl Res</secondary-title><alt-title>Translational research : the journal of laboratory and clinical medicine</alt-title></titles><pages>25-39 e21</pages><volume>190</volume><keywords><keyword>Chemokine CXCL5/genetics/*metabolism</keyword><keyword>Hepatic Stellate Cells/*metabolism</keyword><keyword>Humans</keyword><keyword>Liver Cirrhosis/*metabolism/pathology</keyword><keyword>Metabolic Networks and Pathways</keyword><keyword>Non-alcoholic Fatty Liver Disease/*metabolism/pathology</keyword><keyword>RNA, Long Noncoding/genetics/*metabolism</keyword><keyword>Transcriptome</keyword></keywords><dates><year>2017</year><pub-dates><date>Dec</date></pub-dates></dates><isbn>1878-1810 (Electronic)&#xD;1878-1810 (Linking)</isbn><accession-num>28993096</accession-num><urls><related-urls><url>;[53]. Notable, hyperglycaemia control MALAT1 expression and treatment of high glucose with the hepatic cells resulted in increased levels of MALAT expression over time in HepG2 cells but no change in LX-2 cells ADDIN EN.CITE <EndNote><Cite><Author>Leti</Author><Year>2017</Year><RecNum>58</RecNum><DisplayText>[53]</DisplayText><record><rec-number>58</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">58</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Leti, F.</author><author>Legendre, C.</author><author>Still, C. D.</author><author>Chu, X.</author><author>Petrick, A.</author><author>Gerhard, G. S.</author><author>DiStefano, J. K.</author></authors></contributors><auth-address>National Jewish Health, Denver, Colo.&#xD;Translational Genomics Research Institute, Phoenix, Ariz.&#xD;Geisinger Obesity Institute, Danville, Pa.&#xD;Temple University School of Medicine, Philadelphia, Pa.&#xD;National Jewish Health, Denver, Colo. Electronic address: distefanoj@.</auth-address><titles><title>Altered expression of MALAT1 lncRNA in nonalcoholic steatohepatitis fibrosis regulates CXCL5 in hepatic stellate cells</title><secondary-title>Transl Res</secondary-title><alt-title>Translational research : the journal of laboratory and clinical medicine</alt-title></titles><pages>25-39 e21</pages><volume>190</volume><keywords><keyword>Chemokine CXCL5/genetics/*metabolism</keyword><keyword>Hepatic Stellate Cells/*metabolism</keyword><keyword>Humans</keyword><keyword>Liver Cirrhosis/*metabolism/pathology</keyword><keyword>Metabolic Networks and Pathways</keyword><keyword>Non-alcoholic Fatty Liver Disease/*metabolism/pathology</keyword><keyword>RNA, Long Noncoding/genetics/*metabolism</keyword><keyword>Transcriptome</keyword></keywords><dates><year>2017</year><pub-dates><date>Dec</date></pub-dates></dates><isbn>1878-1810 (Electronic)&#xD;1878-1810 (Linking)</isbn><accession-num>28993096</accession-num><urls><related-urls><url>;[53]. 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ADDIN EN.CITE.DATA [54-56]. These conclusions uphold a role for CXCL5 in the pathogenesis of liver disease, possibly through a MALAT1-mediated mechanism. Further studies will be required on the association between MALAT1 and CXCL5. Diabetic Gastropathy Gastroparesis is a symptomatic disorder of the stomach defined by delayed emptying of ingested food particles. DM along with idiopathic factors contributes nearly 60% of gastroparesis cases PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5BbGk8L0F1dGhvcj48WWVhcj4yMDA3PC9ZZWFyPjxSZWNO

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ADDIN EN.CITE.DATA [57]. Previous studies demonstrated that gastrointestinal symptoms occur in about 75% of the diabetic cases, while approximately 30-50% of these cases were due to diabetic gastropathy PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Hb3lhbDwvQXV0aG9yPjxZZWFyPjE5NzE8L1llYXI+PFJl

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ADDIN EN.CITE.DATA [58-60]. However, the prevalence of gastroparesis in diabetes mellitus type 1 (T1DM) varies considerably. In addition, 40% of T1DM patients were diagnosed with gastroparesis in tertiary centres ADDIN EN.CITE <EndNote><Cite><Author>De Block</Author><Year>2006</Year><RecNum>66</RecNum><DisplayText>[60]</DisplayText><record><rec-number>66</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">66</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>De Block, C. E.</author><author>De Leeuw, I. H.</author><author>Pelckmans, P. A.</author><author>Van Gaal, L. F.</author></authors></contributors><auth-address>Department of Diabetology &amp; Endocrinology, Faculty of Medicine, University of Antwerp, University Hospital Antwerp (UZA), Wilrijkstraat 10, B-2650 Edegem, Belgium. christophe.deblock@ua.ac.be</auth-address><titles><title>Current concepts in gastric motility in diabetes mellitus</title><secondary-title>Curr Diabetes Rev</secondary-title><alt-title>Current diabetes reviews</alt-title></titles><pages>113-30</pages><volume>2</volume><number>1</number><keywords><keyword>Diabetes Complications/epidemiology/*physiopathology/surgery</keyword><keyword>Diabetes Mellitus/*physiopathology</keyword><keyword>Diabetes Mellitus, Type 1/complications</keyword><keyword>Diabetes Mellitus, Type 2/complications</keyword><keyword>Duodenum/physiology/physiopathology</keyword><keyword>Eating</keyword><keyword>Gastrectomy</keyword><keyword>Gastrointestinal Motility/*physiology</keyword><keyword>Gastroparesis/*epidemiology</keyword><keyword>Humans</keyword><keyword>Jejunum/surgery</keyword><keyword>Stomach/physiology/physiopathology</keyword></keywords><dates><year>2006</year><pub-dates><date>Feb</date></pub-dates></dates><isbn>1573-3998 (Print)&#xD;1573-3998 (Linking)</isbn><accession-num>18220621</accession-num><urls><related-urls><url>;[60]. Recently, lncRNA MALAT1 was developed as a probable regulator in the pathogenesis of DGP. Smooth muscle cells (SMC) contractility marker proteins were found to be decreased in gastric models of DM mouse and MALAT1 expression was higher in DGP rat model. Secondly, MALAT1 was over-expressed in the adjacent health tissues taken from diabetic gastric cancer patients with DGP. In human gastrointestinal SMCs, high sugar levels augmented the MALAT1 expression. MALAT ablation shortened the cell viability, suppressed impending of the cell migration and carried cell death in human gastric SMCs preserved with high glucose. And, MALAT1 suppression induced α-SMA and SM myosin heavy chains expression, prompting the SMCs to express contractility markers ADDIN EN.CITE <EndNote><Cite><Author>Horvath</Author><Year>2006</Year><RecNum>67</RecNum><DisplayText>[61]</DisplayText><record><rec-number>67</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">67</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Horvath, V. J.</author><author>Vittal, H.</author><author>Lorincz, A.</author><author>Chen, H.</author><author>Almeida-Porada, G.</author><author>Redelman, D.</author><author>Ordog, T.</author></authors></contributors><auth-address>Department of Physiology and Cell Biology, University of Nevada, Reno, Nevada, USA.</auth-address><titles><title>Reduced stem cell factor links smooth myopathy and loss of interstitial cells of cajal in murine diabetic gastroparesis</title><secondary-title>Gastroenterology</secondary-title><alt-title>Gastroenterology</alt-title></titles><pages>759-70</pages><volume>130</volume><number>3</number><keywords><keyword>Animals</keyword><keyword>Coiled Bodies/*pathology</keyword><keyword>Diabetic Neuropathies/*etiology/pathology</keyword><keyword>Female</keyword><keyword>Gastroparesis/*etiology/pathology</keyword><keyword>Insulin-Like Growth Factor I/genetics</keyword><keyword>Mice</keyword><keyword>Mice, Inbred BALB C</keyword><keyword>Mice, Inbred NOD</keyword><keyword>Muscle, Smooth/*pathology</keyword><keyword>RNA, Messenger/analysis</keyword><keyword>Receptor, Insulin/genetics</keyword><keyword>Stem Cell Factor/analysis/*physiology</keyword></keywords><dates><year>2006</year><pub-dates><date>Mar</date></pub-dates></dates><isbn>0016-5085 (Print)&#xD;0016-5085 (Linking)</isbn><accession-num>16530517</accession-num><urls><related-urls><url>;[61]. Hence, MALAT1 was associated with the progression of DGP leading to phenotype alteration and influencing normal cellular processes of smooth muscle cells. However, more intensive laboratories works are necessary to the highlight the precise mechanism and function of lncRNA MALAT1 in SMC phenotype switch.Diabetic Kidney DiseaseDiabetic kidney disease is an advancing condition that progresses secondary to DM PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CaWNodTwvQXV0aG9yPjxZZWFyPjIwMDk8L1llYXI+PFJl

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ADDIN EN.CITE.DATA [63, 64]. Existing treatment modalities are directed towards the decreasing blood pressure as well as blood sugar to reduce albuminuria and slow disease progression. However, in the majority of cases, there are no reliable methods to prevent the development of diabetic kidney disease and chronic renal failure. Thus, there is an urgent need for therapeutic targets for drug development as well as diagnostic markers for clinical treatments to prevent the development and progression of diabetic kidney disease. MALAT1 was notably highly expressed?in kidney tissues from C57BL/6 mice with streptozocin-induced diabetic kidney disease. Hu et al. reported that early interfering with MALAT1 siRNA partly re-established podocytes function as well as proscribed b-catenin nuclear accumulation and SRSF1 overexpression. Furthermore, b-catenin was involved in MALAT1 transcription by binding to the promotor region of MALAT1; b-catenin knock-down also decreased MALAT1 levels PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IdTwvQXV0aG9yPjxZZWFyPjIwMTc8L1llYXI+PFJlY051

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ADDIN EN.CITE.DATA [65]. In addition, Li et al. reported that with an increase in MALAT1 expression there was a decrease in miR-23c in streptozotocin-induced diabetic rats as well as in high-glucose-treated HK-2 cells. Down-regulation of MALAT1 inhibited the expression of ELAVL1, NLRP3, Caspase-1 as well as the pro-inflammatory cytokine IL-1β and up-regulated the expression of miR-23c. Besides, luciferase assays revealed that the expression of MALAT1 antagonized the effect of miR-23c on the down-regulation of its target ELAVL1 and inhibited hyperglycemia-induced cell pyroptosis PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5MaTwvQXV0aG9yPjxZZWFyPjIwMTc8L1llYXI+PFJlY051

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ADDIN EN.CITE.DATA [66]. In another study, Wu et al., showed that expression level of MALAT1, as well as its downstream target SAA3, was considerably down-regulated in renal tissues after bariatric surgery in rats, which in turn reduced the expression of the pro-inflammatory cytokines IL-6 and TNF-α. Knockdown of MALAT1 in HK-2 cell lines further confirmed that expression levels of SAA3, IL-6, and TNF-α were regulated by MALAT1 under both low- and high-glucose conditions ADDIN EN.CITE <EndNote><Cite><Author>Wu</Author><Year>2018</Year><RecNum>73</RecNum><DisplayText>[67]</DisplayText><record><rec-number>73</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">73</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Wu, D.</author><author>Cheng, Y. G.</author><author>Huang, X.</author><author>Zhong, M. W.</author><author>Liu, S. Z.</author><author>Hu, S. Y.</author></authors></contributors><auth-address>Department of General Surgery, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan, 250012, People&apos;s Republic of China.&#xD;Department of General Surgery, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan, 250012, People&apos;s Republic of China. liushaozhuang@sdu..</auth-address><titles><title>Downregulation of lncRNA MALAT1 contributes to renal functional improvement after duodenal-jejunal bypass in a diabetic rat model</title><secondary-title>J Physiol Biochem</secondary-title><alt-title>Journal of physiology and biochemistry</alt-title></titles><pages>431-439</pages><volume>74</volume><number>3</number><dates><year>2018</year><pub-dates><date>Aug</date></pub-dates></dates><isbn>1877-8755 (Electronic)&#xD;1138-7548 (Linking)</isbn><accession-num>29781038</accession-num><urls><related-urls><url>;[67]. Therefore, MALAT1 plays a key pivotal role in diabetic nephropathy and recognizing this mechanism may ultimately contribute to the progress of novel lncRNA-based therapeutic strategies for the management of diabetic kidney disease.Gestational Diabetes MellitusGestational diabetes mellitus (GDM) is a type of diabetes characterized by glucose intolerance with onset during pregnancy, resulting in high blood sugar level with varying severity ADDIN EN.CITE <EndNote><Cite><Author>Metzger</Author><Year>1998</Year><RecNum>74</RecNum><DisplayText>[68]</DisplayText><record><rec-number>74</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">74</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Metzger, B. E.</author><author>Coustan, D. R.</author></authors></contributors><auth-address>Northwestern University Medical School, Chicago, Illionois 60611, USA. bem@nwu.edu</auth-address><titles><title>Summary and recommendations of the Fourth International Workshop-Conference on Gestational Diabetes Mellitus. The Organizing Committee</title><secondary-title>Diabetes Care</secondary-title><alt-title>Diabetes care</alt-title></titles><pages>B161-7</pages><volume>21 Suppl 2</volume><keywords><keyword>*Diabetes, Gestational/diagnosis/epidemiology/therapy</keyword><keyword>Female</keyword><keyword>Glucose Intolerance</keyword><keyword>Humans</keyword><keyword>Infant, Newborn</keyword><keyword>Pregnancy</keyword><keyword>Pregnancy Outcome</keyword><keyword>Prevalence</keyword><keyword>United States/epidemiology</keyword></keywords><dates><year>1998</year><pub-dates><date>Aug</date></pub-dates></dates><isbn>0149-5992 (Print)&#xD;0149-5992 (Linking)</isbn><accession-num>9704245</accession-num><urls><related-urls><url>;[68]. Recent studies had shown that one in seven births were affected by this disease, regardless of the reduced global number of cases which has fallen to 21.0 million ADDIN EN.CITE <EndNote><Cite><Author>Metzger</Author><Year>1998</Year><RecNum>75</RecNum><DisplayText>[68]</DisplayText><record><rec-number>75</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">75</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Metzger, B. E.</author><author>Coustan, D. R.</author></authors></contributors><auth-address>Northwestern University Medical School, Chicago, Illionois 60611, USA. bem@nwu.edu</auth-address><titles><title>Summary and recommendations of the Fourth International Workshop-Conference on Gestational Diabetes Mellitus. The Organizing Committee</title><secondary-title>Diabetes Care</secondary-title><alt-title>Diabetes care</alt-title></titles><pages>B161-7</pages><volume>21 Suppl 2</volume><keywords><keyword>*Diabetes, Gestational/diagnosis/epidemiology/therapy</keyword><keyword>Female</keyword><keyword>Glucose Intolerance</keyword><keyword>Humans</keyword><keyword>Infant, Newborn</keyword><keyword>Pregnancy</keyword><keyword>Pregnancy Outcome</keyword><keyword>Prevalence</keyword><keyword>United States/epidemiology</keyword></keywords><dates><year>1998</year><pub-dates><date>Aug</date></pub-dates></dates><isbn>0149-5992 (Print)&#xD;0149-5992 (Linking)</isbn><accession-num>9704245</accession-num><urls><related-urls><url>;[68]. Likewise, other type of hyperglycaemias, GDM also redirects a functional difference between a person’s insulin secretion and insulin demand ADDIN EN.CITE <EndNote><Cite><Author>Buchanan</Author><Year>2007</Year><RecNum>76</RecNum><DisplayText>[69]</DisplayText><record><rec-number>76</rec-number><foreign-keys><key app="EN" db-id="ftefxe9rma55d4ewzvmpseva9s2zwaassrra" timestamp="0">76</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Buchanan, T. A.</author><author>Xiang, A.</author><author>Kjos, S. L.</author><author>Watanabe, R.</author></authors></contributors><auth-address>Departments of Medicine, Obstetrics and Gynecology, and Physiology and Biophysics, University of Southern California Keck School of Medicine, Los Angeles, California, USA. buchanan@usc.edu</auth-address><titles><title>What is gestational diabetes?</title><secondary-title>Diabetes Care</secondary-title><alt-title>Diabetes care</alt-title></titles><pages>S105-11</pages><volume>30 Suppl 2</volume><keywords><keyword>Blood Glucose/*metabolism</keyword><keyword>Diabetes Mellitus/*etiology/prevention &amp; control</keyword><keyword>*Diabetes, Gestational/diagnosis/etiology/therapy</keyword><keyword>Female</keyword><keyword>Glucose Intolerance</keyword><keyword>Humans</keyword><keyword>Pregnancy</keyword></keywords><dates><year>2007</year><pub-dates><date>Jul</date></pub-dates></dates><isbn>1935-5548 (Electronic)&#xD;0149-5992 (Linking)</isbn><accession-num>17596457</accession-num><urls><related-urls><url>;[69]. GDM prevalence is excessive in summer, perhaps reflecting an association between blood glucose levels and temperature. The exact mechanism by which temperature may influence glucose metabolism in pregnancy remains uncertain PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5SZXRuYWthcmFuPC9BdXRob3I+PFllYXI+MjAxODwvWWVh

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ADDIN EN.CITE.DATA [70]. Although, lncRNA and DM have attracted the attention of many scholars, but only limited research have focused on GDM. Zhang et al. investigated the relationship between lncRNA MALAT1, lncRNA p21, lncRNA H19 and GDM. They reported that the expression level of lncRNA MALAT1 was considerably higher in the GDM group as compared to the non-GDM group. Furthermore, lncRNA MALAT1 correlated with the expression of lncRNA p21 and lncRNA H19 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5aaGFuZzwvQXV0aG9yPjxZZWFyPjIwMTg8L1llYXI+PFJl

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bmROb3RlPn==

ADDIN EN.CITE.DATA [71]. MALAT1 was identified as a novel serum biomarker to predict GDM. This provides a promising biomarker for future strategy to diagnose and treat GDM by regulating the expression of lncRNA MALAT1. However, in-depth studies are needed.Conclusion and Future Perspectives Increasing evidence discovered that lncRNA plays a vital role in the pathogenesis and progression of diabetes-related complicated diseases including ischemic reperfusion injury, retinopathy, cataract, atherosclerosis, cardiomyopathy, non-alcoholic steatohepatitis, gastroparesis, kidney disease and gestational diabetes mellitus. The clinical significance of MALAT1 and its molecular mechanisms in controlling these diseases are explained. This review clarifies the sophisticated researches and progresses with the possible roles of MALAT1 in different diabetic-related diseases (Figure 1). Studies had shown that the expression pattern and role of MALAT1 was similar in different types of diseases, and was up-regulated (Table 1). The expression trend of MALAT1 was consistent and the role of MALAT was even matching in the same type of cell in different researches. Additionally, MALAT1 associated number of dysregulated diseases and elevated MALAT1 levels could be a number of reasons for instance, gastric cancer, and hepatocellular carcinoma; thus, to determine the specificity of MALAT1 in the clinic, other investigations should be carried out to rule out if there are no other underlying causes. Overall, increased expression levels of MALAT1 in different diabetes-related complications, as well as MALAT1 therapeutic targeting by synthetic oligonucleotides, including miRNAs and siRNAs , have established MALAT1 as a both therapeutic target and potential biomarker. Nevertheless, there is still lack of the independent cohort study to validate, and additional miRNAs interplay and epigenetic modifications are needed, to advance the development of better-targetted therapeutic strategies. Hence, multicentre studies will be vital, which can add to the clinical utility of MALAT1 as an effective biomarker.Abbreviations:LncRNA: Long non-coding RNA; MALAT1: Metastasis-associated lung adenocarcinoma transcript 1; DM: Diabetes mellitus; MyD88: myeloid differentiation factor-88 adaptor protein; IRAK1: interleukin-1 receptor-associated kinase; TRAF6: tumor necrosis factor receptor-associated factor 6; DR: Diabetic retinopathy; PRC2: polycomb repressive complex 2; IL-6: interleukin-6; TNF-α: tumor necrosis factor-α; DC: Diabetic cataract; SP1: specificity protein 1; NLRP3: NOD-like receptor family pyrin domain containing 3; ELAVL1: embryonic lethal abnormal vision-like 1; DC: Diabetic cardiomyopathy; TNF-α: tumor necrosis factor-α; IL-1β: interleukin-1β; IL-6: interleukin-6; NO: nitric oxide; NASH: Non-alcoholic steatohepatitis; CXCL5: C-X-C motif chemokine ligand 5; α-SMA: alpha-smooth muscle actin; SM-myosin: smooth muscle myosin; SAA3: serum amyloid antigen 3; SRSF1: serine/arginine splicing factor; GDM: Gestational diabetes mellitus AcknowledgmentsWe appreciate the support from the grants by the National Natural Science Foundation of China (Grant No. 81800828).Competing InterestThe authors declare that they have no competing interest.References ADDIN EN.REFLIST 1.Guay C, Regazzi R. 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Diabetes Care. 2007; 30 Suppl 2: S105-11.70.Retnakaran R, Ye C, Kramer CK, Hanley AJ, Connelly PW, Sermer M, et al. Impact of daily incremental change in environmental temperature on beta cell function and the risk of gestational diabetes in pregnant women. Diabetologia. 2018.71.Zhang Y, Wu H, Wang F, Ye M, Zhu H, Bu S. Long non-coding RNA MALAT1 expression in patients with gestational diabetes mellitus. Int J Gynaecol Obstet. 2018; 140: 164-9. Figure Legend Figure 1. Various regulatory mechanisms of MALAT1 in different diabetes-related complications.(a). Hyperglycaemia-induced MALAT1 trigger an inflammatory response in microglial cells via activation of MyD88 signalling leading to ischemic reperfusion injury.(b). MALAT1 recruits PRC2 to bind anti-inflammatory gene promoter which suppresses its transcription and subsequently increases inflammatory response leading to retinopathy.(c). Hyperglycaemia induces Sp1 protein binding to the MALAT1 promoter gene increasing MALAT1 expression, increased MALAT1 activates p38MAPK pathway causing apoptosis and oxidative stress leading to cataract formation.(d). MALAT1 inhibits miR-23 which in turn increases ELAVL1 and NLRP3 leading to atherosclerosis.(e). Hyperglycaemia promotes MALAT1 levels which trigger inflammatory cytokines TNF-α, IL-1β and IL-6 leading to inflammation and cardiomyopathy. (f). MALAT1 promotes cxcl5 chemokine via cxcl5 gene transcript which triggers inflammation, fibrosis and NASH.(g). MALAT1 decreases α-SMA, SM myosin heavy chain diminishes contractility leading to gastroparesis. (h). MALAT1 antagonized the effect of miR-23 on its target ELAVL1, NLRP3 promoting pyroptosis and diabetic nephropathy.Table 1: MALAT1 Influences in Diabetes-associated ComplicationsDiseases Expression Relatedmolecules Model RoleReferences Cerebrovascular Disease Up-regulatedMyD88, IRAK1 TRAF6In vitro and in vivoInflammation 20Diabetic RetinopathyUp-regulatedPRC2, IL-6 and TNF-αIn vivo and vitroProliferation 27,26Diabetic Cataract Up-regulatedp38,SP1In vivo and vitroApoptosis 37AtherosclerosisUp-regulatedNLRP3, ELAVL1, miR-23cIn vivoApoptosis 41Diabetic CardiomyopathyUp-regulatedTNF-α, IL-1β IL-6, NOIn vitro and in vivoApoptosis 45,46Non-alcoholic SteatohepatitisUp-regulatedCXCL5In vivoInflammation 53Diabetic GastroparesisUp-regulatedα-SMA, SM- myosinIn vivo- 61,72Diabetic Kidney DiseaseUp-regulatedSAA3, IL-6, ELAVL1, NLRP3, Caspase-1, SRSF1In vitro and in vivo Inflammation, pyroptosis 65-67Gestational DiabetesUp-regulated-In vivo- 71Note: MyD88: myeloid differentiation factor-88 adaptor protein; IRAK1: interleukin-1 receptor-associated kinase; TRAF6: tumor necrosis factor receptor-associated factor 6; PRC2: polycomb repressive complex 2; IL-6: interleukin-6; TNF-α: tumor necrosis factor-α; SP1: specificity protein 1; NLRP3: NOD-like receptor family, pyrin domain containing 3; ELAVL1: embryonic lethal, abnormal vision-like; IL-1β: interleukin-1β; IL-6: interleukin-6; NO: nitric oxide; CXCL5: C-X-C motif chemokine ligand 5; α-SMA: alpha smooth muscle actin; SM myosin: smooth muscle myosin; SAA3: serum amyloid antigen 3; SRSF1: serine/arginine splicing factor. ................
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