RT Journal Article T1 Circulating miRNAs as Predictive Biomarkers of Type 2 Diabetes Mellitus Development in Coronary Heart Disease Patients from the CORDIOPREV Study. A1 Jiménez-Lucena, Rosa A1 Rangel-Zúñiga, Oriol Alberto A1 Alcalá-Díaz, Juan Francisco A1 López-Moreno, Javier A1 Roncero-Ramos, Irene A1 Molina-Abril, Helena A1 Yubero-Serrano, Elena Maria A1 Caballero-Villarraso, Javier A1 Delgado-Lista, Javier A1 Castaño, Justo Pastor A1 Ordovás, Jose Maria A1 Pérez-Martinez, Pablo A1 Camargo, Antonio A1 López-Miranda, José K1 biomarkers K1 miRNAs K1 predictive models K1 type 2 diabetes mellitus AB Circulating microRNAs (miRNAs) have been proposed as type 2 diabetes biomarkers, and they may be a more sensitive way to predict development of the disease than the currently used tools. Our aim was to identify whether circulating miRNAs, added to clinical and biochemical markers, yielded better potential for predicting type 2 diabetes. The study included 462 non-diabetic patients at baseline in the CORDIOPREV study. After a median follow-up of 60 months, 107 of them developed type 2 diabetes. Plasma levels of 24 miRNAs were measured at baseline by qRT-PCR, and other strong biomarkers to predict diabetes were determined. The ROC analysis identified 9 miRNAs, which, added to HbA1c, have a greater predictive value in early diagnosis of type 2 diabetes (AUC = 0.8342) than HbA1c alone (AUC = 0.6950). The miRNA and HbA1c-based model did not improve when the FINDRISC was included (AUC = 0.8293). Cox regression analyses showed that patients with low miR-103, miR-28-3p, miR-29a, and miR-9 and high miR-30a-5p and miR-150 circulating levels have a higher risk of disease (HR = 11.27; 95% CI = 2.61-48.65). Our results suggest that circulating miRNAs could potentially be used as a new tool for predicting the development of type 2 diabetes in clinical practice. SN 2162-2531 YR 2018 FD 2018-05-08 LK https://hdl.handle.net/10668/25788 UL https://hdl.handle.net/10668/25788 LA en DS RISalud RD Apr 6, 2025