Evidence mapPaperPMID 41405560Full record

ReviewEndocrinology, diabetes & metabolism2026

Circular RNAs as Biomarkers and Therapeutic Targets in Diabetic Cardiovascular Complications.

Shreya Singh Beniwal, Yujin Jeong, Akash Rawat, Mahmoud Einieh, Kashyapi Patil, Rafael Everton Assunção Ribeiro da Costa, Pulkit Saini, Kamal Yousef Ghazal, Abhijeet Kumar, Ayush Dwivedi and 1 more

Abstract readReview
In one paragraph

Review in Endocrinology, diabetes & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Shreya Singh BeniwalLady Hardinge Medical College, New Delhi, India.
Yujin JeongIcahn School of Medicine at Mount Sinai/Elmhurst, New York, New York, USA.ORCID https://orcid.org/0000-0002-6634-5840
Akash RawatHimalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, India.ORCID https://orcid.org/0000-0002-0523-0791
Mahmoud EiniehUniversity of Debrecen, Debrecen, Hungary.ORCID https://orcid.org/0009-0002-4240-9376
Kashyapi PatilKrishna Vishwa Vidyapeeth, Malkapur, Karad, Maharashtra, India.ORCID https://orcid.org/0009-0006-5314-9409
Rafael Everton Assunção Ribeiro da CostaCidade Universitária "Zeferino Vaz," Barão Geraldo, Campinas, State University of Campinas (UNICAMP), São Paulo, Brazil.ORCID https://orcid.org/0000-0002-0798-890X
Pulkit SainiSri Devaraj Urs Medical College, Kolar, Karnataka, India.
Kamal Yousef GhazalKing Fahad Medical City, Riyadh, Saudi Arabia.ORCID https://orcid.org/0009-0008-2338-6280
Abhijeet KumarNetaji Subhas Medical College and Hospital, Patna, Bihar, India.ORCID https://orcid.org/0009-0007-4937-669X
Ayush DwivediDanylo Halytsky Lviv National Medical University, Lviv, Ukraine.ORCID https://orcid.org/0009-0005-1955-9116
Anuja Anil MandavkarVilasrao Deshmukh Government Medical College, Latur, Maharashtra, India.ORCID https://orcid.org/0009-0006-0258-7054

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global prevalence of diabetes mellitus (DM) is rising rapidly and is projected to reach unprecedented levels by 2035 and 2050, with a disproportionate burden among elderly populations and in low- and middle-income countries. Diabetes-related cardiovascular complications remain a leading cause of morbidity and mortality despite advances in glycaemic control and pharmacotherapy. There is an urgent need for novel molecular biomarkers and therapeutic targets to improve early detection, risk stratification, and personalised management.

methodsA comprehensive narrative review of the current literature was conducted to summarise emerging evidence on the biological roles of circular RNAs (circRNAs) in diabetes and its cardiovascular complications. Published experimental, translational, and clinical studies investigating circRNA expression, mechanisms of action, and therapeutic potential were critically analysed.

resultsCircRNAs have emerged as key regulators in the pathophysiology of diabetes-associated cardiovascular disorders, including diabetic cardiomyopathy, endothelial dysfunction, and vascular inflammation, as well as related microvascular complications. Mechanistically, circRNAs act through diverse pathways such as microRNA sponging, modulation of gene transcription, interaction with RNA-binding proteins, and regulation of cellular processes including apoptosis, fibrosis, oxidative stress, and inflammation. Their covalently closed structure confers exceptional stability, while their tissue- and disease-specific expression profiles support their utility as sensitive biomarkers for early diagnosis, prognosis, and therapeutic monitoring. Advances in synthetic circRNA design further highlight their promise as novel therapeutic agents, although challenges related to delivery efficiency, specificity, and off-target effects remain.

conclusionsCircRNAs represent a promising class of biomarkers and therapeutic targets in diabetes-related cardiovascular complications. Their stability, specificity, and functional versatility position them as attractive tools for precision medicine approaches in diabetes care. Further mechanistic studies and well-designed clinical investigations are essential to translate circRNA-based diagnostics and therapeutics into clinical practice.

Indexed as

Cardiovascular DiseasesDiabetes ComplicationsDiabetic AngiopathiesRNA, CircularAnimalsBiomarkersHumansBiomarkersRNA, Circularbiomarkerscardiovascularcircular RNAscomplicationsdiabetestherapeutic

Identifiers

PMID41405560
PMCPMC12710528

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.