“…The down-regulated miRNAs, inclusive of miR-29, miR-141, and miR-200, seem to be rendering renal protective effect by reducing expression of TGF-β2, COL1, COL4, and NADPH oxidase subunit 4 all factors involved in the pathophysiology of diabetic nephropathy [ 13 , 14 , 17–19 ]. The PSMA6 gene has been shown to harbor single nucleotide polymorphism, including a 5’-UTR 8 C/G, associated with diabetes, and that PSMA6 polymorphism might be a protective factor for ESRD [ 20 , 21 ]. Our results show that exogenous manipulation of miR-4490 levels can modulate expression of PSMA6, indicating that miR-4490 can be tested as a potential biomarker for nephropathy in diabetic patients.…”