RT Journal Article T1 Increased let‐7d‐5p in non‐alcoholic fatty liver promotes insulin resistance and is a potential blood biomarker for diagnosis A1 Infante‐Menéndez, Jorge A1 López‐Pastor, Andrea R. A1 González‐Illanes, Tamara A1 González‐López, Paula A1 Huertas‐Lárez, Raquel A1 Rey, Esther A1 González‐Rodríguez, Águeda A1 García‐Monzón, Carmelo A1 Patil, Nikita P. A1 Vega De Céniga, Melina A1 Baker, Aaron B. A1 Gómez Hernández, María De La Almudena A1 Escribano Illanes, Óscar AB Background and Aims: The molecular mechanisms driving non-alcoholic fatty liver disease (NAFLD) are poorly understood; however, microRNAs might play a key role in these processes. We hypothesize that let-7d- 5p could contribute to the pathophysiol-ogy of NAFLD and serve as a potential diagnostic biomarker.Methods: We evaluated let-7d- 5p levels and its targets in liver biopsies from a cross- sectional study including patients with NAFLD and healthy donors, and from a mouse model of NAFLD. Moreover, the induction of let-7d- 5p expression by fatty acids was evaluated in vitro. Further, we overexpressed let-7d- 5p in vitro to corroborate the results observed in vivo. Circulating let-7d- 5p and its potential as a NAFLD biomarker was determined in isolated extracellular vesicles from human plasma by RT-qPCR.Results: Our results demonstrate that hepatic let-7d- 5p was significantly up- regulated in patients with steatosis, and this increase correlated with obesity and a decreased expression of AKT serine/threonine kinase (AKT), insulin- like growth factor 1 (IGF1), IGF- I receptor (IGF1R) and insulin receptor (INSR). These alterations were corrobo-rated in a NAFLD mouse model. In vitro, fatty acids increased let-7d- 5p expression, and its overexpression decreased AKT, IGF-IR and IR protein expression. Furthermore, let- 7d- 5p hindered AKT phosphorylation in vitro after insulin stimulation. Finally, cir-culating let-7d- 5p significantly decreased in steatosis patients and receiver operating characteristic (ROC) analyses confirmed its utility as a diagnostic biomarker. PB Wiley SN 1478-3223 SN 1478-3231 YR 2023 FD 2023-04-14 LK https://hdl.handle.net/20.500.14352/92257 UL https://hdl.handle.net/20.500.14352/92257 LA eng NO Infante-Menéndez J, López-Pastor AR, González-Illanes T, González-López P, Huertas-Lárez R, Rey E, González-Rodríguez Á, García-Monzón C, Patil NP, Vega de Céniga M, Baker AB, Gómez-Hernández A, Escribano O. Increased let-7d-5p in non-alcoholic fatty liver promotes insulin resistance and is a potential blood biomarker for diagnosis. Liver Int. 2023 Aug;43(8):1714-1728. doi: 10.1111/liv.15581. Epub 2023 Apr 14. PMID: 37057737; PMCID: PMC10523911. NO Ministerio de Ciencia, Innovación y Universidades NO Santander-UCM NO UCM NO Instituto de Salud Carlos III NO Fondo Europeo para el Desarrollo Regional (FEDER) NO American Heart Association NO DOD CDMRP NO National Institutes of Health DS Docta Complutense RD 6 abr 2025