Batistela Meire Silva, Josviak Nalini Drieli, Sulzbach Carla Daniela, de Souza Ricardo Lehtonen Rodrigues
a Genetics Department , Federal University of Parana , Curitiba , Brazil.
Int J Neurosci. 2017 Jun;127(6):547-558. doi: 10.1080/00207454.2016.1209754. Epub 2016 Jul 20.
Circulating cell-free microRNAs (miRNAs) are stable in many biological fluids and their expression profiles can suffer changes under different physiological and pathological conditions. In the last few years, miRNAs have been proposed as putative noninvasive biomarkers in diagnosis, prognosis and response to treatment for several diseases, including neurodegenerative disorders as Alzheimer's disease (AD) and Parkinson's disease (PD). Cognitive and/or motor impairments are usually considered for establishing clinical diagnosis, and at this stage, the majority of the neurons may already be lost making difficult attempts of novel therapies. In this review, we intend to survey the circulating cell-free miRNAs found as dysregulated in cerebrospinal fluid, serum and plasma samples in AD and PD patients, and show how those miRNAs can be useful for early and differential diagnosis. Beyond that, we highlighted the miRNAs that are possibly related to common molecular mechanisms in the neurodegeneration process, as well those miRNAs related to specific disease pathways.
循环游离微小RNA(miRNA)在多种生物体液中稳定存在,其表达谱在不同生理和病理条件下会发生变化。在过去几年中,miRNA被认为是几种疾病(包括阿尔茨海默病(AD)和帕金森病(PD)等神经退行性疾病)诊断、预后及治疗反应方面可能的非侵入性生物标志物。认知和/或运动障碍通常用于建立临床诊断,而在此阶段,大多数神经元可能已经丢失,这使得新型疗法的尝试变得困难。在本综述中,我们旨在调查在AD和PD患者的脑脊液、血清和血浆样本中发现的失调的循环游离miRNA,并展示这些miRNA如何有助于早期和鉴别诊断。除此之外,我们强调了可能与神经退行性变过程中常见分子机制相关的miRNA,以及与特定疾病途径相关的miRNA。