International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, British Columbia, Canada.
Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Sci Rep. 2017 May 3;7(1):1376. doi: 10.1038/s41598-017-01299-x.
Therapeutic development for spinal cord injury is hindered by the difficulty in conducting clinical trials, which to date have relied solely on functional outcome measures for patient enrollment, stratification, and evaluation. Biological biomarkers that accurately classify injury severity and predict neurologic outcome would represent a paradigm shift in the way spinal cord injury clinical trials could be conducted. MicroRNAs have emerged as attractive biomarker candidates due to their stability in biological fluids, their phylogenetic similarities, and their tissue specificity. Here we characterized a porcine model of spinal cord injury using a combined behavioural, histological, and molecular approach. We performed next-generation sequencing on microRNAs in serum samples collected before injury and then at 1, 3, and 5 days post injury. We identified 58, 21, 9, and 7 altered miRNA after severe, moderate, and mild spinal cord injury, and SHAM surgery, respectively. These data were combined with behavioural and histological analysis. Overall miRNA expression at 1 and 3 days post injury strongly correlates with outcome measures at 12 weeks post injury. The data presented here indicate that serum miRNAs are promising candidates as biomarkers for the evaluation of injury severity for spinal cord injury or other forms of traumatic, acute, neurologic injury.
脊髓损伤的治疗开发受到临床试验开展困难的阻碍,迄今为止,临床试验仅依赖于功能结果测量来进行患者入组、分层和评估。能够准确区分损伤严重程度并预测神经功能预后的生物标志物将代表脊髓损伤临床试验开展方式的重大转变。microRNAs 因其在生物体液中的稳定性、系统发育相似性和组织特异性而成为有吸引力的生物标志物候选物。在这里,我们使用行为学、组织学和分子学综合方法对猪脊髓损伤模型进行了研究。我们对损伤前和损伤后 1、3 和 5 天采集的血清样本中的 microRNAs 进行了下一代测序。我们分别在严重、中度和轻度脊髓损伤以及 SHAM 手术后鉴定出了 58、21、9 和 7 个差异表达的 microRNA。这些数据与行为学和组织学分析相结合。损伤后 1 天和 3 天的整体 microRNA 表达与损伤后 12 周的评估结果高度相关。这里提供的数据表明,血清 microRNAs 是评估脊髓损伤或其他形式的创伤性、急性神经损伤严重程度的有前途的生物标志物候选物。