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帕金森病患者中微小RNA-132-3p和微小RNA-146a-5p的异常表达。

Aberrant expression of microRNA-132-3p and microRNA-146a-5p in Parkinson's disease patients.

作者信息

Shu Yu, Qian Jinjun, Wang Chunyan

机构信息

Neurology Department, The Fourth Affiliated People's Hospital of Jiangsu University, Zhenjiang 212000, Jiangsu, China.

Clinical Medicine, Jiangsu University, Zhenjiang 212013, Jiangsu, China.

出版信息

Open Life Sci. 2020 Sep 2;15(1):647-653. doi: 10.1515/biol-2020-0060. eCollection 2020.

Abstract

Parkinson's disease (PD) is an age-related neurodegenerative disorder which is assessed based on the motor symptoms. A number of microRNAs (miRNAs) are dysregulated and involved in the pathogenesis or development of PD. However, no confirmed markers are used for the early detection of PD. The present study aimed to elucidate the potential two miRNAs (miR-132-3p and miR-146-5p) as novel markers for early PD diagnosis. In the present study, the expression levels of miR-132-3p and miR-146-5p in serum samples from 82 patients with PD and 44 healthy volunteers were measured by reverse transcription-quantitative polymerase chain reaction. Furthermore, the correlation analysis was performed between aberrant miRNAs and Braak staging, Part V of the Unified Parkinson's Disease Rating Scale (UPDRS-V; the modified Hoehn and Yahr staging of PD) and Part III of the UPDRS-III. Subsequently, the receiver-operating characteristic (ROC) curve results of miR-132-3p and miR-146-5p from healthy volunteers for PD prediction and from severe PD patients were assessed. From the results it was observed that miR-132-3p and miR-146a-5p expressions were significantly decreased in the serum samples of patients with PD compared to those in the healthy volunteers. Moreover, the expressions of miR-132-3p and miR-146a-5p showed a dramatic decrease in severe PD patients as compared to the normal PD patients. Meanwhile, miR-132-3p and miR-146-5p expressions were negatively correlated with Braak staging ( = -0.45, < 0.0001; = -0.51, < 0.0001), UPDRS-III ( = -0.55, < 0.0001; = -0.51, < 0.0001) and UPDRS-V scores ( = - 0.46, < 0.0001; = -0.45, < 0.0001) in PD patients. The area under the curve (AUC) results of miR-132-3p and miR-146a-5p in discriminating PD patients from the healthy controls were 0.7325 (95% CI = 0.6400-0.8251) and 0.7295 (95% CI = 0.3658-0.8232). Moreover, the AUC results of miR-132-3p and miR-146-5p concerning discriminating severe PD patients from normal PD patients were 0.8175 (95% CI = 0.7229-0.9121) and 0.7921 (95% CI = 0.6937-0.8905). In other words, both miR-132-3p and miR-146a-5p may function as promising biomarkers for early diagnosis of PD.

摘要

帕金森病(PD)是一种与年龄相关的神经退行性疾病,其诊断基于运动症状。多种微小RNA(miRNA)表达失调,并参与帕金森病的发病机制或发展过程。然而,目前尚无用于帕金森病早期检测的确诊标志物。本研究旨在阐明两种潜在的miRNA(miR - 132 - 3p和miR - 146 - 5p)作为帕金森病早期诊断的新型标志物。在本研究中,采用逆转录定量聚合酶链反应检测了82例帕金森病患者和44名健康志愿者血清样本中miR - 132 - 3p和miR - 146 - 5p的表达水平。此外,对异常miRNA与Braak分期、统一帕金森病评定量表第五部分(UPDRS - V;帕金森病改良Hoehn和Yahr分期)以及UPDRS - III第三部分进行了相关性分析。随后,评估了健康志愿者中miR - 132 - 3p和miR - 146 - 5p用于帕金森病预测以及重度帕金森病患者的受试者操作特征(ROC)曲线结果。结果显示,与健康志愿者相比,帕金森病患者血清样本中miR - 132 - 3p和miR - 146a - 5p的表达显著降低。此外,与正常帕金森病患者相比,重度帕金森病患者中miR - 132 - 3p和miR - 146a - 5p的表达显著下降。同时,在帕金森病患者中,miR - 132 - 3p和miR - 146 - 5p的表达与Braak分期(r = -0.45,P < 0.0001;r = -0.51,P < 0.0001)、UPDRS - III(r = -0.55,P < 0.0001;r = -0.51,P < 0.0001)以及UPDRS - V评分(r = -0.46,P < 0.0001;r = -0.45,P < 0.0001)呈负相关。miR - 132 - 3p和miR - 146a - 5p区分帕金森病患者与健康对照的曲线下面积(AUC)结果分别为0.7325(95%CI = 0.6400 - 0.8251)和0.7295(95%CI = 0.3658 - 0.8232)。此外,miR - 132 - 3p和miR - 146 - 5p区分重度帕金森病患者与正常帕金森病患者的AUC结果分别为0.8175(95%CI = 0.7229 - 0.9121)和0.7921(95%CI = 0.6937 - 0.8905)。换句话说,miR - 132 - 3p和miR - 146a - 5p均可能作为帕金森病早期诊断的有前景的生物标志物。

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