Circulating Inflamma-miRs as Potential Biomarkers of Cognitive Impairment in Patients Affected by Alzheimer’s Disease
Open accessAbstract
Alzheimer’s disease (AD), the most prevalent neurodegenerative disease in the growing population of elderly people, is still lacking minimally-invasive circulating biomarkers that could facilitate the diagnosis and the monitoring of disease progression. MicroRNAs (miRNAs) are emerging as tissue-specific and/or circulating biomarkers of several age-related diseases, but evidence on AD is still not conclusive. Since a systemic pro-inflammatory status was associated with an increased risk of AD development and progression, we focused our investigation on a subset of miRNAs modulating the inflammatory process, namely inflamma-miRNAs. The expression of inflamma-miR-17-5p, -21-5p, -126-3p, and -146a-5p was analyzed in plasma samples from 116 patients with AD compared with 41 age-matched healthy control (HC) subjects. MiR-17-5p, miR-21-5p, and miR-126-3p plasma levels were significantly increased in AD patients compared to HC. Importantly, a strong inverse relationship was observed between miR-21-5p and miR-126-3p, and the cognitive impairment, assessed by Mini-Mental State Examination (MMSE). Notably, miR-126-3p was able to discriminate between mild and severe cognitive impairment. Overall, our results reinforce the hypothesis that circulating inflamma-miRNAs could be assessed as minimally invasive tools associated with the development and progression of cognitive impairment in AD.
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miR-21 was suggested to have both harmful and beneficial effects.
“Despite its nonspecificity [33], miR-21 is considered a versatile regulator in the progression of CNS disorders [34] and was suggested to have both harmful and beneficial effects [35,36,37].”
From Emerging Role of miR-21-5p in Neuron–Glia Dysregulation and Exosome Transfer Using Multiple Models of Alzheimer’s Disease (2022) · cites this paper as [37]
The Discussion describes evidence for a neuroprotective role for miR-21 in the CNS, supporting the beneficial-effects portion. It says miR-21’s role in neuroinflammation remains unclear, but does not suggest that miR-21 has harmful effects; its conflicting reports concern circulating levels in Alzheimer’s patients, not harmful versus beneficial effects. (LLM, conf=0.86)
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“Moreover, miR-21 has been proposed as a component of a neuronal stress response in many models of neurodegeneration and neuroinflammation (Buller et al., 2010; Shi et al., 2012; Zhang et al., 2012; Ge et al., 2014), including AD (Hwang et al.”
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Garcia, G., Pinto, S., Ferreira, S., Lopes, D., Serrador, M. J., Fernandes, A., Vaz, A. R., Mendonça, A. D., Edenhofer, F., Malm, T., et al. (2022) · Cells · doi:10.3390/cells11213377 · Cited by 55 · see citing works
- Authors
- Giuliani, A., Gaetani, S., Sorgentoni, G., Agarbati, S., Laggetta, M., Matacchione, G., Gobbi, M., Rossi, T., Galeazzi, R., Piccinini, G., Pelliccioni, G., Bonfigli, A. R., Procopio, A. D., Albertini, M. C., Sabbatinelli, J., Olivieri, F., & Fazioli, F.
- Affiliations
- Marche Polytechnic University (IT)
- Istituto Nazionale di Riposo e Cura per Anziani (IT)
- University of Urbino (IT)
- Corresponding author
- Sabbatinelli, Jacopo
- Fazioli, Francesca
- ORCID
- Venue
- Frontiers in Aging Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2021-03-11
- Volume
- 13
- Pages
- 647015-647015
- ISSN
- 1663-4365 (ISSN-L)
- PMC
- PMC7990771
- OpenAlex
- W3134354866
- Cited by
- 41
- References
- 5
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 7 · 2023: 4 · 2022: 12 · 2021: 7
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Aging Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Università Politecnica delle Marche (Università Politecnica delle Marche) (submittedVersion, cc-by)
- CINECA IRIS Institutional Research information system (University of Urbino) (submittedVersion, cc-by)
- Funders
- Università Politecnica delle Marche
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › MicroRNA in disease regulation
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- Alzheimer's disease, microRNA, circulating biomarkers, cognitive impairment, plasma microRNA, miR-17-5p, miR-21-5p, miR-126-3p, miR-146a, neuroinflammation, disease progression, diagnostic biomarkers
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