4.7 Review

Circulating microRNAs: Biomarkers of disease

Journal

CLINICA CHIMICA ACTA
Volume 516, Issue -, Pages 46-54

Publisher

ELSEVIER
DOI: 10.1016/j.cca.2021.01.008

Keywords

Circulating microRNA; Noninvasive detection; Biomarkers; Early diagnosis

Funding

  1. Qingdao Major Scientific and Technological Project for Distinguished Scholars [20170103]
  2. Laoshan Major Scientific and Technological Project for Distinguished Scholars [20181030]
  3. China Postdoctoral Science Foundation [2019M652331, 2018M642619]
  4. Shandong Postdoctoral Innovation Project [201903039]
  5. Qingdao Postdoctoral Application Project [2018121236, 2018121238]
  6. Youth Innovation Team Talent Introduction Program of Shandong Province

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MicroRNAs, approximately 20-24 nucleotides in length, are considered reliable diagnostic and prognostic biomarkers for various diseases due to their reflection of disease progression and drug resistance. They play a crucial role in the diagnosis, prognosis, and treatment response prediction of diseases, potentially improving cure rates.
MicroRNAs are a class of endogenous noncoding single-stranded RNA molecules with approximately 20-24 nucleotides and are associated with a broad range of biological processes. Researchers found that microRNAs are abundant in tissues, and more importantly, there are also trace circulating microRNAs that exist in biological fluids. In recent years, circulating microRNAs had emerged as promising diagnostic and prognostic biomarkers for the noninvasive detection of diseases with high specificity and sensitivity. More importantly, specific microRNA expression signatures reflect not only the existence of early-stage diseases but also the dynamic development of advanced-stage diseases, disease prognosis prediction, and drug resistance. To date, an increasing number of potential miRNA biomarkers have been reported, but their practical application prospects are still unclear. Therefore, microRNAs, as potential diagnostic and prognostic biomarkers in a variety of diseases, need to be updated, as they are of great importance in the diagnosis, prognosis and prediction of therapeutic responses. In this review, we summary our current understanding of microRNAs as potential biomarkers in the major diseases (e.g., cancers and cardio-cerebrovascular diseases), which provide the basis for the design of diagnosis and treatment plan and the improvement of the cure rate.

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