Clinical impact of circulating microRNAs as blood-based marker in childhood acute lymphoblastic leukemia

Menha Swellam1, Nashwa El-Khazragy2

  • 1Department of Biochemistry, Genetic Engineering and Biotechnology Research Division, National Research Centre, Giza, 12622, Dokki, Egypt. menha_m_swellam@yahoo.com.

Insights

Aberrant microRNA (miRNA) expression is linked to childhood acute lymphoblastic leukemia (ALL). Specific miRNAs (miRNA-100, miRNA-196a, miRNA-146a) show altered levels in ALL patients, potentially serving as diagnostic markers.

Area of Science:

  • Molecular Biology
  • Oncology
  • Genetics

Background:

  • Aberrant microRNA (miRNA) expression is implicated in the pathogenesis of various cancers, including childhood acute lymphoblastic leukemia (ALL).
  • Specific miRNAs, such as miRNA-100, miRNA-196a, and miRNA-146a, have been suggested to play roles in leukemogenesis.

Purpose of the Study:

  • To investigate the expression levels of miRNA-100, miRNA-196a, and miRNA-146a in children diagnosed with ALL.
  • To explore the correlation between the expression of these miRNAs and hematological parameters.
  • To assess the relationship between miRNA expression and different ALL phenotypes.

Main Methods:

  • Quantitative real-time PCR was employed to detect miRNA expression in peripheral blood mononuclear cells (PMNCs).
  • Samples were collected from 85 children with ALL and 25 healthy children.
  • Statistical analyses were performed to correlate miRNA levels with clinical and hematological data.

Main Results:

  • Median levels of the studied miRNAs were significantly higher in children with ALL compared to healthy controls.
  • miRNA-146a demonstrated superior diagnostic efficacy with absolute sensitivity and specificity.
  • Higher expression of miRNA-100 correlated with lower platelet and lymphocyte counts, while high miRNA-146a expression was associated with low total leukocyte count (TLC) and lymphocyte counts.
  • Significant associations were found between the studied miRNAs and various ALL phenotypes.

Conclusions:

  • miRNA-100, miRNA-196a, and miRNA-146a play a significant role in the leukemogenesis of childhood ALL.
  • These miRNAs may serve as valuable biological diagnostic molecular markers for childhood ALL.
  • Further research is warranted to elucidate the precise mechanisms underlying their involvement in ALL.

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