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Diagnostic Value of microRNA for Alzheimer's Disease: A Systematic Review and Meta-Analysis
Yong-Bo Hu1, Chun-Bo Li2, Ning Song3
1Department of Neurology, Neuroscience Institute, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine , Shanghai , China.
Abstract:
Sound evidence indicates that microRNAs (miRNAs) are aberrantly expressed in Alzheimer's disease (AD) patients. We performed a systematic review and meta-analysis to investigate the role of miRNA in AD pathogenesis and their clinical diagnostic value; a systematic review of literature and meta-analysis of clinical trials were performed. In the systematic review, 236 papers were included, and we reviewed the dysregulated miRNA expression in different parts of AD patients in order to identify the relationship between aberrantly expressed miRNAs and AD pathology. In the subsequent meta-analysis, seven studies were statistically analyzed with the following results: pooled sensitivity 0.86 (95%CI 0.79-0.90), pooled specificity 0.87 (95%CI 0.72-0.95), diagnostic odds ratio (28.29), and the area under the curve (0.87). In conclusion, our review indicated that aberrant expression of various miRNAs plays an important role in the pathological process of AD, and statistical analysis of quantitative studies reveal the potential value of specific miRNAs in the diagnosis of AD.
Insights
MicroRNAs (miRNAs) show altered expression in Alzheimer's disease (AD). This review confirms their role in AD pathology and highlights specific miRNAs as potential biomarkers for early AD diagnosis.
Area of Science:
- Neuroscience
- Genetics
- Biomarkers
Background:
- Alzheimer's disease (AD) is a progressive neurodegenerative disorder.
- MicroRNAs (miRNAs) are small non-coding RNAs involved in gene regulation.
- Aberrant miRNA expression is increasingly recognized in AD pathogenesis.
Purpose of the Study:
- To systematically review and meta-analyze the role of miRNAs in Alzheimer's disease.
- To evaluate the clinical diagnostic value of miRNAs in AD patients.
Main Methods:
- Systematic literature review of 236 papers on miRNA dysregulation in AD.
- Meta-analysis of seven quantitative studies assessing diagnostic accuracy of miRNAs.
Main Results:
- Systematic review identified relationships between aberrant miRNAs and AD pathology.
- Meta-analysis showed pooled sensitivity of 0.86 and specificity of 0.87 for miRNA diagnosis.
- Diagnostic odds ratio was 28.29, with an area under the curve of 0.87.
Conclusions:
- Abnormal expression of various miRNAs is integral to the pathological process of Alzheimer's disease.
- Specific miRNAs demonstrate significant potential as diagnostic biomarkers for AD.
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