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Published on: April 3, 2017
Elevation of circulating microRNA levels in obese children compared to healthy controls
M D Thompson1, M J Cismowski2, M Serpico3
1Division of Endocrinology, Nationwide Children's Hospital, Columbus, OH, USA.
Insights
Childhood obesity is linked to elevated microRNAs (miRNAs), which may serve as biomarkers for non-alcoholic fatty liver disease (NAFLD). This study identified specific miRNAs increased in obese children, offering potential diagnostic tools.
Area of Science:
- Pediatric Endocrinology
- Molecular Biology
- Biomarker Discovery
Background:
- Childhood obesity is a growing concern with serious health complications.
- MicroRNAs (miRNAs) are implicated in obesity and may act as circulating biomarkers.
- Non-alcoholic fatty liver disease (NAFLD) is a common obesity complication, but its severity in children is hard to assess non-invasively.
Purpose of the Study:
- To investigate circulating miRNA levels in obese children compared to healthy controls.
- To identify potential miRNA biomarkers for obesity and associated NAFLD in pediatric populations.
- To evaluate a pre-selected panel of 20 miRNAs known to be involved in NAFLD.
Main Methods:
- Analysis of a panel of 20 candidate circulating miRNAs.
- Comparison of miRNA expression levels between obese children and healthy controls.
- Receiver-operator characteristic (ROC) curve analysis to assess diagnostic potential.
Main Results:
- 16 out of 20 tested miRNAs were significantly elevated (at least twofold) in obese children.
- miR-122 and miR-199a showed the most substantial increases and high diagnostic accuracy (area under the curve).
- Several miRNAs correlated with body mass index (BMI) and serum transaminases.
Conclusions:
- Circulating miRNAs can be reliably measured in children.
- Specific miRNAs are elevated in obese children and may serve as biomarkers for NAFLD.
- This study provides promising candidates for non-invasive diagnostic tools in pediatric obesity.
Abstract:
As childhood obesity increases, it is becoming important to understand the complications of obesity in children and develop novel biomarkers. Evidence indicates that microRNAs (miRNA) are dys-regulated in obesity and may serve as sensitive and specific circulating biomarkers. Non-alcoholic fatty liver disease (NAFLD) is a complication of obesity that ultimately requires a liver biopsy to determine disease severity. While studies have been conducted in adults, no study to date has examined circulating miRNAs in children with obesity and NAFLD. The goal of this study was to evaluate a panel of selected circulating miRNAs in obese children compared to healthy controls. We present here an analysis of a pre-selected panel of 20 candidate miRNAs in obese children compared to healthy controls. The miRNAs were chosen based on having been previously reported to be involved in NAFLD. We found that 16 out of 20 miRNAs tested were elevated at least twofold in children with obesity compared to controls. miR-122 and miR-199a showed the greatest increase in children with obesity versus controls. Both also had a high area under the curve when receiver-operator curves were plotted. Several circulating miRNAs correlated with body mass index (BMI) or serum transaminases. This study provides initial evidence that circulating miRNAs can be measured in the paediatric population and provides several diagnostic candidates increased in children with obesity that may be relevant to NAFLD.
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