Assessment of plasma microRNAs in congenital intestinal malrotation

Xiurui Lv1, Huan Chen1, Xinhe Sun1

  • 1Department of Pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu 210008, P.R. China.

Molecular Medicine Reports
|September 18, 2020
PubMed

Insights

Early diagnosis of intestinal malrotation in newborns is crucial. Researchers identified specific microRNAs (miRNAs) in plasma that show potential as non-invasive biomarkers for early detection of this condition.

Area of Science:

  • Biochemistry
  • Genetics
  • Pediatric Surgery

Background:

  • Intestinal malrotation in newborns presents a significant surgical challenge, particularly when complicated by volvulus.
  • Timely and accurate diagnosis is paramount for effective intervention and improved patient outcomes.

Purpose of the Study:

  • To identify novel, non-invasive plasma biomarkers for the early diagnosis of intestinal malrotation in newborns.
  • To investigate the functional roles of differentially expressed microRNAs (miRNAs) in the pathogenesis of intestinal malrotation.

Main Methods:

  • High-throughput Illumina sequencing was employed to screen for differentially expressed plasma miRNAs in patients with intestinal malrotation.
  • Reverse transcription-quantitative PCR (RT-qPCR) was used for validation of candidate miRNAs.
  • Receiver operating characteristic (ROC) curve analysis was performed to assess diagnostic accuracy.
  • Bioinformatics analysis was utilized to explore the functions of dysregulated miRNAs.

Main Results:

  • A distinct profile of 28 differentially expressed plasma miRNAs was identified.
  • Nine miRNAs were validated to show significantly altered expression levels.
  • Four specific miRNAs demonstrated high sensitivity and specificity, indicating their potential as early-stage diagnostic biomarkers.
  • Bioinformatics analysis linked these miRNAs to metal ion transmembrane transporter activity, calcium-dependent protein binding, and the endocytosis pathway.

Conclusions:

  • Significantly differentially expressed plasma miRNAs have been identified in congenital intestinal malrotation.
  • These miRNAs hold promise as novel, non-invasive biomarkers for improving the early diagnosis of intestinal malrotation in neonates.
  • Understanding the functional pathways associated with these miRNAs may offer insights into the condition's underlying mechanisms.

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