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Related Concept Videos

MicroRNAs01:22

MicroRNAs

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MicroRNA (miRNA) are short, regulatory RNA transcribed from introns—non-coding regions of a gene—or intergenic regions—stretches of DNA present between genes. Several processing steps are required to form biologically active, mature miRNA. The initial transcript, called primary miRNA (pri-mRNA), base-pairs with itself forming a stem-loop structure. Within the nucleus, an endonuclease enzyme, called Drosha, shortens the stem-loop structure into hairpin-shaped pre-miRNA. After...
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Digital PCR for Quantifying Circulating MicroRNAs in Acute Myocardial Infarction and Cardiovascular Disease
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Advances in quantifying circulatory microRNA for early disease detection.

Jit Kong Cheong1, Yew Chung Tang2, Lihan Zhou2

  • 1Department of Biochemistry, Yong Loo Lin School of Medicine (YLLSoM), National University of Singapore (NUS), Singapore; Precision Medicine Programme, YLLSoM, NUS, Singapore; NUS Centre for Cancer Research, Singapore.

Current Opinion in Biotechnology
|January 9, 2022
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Summary

Precision preventive healthcare uses microRNA (miRNA) biomarkers for early disease detection. This review covers miRNA assay validation and development for clinical use and point-of-care testing.

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Area of Science:

  • Biomedical Diagnostics
  • Molecular Biology
  • Preventive Medicine

Background:

  • Precision preventive healthcare integrates early detection and intervention for improved patient outcomes.
  • Clinical adoption of novel assays is crucial for effective preventive healthcare delivery.
  • MicroRNA (miRNA) biomarkers from liquid biopsies show promise for early disease detection.

Purpose of the Study:

  • To review the clinical utility and validation of miRNA-based molecular diagnostics.
  • To discuss considerations for developing multi-analyte clinical assays.
  • To highlight advances in PCR-free miRNA detection for point-of-care testing.

Main Methods:

  • Review of large-cohort studies on miRNA biomarker validation.
  • Analysis of clinical utility and development considerations for miRNA assays.
  • Examination of recent progress in integrated PCR-free miRNA detection systems.

Main Results:

  • miRNA-based assays are advancing towards clinical practice after rigorous validation.
  • Development of multi-analyte assays requires careful consideration of various factors.
  • Progress in PCR-free systems facilitates point-of-care miRNA detection.

Conclusions:

  • miRNA diagnostics hold significant potential for early disease detection in precision preventive healthcare.
  • Further validation and development of assays, including point-of-care technologies, are essential for clinical integration.
  • The field is moving towards more accessible and efficient miRNA-based diagnostic tools.