microRNA Expression and Its Association With Disability and Brain Atrophy in Multiple Sclerosis Patients Treated With

María I Dominguez-Mozo1, Ignacio Casanova2,3, Laura De Torres2

  • 1Research Group in Environmental Factors of Neurodegenerative Diseases, Health Research Institute Hospital Clínico San Carlos (IdISSC), Madrid, Spain.

Abstract

Insights

Serum microRNAs show potential as biomarkers for multiple sclerosis (MS) progression. Specific microRNAs correlate with disability, cognitive function, and brain volume changes in patients with relapsing-remitting MS.

Area of Science:

  • Neuroscience
  • Genetics
  • Biochemistry

Background:

  • MicroRNAs are small non-coding RNAs regulating gene expression post-transcriptionally.
  • Altered microRNA expression patterns are observed in multiple sclerosis (MS) compared to controls.
  • MicroRNAs are being investigated as potential biomarkers for MS.

Purpose of the Study:

  • To correlate serum microRNA profiles with clinical and imaging markers in relapsing-remitting MS patients.
  • To assess associations between microRNAs, disability (EDSS), cognitive function (SDMT), and brain volume.

Main Methods:

  • Cross-sectional study involving relapsing-remitting MS patients on glatiramer acetate.
  • Disability assessed using the Expanded Disability Status Scale (EDSS).
  • Cognitive function evaluated with the Symbol Digit Modalities Test (SDMT).
  • Brain volumes analyzed using NeuroQuant® software.

Main Results:

  • Specific microRNAs (miR-146a.5p, miR-9.5p) associated with EDSS scores.
  • miR-146a.5p and miR-126.3p correlated with SDMT performance.
  • Several microRNAs (miR-9.5p, miR-200c.3p, miR-138.5p, miR-223.3p) showed correlations with specific brain region volumes (thalamus, pallidum, cerebellum, amygdala, caudate).

Conclusions:

  • Findings support microRNAs as potential biomarkers for multiple sclerosis.
  • Further research is required to validate these microRNA biomarkers.
  • Understanding microRNA roles is crucial for MS pathogenesis, monitoring, and treatment response.

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