Recent advances in isolation and detection of exosomal microRNAs related to Alzheimer's disease

Esmail Pishbin1, Fatemeh Sadri2, Amin Dehghan3

  • 1Bio-microfluidics Laboratory, Department of Electrical Engineering and Information Technology, Iranian Research Organization for Science and Technology, Tehran, Iran.

Environmental Research
|March 23, 2023
PubMed

Insights

Early Alzheimer's disease diagnosis is crucial. Researchers are exploring microfluidic devices and biosensors to detect exosomal microRNAs, offering a promising avenue for early detection and improved patient outcomes.

Area of Science:

  • Biomedical Engineering
  • Neuroscience
  • Molecular Biology

Background:

  • Alzheimer's disease (AD) is a progressive neurological disorder with significant risk factors in its early stages.
  • Early diagnosis of AD is critical for effective treatment management.
  • Circulating exosomal microRNAs show potential as valuable biomarkers for early AD detection.

Purpose of the Study:

  • To review recent advancements in detecting Alzheimer's disease-related exosomal microRNAs.
  • To summarize the application of microfluidic devices for biomarker detection in AD.
  • To address challenges in novel exosomal microRNA isolation and detection technologies.

Main Methods:

  • Review of electrochemical, fluorescent, and Surface Plasmon Resonance (SPR) biosensor technologies.
  • Analysis of microfluidic devices for efficient exosome isolation and biomarker detection.
  • Comparison of novel device efficiencies against gold standard methods.

Main Results:

  • Microfluidics enhances the efficiency and reduces the cost of exosome isolation compared to traditional methods.
  • Various biosensor types (electrochemical, fluorescent, SPR) show promise for detecting AD-related exosomal microRNAs.
  • The paper details the pros, cons, and efficiencies of presented devices.

Conclusions:

  • Microfluidic-based biosensors represent a significant advancement for early Alzheimer's disease diagnosis.
  • Exosomal microRNAs are emerging as key biomarkers, with microfluidics improving their detection.
  • Further research is needed to overcome challenges in current isolation and detection technologies.

Related Concept Videos

Overview of Exosomes01:36

Overview of Exosomes

Exosomes are stable, lipid bilayer-enclosed vesicles capable of crossing biological barriers. They can carry a wide range of molecules required for intercellular communication. Once exosomes are released from the cell where they originated, they enter a recipient cell through various pathways such as fusion, receptor-mediated endocytosis, macropinocytosis, and phagocytosis.
Stahl et al. discovered exosomes in 1983, but the exosomes were initially considered waste products released from the...
Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...
Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
Alzheimer Disease ll: Pathophysiology01:23

Alzheimer Disease ll: Pathophysiology

Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...