Exosomal microRNA from Plasma in Patients with Pseudoexfoliation Glaucoma of Korea

Hyo Jung An1,2, Dae Hyun Song1,2, Changwon Kee3

  • 1Department of Pathology, Gyeongsang National University Changwon Hospital, School of Medicine, Gyeongsang National University, Changwon 51472, Republic of Korea.

Insights

Exosomes in plasma reveal distinct microRNA (miRNA) profiles in pseudoexfoliation (PEX) glaucoma patients. These findings suggest specific miRNAs may play a role in PEX glaucoma pathogenesis and serve as diagnostic markers.

Area of Science:

  • Ophthalmology
  • Molecular Biology
  • Genetics

Background:

  • Pseudoexfoliation (PEX) glaucoma is a common condition characterized by the accumulation of fibrillar material in ocular tissues.
  • MicroRNAs (miRNAs) are small non-coding RNA molecules that regulate gene expression and are implicated in various diseases.
  • Exosomes are small extracellular vesicles that carry biomolecules, including miRNAs, and can be found in bodily fluids like plasma.

Purpose of the Study:

  • To investigate the differential expression of exosomal microRNAs (miRNAs) in the plasma of patients with pseudoexfoliation (PEX) glaucoma compared to healthy controls.
  • To identify specific miRNAs and associated pathways that may be involved in the pathogenesis of PEX glaucoma.

Main Methods:

  • Plasma samples were collected from 7 PEX glaucoma patients and 7 age-matched controls.
  • Exosomes were isolated from plasma using the Exoquick-TC kit.
  • RNA sequencing was performed on exosomal RNA to profile miRNA expression.
  • Bioinformatic analyses were conducted to identify differentially expressed miRNAs and their associated pathways and targets.

Main Results:

  • A total of 330 mature miRNAs were detected in exosomes from PEX glaucoma participants.
  • Three miRNAs (hsa-miR-92b-5p, hsa-miR-744-5p, hsa-miR-148b-3p) were significantly upregulated in PEX glaucoma patients.
  • Sixty-six miRNAs were significantly downregulated in PEX glaucoma patients compared to controls (all p < 0.05).
  • The most prominent Gene Ontology (GO) category associated with these altered miRNAs was neurogenesis.

Conclusions:

  • Significant differences in exosomal miRNA expression exist between PEX glaucoma patients and controls.
  • Specific upregulated and downregulated miRNAs, particularly those related to neurogenesis, may contribute to the pathogenic mechanisms of PEX glaucoma.
  • Exosomal miRNAs in plasma show potential as diagnostic biomarkers for PEX glaucoma.