CircRNA-miRNA-mRNA networks in plasma extracellular vesicles as biomarkers for first-onset schizophrenia

Xinzhe Du1,2, Wei Hu3, Xinrong Li1

  • 1Department of Psychiatry, First Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, China.

BMC Psychiatry
|July 9, 2025
PubMed
Abstract

Insights

This study reveals novel circular RNA-microRNA-messenger RNA networks in extracellular vesicles for first-onset schizophrenia (FOS). These networks show promise as diagnostic biomarkers for FOS, outperforming individual molecule detection.

Area of Science:

  • Molecular biology
  • Genomics
  • Biomarker discovery

Background:

  • Extracellular vesicles (EVs) and their molecular cargo are increasingly recognized in neurological disorders.
  • CircRNA-miRNA-mRNA interactions are crucial in gene regulation but remain underexplored in first-onset schizophrenia (FOS) EVs.

Purpose of the Study:

  • To construct and analyze circRNA-miRNA-mRNA networks in EVs from individuals with FOS.
  • To evaluate the diagnostic efficiency of these networks for FOS.

Main Methods:

  • High-throughput sequencing of circRNAs, miRNAs, and mRNAs from plasma EVs of FOS patients and healthy controls.
  • Construction of circRNA-miRNA-mRNA networks based on differential expression and predicted interactions.
  • Validation of gene expression using quantitative real-time PCR and diagnostic efficacy assessment via ROC curve analysis.

Main Results:

  • Identified extensive differentially expressed circRNAs, miRNAs, and mRNAs in FOS patient EVs.
  • Constructed comprehensive circRNA-miRNA-mRNA networks, highlighting key regulatory interactions.
  • The integrated network demonstrated superior diagnostic accuracy for FOS compared to individual molecular types, with EV-derived mRNA showing higher efficacy than peripheral blood mRNA.

Conclusions:

  • Established circRNA-miRNA-mRNA networks within plasma EVs as a potential diagnostic biomarker signature for FOS.
  • Specific network components correlate with clinical severity, suggesting their utility in disease monitoring.