Plasma extracellular vesicles-derived microRNAs provide potential biomarkers in distinguishing between focal cortical

Bocheng Zhou1, Hao Yu1, Chang Liu1

  • 1Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China.

Pediatric Research
|November 2, 2025
PubMed
Abstract

Insights

Researchers identified eight microRNAs (miRNAs) in extracellular vesicles (EVs) that can differentiate focal cortical dysplasia (FCD) subtypes. These circulating miRNAs show promise as non-invasive biomarkers for FCD subtyping, aiding surgical planning and prognosis.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Biomarker Discovery

Background:

  • Focal cortical dysplasia (FCD) requires preoperative pathological information for surgical planning, but non-invasive diagnostic methods are lacking.
  • MicroRNAs (miRNAs) within plasma extracellular vesicles (EVs) are explored as potential biomarkers for FCD subtyping.

Purpose of the Study:

  • To identify specific microRNAs (miRNAs) in plasma extracellular vesicles (EVs) that can distinguish between FCD Type I and FCD Type II.
  • To explore the potential of these miRNAs as non-invasive biomarkers for FCD subtyping.

Main Methods:

  • Analysis of miRNA differential expression in plasma EVs and brain tissues from pediatric FCD patients (FCD Type I and II).
  • Integration of transcriptome data to identify potential miRNA biomarkers and their downstream target genes.
  • Enrichment, protein-protein interaction, and immunohistochemical analyses of target genes.

Main Results:

  • Eight differentially expressed miRNAs common to plasma EVs and brain tissue were identified between FCD Type Ia and IIb.
  • Target genes were enriched in immune-related functions and cytokine-cytokine receptor, p53, and NF-κB signaling pathways.
  • CDKN1A and CD274 proteins were found elevated in FCD IIb lesions compared to FCD Ia.

Conclusions:

  • Differentially expressed miRNAs in extracellular vesicles show potential as non-invasive biomarkers for FCD subtyping.
  • These miRNAs may guide surgical strategies and outcome prediction, particularly for FCD Type II.
  • Investigating EV-mediated immune responses offers insights into FCD pathogenesis and epileptogenic mechanisms.