MiR-503-5p as a potential biomarker for deep venous thrombosis (DVT) in multiple myeloma (MM) and its role in disease

Yifei Guo1, Lixiang Yan1, Xi Yang1

  • 1Department of Hematology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, No. 88, Changling road, Xiqing District, 300380, China.

Annals of Hematology
|November 21, 2025
PubMed

Insights

MicroRNA-503-5p (miR-503-5p) is elevated in multiple myeloma (MM) patients with deep vein thrombosis (DVT). This microRNA may serve as a predictive biomarker for DVT in MM, potentially by targeting WNT3A and affecting vein endothelial cells.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Deep vein thrombosis (DVT) adversely affects multiple myeloma (MM) patient prognosis.
  • Identifying reliable biomarkers for DVT in MM is critical for improving clinical outcomes.

Purpose of the Study:

  • To evaluate the predictive value of miR-503-5p for DVT in MM patients.
  • To explore the underlying mechanisms by which miR-503-5p influences DVT development in MM.

Main Methods:

  • Serum samples from MM patients with and without DVT were analyzed for miR-503-5p expression.
  • Receiver Operating Characteristic (ROC) and Kaplan-Meier curves were used for predictive analysis.
  • In vitro studies using human umbilical vein endothelial cells (HUVECs) exposed to MM serum investigated mechanistic pathways, including cell viability, oxidative stress, and expression of IL-6, TNF-α, TF, and TM.

Main Results:

  • MiR-503-5p was significantly upregulated in MM patients with DVT, showing high predictive value.
  • Upregulated miR-503-5p promoted HUVEC viability reduction, increased IL-6, TNF-α, and TF expression, enhanced oxidative stress, and decreased TM expression.
  • WNT3A was identified as a direct target of miR-503-5p, with its downregulation mediating miR-503-5p's effects on HUVECs.

Conclusions:

  • MiR-503-5p is a potential biomarker for predicting DVT in MM patients.
  • MiR-503-5p may promote thrombosis in MM by targeting WNT3A and impacting vein endothelial cells.