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非编码RNA作为莱什曼病和查加斯病的新兴生物标志物
Eduardo Ramos Juárez1, Eduardo Pérez-Campos Mayoral2, Laura Pérez-Campos Mayoral2
1División de Estudios de Posgrado e Investigación, Tecnológico Nacional de Mexico/Instituto Tecnológico de Oaxaca, Oaxaca 68030, Mexico.
Tropical medicine and infectious disease
|November 26, 2025
概括
非编码RNAs (ncRNAs) 在诊断被忽视的热带疾病 (如莱什曼病和查加斯病) 的生物标志物方面表现有前途. 虽然一些ncRNA精确检测莱什曼病感染,但其他ncRNA有助于评估查加斯病的严重程度和心脏并发症.
科学领域:
- 分子生物学分子生物学
- 寄生虫学的寄生虫学
- 生物标志物发现发现
背景情况:
- 莱什曼病和查加斯病是被忽视的热带疾病,对全球健康产生重大影响.
- 目前的诊断工具有限,这些疾病的治疗方法有毒.
- 非编码RNAs (ncRNAs) 由寄生虫释放,并调节宿主-病原体相互作用.
研究的目的:
- 审查并建议使用ncRNAs作为莱什曼病和查加斯病的诊断标记.
- 根据2010年至2024年间发表的研究来评估ncRNAs的诊断潜力.
- 为了区分ncRNAs用于感染诊断与疾病严重程度评估.
主要方法:
- 来自PubMed,Scopus和谷歌学者 (2010-2024) 的研究的叙事综述.
- 使用SANRA尺度对研究质量的评估.
- 对ncRNA表达特征的分析,包括微RNA (miRNA) 和长非编码RNA (lncRNA).
主要成果:
- 独特的miRNA配置文件 (例如,miR-155-5p) 显示了莱什曼病感染的高诊断准确性 (AUC高达1.0).
- 血清lncRNAs (MALAT1,NUTM2A-AS1) 显示可能用于莱什曼病诊断,等待验证.
- 主体miRNAs (例如,miR-21,miR-146a/b) 与慢性查加斯病的心脏参与相关,对心肌病的诊断灵敏度和特异性适度.
结论:
- 改变的ncRNA表达特征是莱什曼病和查加斯病诊断的有希望的生物标志物.
- ncRNAs可以帮助分类物种,治疗监测和评估查加斯病中的心脏并发症.
- 需要进一步的临床验证,特别是对于莱什曼病中的lncRNAs和早期查加斯感染中的ncRNAs.
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