TY - JOUR PY - 2021// TI - Plasma mir-9-3p and mir-136-3p as potential novel diagnostic biomarkers for experimental and human mild traumatic brain injury JO - International journal of molecular sciences A1 - Das Gupta, Shalini A1 - Ciszek, Robert A1 - Heiskanen, Mette A1 - Lapinlampi, Niina A1 - Kukkonen, Janne A1 - Leinonen, Ville A1 - Puhakka, Noora A1 - Pitkänen, Asla SP - e1563 EP - e1563 VL - 22 IS - 4 N2 - Noninvasive, affordable circulating biomarkers for difficult-to-diagnose mild traumatic brain injury (mTBI) are an unmet medical need. Although blood microRNA (miRNA) levels are reportedly altered after traumatic brain injury (TBI), their diagnostic potential for mTBI remains inconclusive. We hypothesized that acutely altered plasma miRNAs could serve as diagnostic biomarkers both in the lateral fluid percussion injury (FPI) model and clinical mTBI. We performed plasma small RNA-sequencing from adult male Sprague-Dawley rats (n = 31) at 2 days post-TBI, followed by polymerase chain reaction (PCR)-based validation of selected candidates. miR-9a-3p, miR-136-3p, and miR-434-3p were identified as the most promising candidates at 2 days after lateral FPI. Digital droplet PCR (ddPCR) revealed 4.2-, 2.8-, and 4.6-fold elevations in miR-9a-3p, miR-136-3p, and miR-434-3p levels (p < 0.01 for all), respectively, distinguishing rats with mTBI from naïve rats with 100% sensitivity and specificity. DdPCR further identified a subpopulation of mTBI patients with plasma miR-9-3p (n = 7/15) and miR-136-3p (n = 5/15) levels higher than one standard deviation above the control mean at <2 days postinjury. In sTBI patients, plasma miR-9-3p levels were 6.5- and 9.2-fold in comparison to the mTBI and control groups, respectively. Thus, plasma miR-9-3p and miR-136-3p were identified as promising biomarker candidates for mTBI requiring further evaluation in a larger patient population.

Language: en

LA - en SN - 1661-6596 UR - http://dx.doi.org/10.3390/ijms22041563 ID - ref1 ER -