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Parkinsons Disease-related Circulating microRNA Biomarkers——a Validation Study

  • Parkinson's disease (PD) is the second most common neurodegenerative disease. One of the major challenges in studying this progressive neurological disorder is to identify and develop biomarkers for early detection. Recently, several blood-based microRNA (miRNA) biomarkers for PD have been reported. However, follow-up studies with new, independent cohorts have been rare. Previously, we identified a panel of four circulating miRNA biomarkers for PD (miR-1826, miR-450b-3p, miR-505, and miR-626) with biomarker performance of 91% sensitivity and 100% specificity. However, the expression of miR-450b-3p could not be detected in a new, independent validation set. In our current study, we improved the detection power by including a non-biased pre-amplification step in quantitative real-time PCR (qRT-PCR) and reevaluated the biomarker performance. We found the panel of four PD-related miRNAs achieved the predictive power of 83% sensitivity and 75% specificity in our validation set. This is the first biomarker validation study of PD which showed reproducibility and robustness of plasma-based circulating miRNAs as molecular biomarkers and qRT-PCR as potential diagnostic assay.

    Citation: David Petillo, Stephen Orey, Aik Choon Tan, Lars Forsgren, Sok Kean Khoo. Parkinsons Disease-related Circulating microRNA Biomarkers——a Validation Study[J]. AIMS Medical Science, 2015, 2(1): 7-14. doi: 10.3934/medsci.2015.1.7

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  • Parkinson's disease (PD) is the second most common neurodegenerative disease. One of the major challenges in studying this progressive neurological disorder is to identify and develop biomarkers for early detection. Recently, several blood-based microRNA (miRNA) biomarkers for PD have been reported. However, follow-up studies with new, independent cohorts have been rare. Previously, we identified a panel of four circulating miRNA biomarkers for PD (miR-1826, miR-450b-3p, miR-505, and miR-626) with biomarker performance of 91% sensitivity and 100% specificity. However, the expression of miR-450b-3p could not be detected in a new, independent validation set. In our current study, we improved the detection power by including a non-biased pre-amplification step in quantitative real-time PCR (qRT-PCR) and reevaluated the biomarker performance. We found the panel of four PD-related miRNAs achieved the predictive power of 83% sensitivity and 75% specificity in our validation set. This is the first biomarker validation study of PD which showed reproducibility and robustness of plasma-based circulating miRNAs as molecular biomarkers and qRT-PCR as potential diagnostic assay.


    Table 1. Characteristics of study subjects for PD biomarker validation set.
    PDHealthy ControlsPSPMSA
    PD = Parkinson’s disease; PSP = progressive supranuclear palsy; MSA = multiple system atrophy; M = Male; F = Female
    Sample size
    Age
    Hoehn & Yahr
    16 M 14 F
    69.4 ± 9.0
    2.2 ± 0.7
    3 M 4 F
    72.3± 3.4
    2 M 3 F
    75.2 ± 8.8
    4 ± 1.2
    2 M 2 F
    72.5 ± 17.8
    4.5 ± 1.0
     | Show Table
    DownLoad: CSV
    Table 2. Average ΔΔCT in log2 fold change for miRNA-1826, miR-450b-3p, miR-505, and miR-626.
    CTR MSA PSP
    PD = Parkinson’s disease; CTR = healthy controls; MSA = multiple system atrophy; PSP =progressive supranuclear palsy
    PD miR-1826
    miR-450b-3p
    miR-505
    miR-626
    2.046
    −9.355
    −1.260
    0.326
    1.055
    −2.857
    1.316
    5.125
    −1.613
    −1.920
    −1.067
    3.918
    MSA
    miR-1826
    miR-450b-3p
    miR-505
    miR-626
    1.939
    −3.274
    −1.659
    −15.698
    −1.702
    1.488
    −1.405
    −1.308
    PSP miR-1826
    miR-450b-3
    miR-505
    miR-626
    3.300
    −4.874
    −1.181
    −12.000
     | Show Table
    DownLoad: CSV
    Figure 1. miRNA expression levels of circulating miR-1826 in healthy controls (CTR), Parkinson’s disease (PD), multiple system atrophy (MSA), and progressive supranuclear palsy (PSP) patients. * Statistically significance between groups (P < 0.05).
    Figure 2.miRNA expression levels of circulating miR-450b-3p in healthy controls (CTR), Parkinson’s disease (PD), multiple system atrophy (MSA), and progressive supranuclear palsy (PSP) patients. * Statistically significance between groups (P < 0.05).
    Figure 3.miRNA expression levels of circulating miR-505 in healthy controls (CTR), Parkinson’s disease (PD), multiple system atrophy (MSA), and progressive supranuclear palsy (PSP) patients.
    Figure 4.miRNA expression levels of circulating miR-626 in healthy controls (CTR), Parkinson’s disease (PD), multiple system atrophy (MSA), and progressive supranuclear palsy (PSP) patients.
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    [8] Burgos K, Malenica I, Metpally R, et al. (2014) Profiles of extracellular miRNA in cerebrospinal fluid and serum from patients with Alzheimer's and Parkinson's diseases correlate with disease status and features of pathology. PLoS One 9: e94839. doi: 10.1371/journal.pone.0094839
    [9] Khoo SK, Neuman LA, Forsgren L, et al. (2013) Could miRNA expression changes be a reliable clinical biomarker for Parkinson's disease? Neurodegener Dis Manag 3: 455-465. doi: 10.2217/nmt.13.53
    [10] Kroh EM, Parkin RK, Mitchell PS, et al. (2010) Analysis of circulating microRNA biomarkers in plasma and serum using quantitative reverse transcription-PCR (qRT-PCR). Methods 50: 298-301. doi: 10.1016/j.ymeth.2010.01.032
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