Diagnostic Value of miR-26b in Schizophrenia

Kong Ling-ming, Zhuang Xiao-li, Zhang Li-yi
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Abstract

Objectives: This study aimed to investigate the diagnostic value of peripheral microRNA (miRNA) expression in schizophrenia (SZ). Methods: By using an Affymetrix array to identify differentially expressed miRNAs in SZ patients; quantitative real-time reverse transcription polymerase chain reaction (qRT-PCR) was used to verify identified microRNA and test major depressive disorder (MDD), generalized anxiety disorder (GAD) and mental retardation (MD) related microRNAs for comparison. Results: The expression levels of miR-1972, miR-26b, miR-4485, miR-4498 and miR-4743 were up-regulated significantly in MDD patients, among which the expression levels of miR-26b, miR-4485 and miR-4743 were also upregulated significantly in GAD patients, and miR-4485 and miR-4743 upregulated in MD patients; The ROC curve of miR-26b in SZ patients showed that its sensitivity and specificity for diagnosis were 0.721 and 0.950 respectively with the area under curve (AUC) being 0.868; the ROC of miR-26b for SZ and MD differentiation showed that its sensitivity and specificity were 0.78 and 0.65 respectively with AUC being 0.765; the ROC of miR-26b for SZ and GAD differentiation showed that its sensitivity and specificity were 0.667 and 0.825 respectively with AUC being 0.802; the ROC of miR-26b for SZ and MDD differentiation showed that its sensitivity and specificity were 0.537 and 0.675 respectively with AUC being 0.629. Conclusions: MiR-26b might have significant diagnostic value for SZ, and probably also serve a significant role in MDD.
miR-26b对精神分裂症的诊断价值
目的:本研究旨在探讨外周微小RNA(miRNA)表达对精神分裂症(SZ)的诊断价值。方法:使用Affymetrix阵列鉴定SZ患者中差异表达的miRNA;使用定量实时逆转录聚合酶链反应(qRT-PCR)来验证已鉴定的微小RNA,并测试重度抑郁障碍(MDD)、广泛性焦虑障碍(GAD)和精神发育迟缓(MD)相关的微小RNA进行比较。结果:MDD患者中miR-1972、miR-26b、miR-4485、miR-4498和miR-4743的表达水平显著上调,其中GAD患者中miR-26b,miR-4485和miR-4743%的表达水平也显著上调,MD患者中miR-4485,miR-4743上调;miR-26b在SZ患者中的ROC曲线显示,其诊断敏感性和特异性分别为0.721和0.950,曲线下面积(AUC)为0.868;miR-26b对SZ和MD分化的ROC显示其敏感性和特异性分别为0.78和0.65,AUC为0.765;miR-26b对SZ和GAD分化的ROC显示其敏感性和特异性分别为0.667和0.825,AUC为0.802;miR-26b对SZ和MDD分化的ROC显示其敏感性和特异性分别为0.537和0.675,AUC为0.629。结论:MiR-26b可能对SZ具有重要的诊断价值,也可能在MDD中发挥重要作用。
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