Osteoporosis, bone & mineral

Circulating Micro-RNAs in Patients With Hypophosphatasia: Results of the First Micro-RNA Analysis in Hypophosphatasia (HPP)

J Clin Endocrinol MetabPublished Case-control biomarker discovery study

Authors' conclusion

These findings highlight a profound involvement of multiple organ systems and the potential of miRNAs as biomarkers for the effect of HPP on various systems.

Study context

Population
Adults with HPP
Participants
24 vs 24
Comparison
Adult HPP patients vs healthy controls
  • HPPn = 24
  • Controls (CTRL)n = 24reference
Outcome
Circulating cell-free miRNA profiles and associations with clinical characteristics
Methodological detailsuntargeted miRNA discovery by small RNA-sequencing, RT-qualitative PCR validation
  • Untargeted miRNA discovery by small RNA-sequencing
  • RT-qualitative PCR validation

Main finding

As reported in the abstract

Circulating miRNAs, HPP vs CTRL

MicroRNAs (miRNAs) significantly differently expressed between HPP and CTRL by next-generation sequencing (P < .05)

84

miRNAs selected for RT-qualitative PCR validation

14

Selected miRNAs verified by RT-qualitative PCR (P < .05): miR-122-3p, miR-140-5p, miR-143-3p, miR-155-5p, miR-451a, miR-92a-3p

6 of 14

Observational data: associations, not effects.

Further findings

Age

P = 0.980

Females

P = 1.000

Correlations of miRNAs with biochemical markers

miRNAs correlated with alkaline phosphatase levels
37
miRNAs correlated with pyridoxal-5'-phosphate
3

Clinical characteristics of HPP patients

Musculoskeletal pain
91%
Diffuse neurological symptoms
41%
History of fractures
64%

Original publication

Circulating Micro-RNAs in Patients With Hypophosphatasia: Results of the First Micro-RNA Analysis in HPP. J Clin Endocrinol Metab. Published 11 February 2025. doi:10.1210/clinem/dgaf080

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