Evidence map›Paper›PMID 34711961›Full record

ArticleNature neuroscience2021

Circulating miR-181 is a prognostic biomarker for amyotrophic lateral sclerosis.

Iddo Magen, Nancy Sarah Yacovzada, Eran Yanowski, Anna Coenen-Stass, Julian Grosskreutz, Ching-Hua Lu, Linda Greensmith, Andrea Malaspina, Pietro Fratta, Eran Hornstein

Abstract read
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In one paragraph

Article in Nature neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. IsomiR Utility in Amyotrophic Lateral Sclerosis Prognostication.medRxiv : the preprint server for health sciences · 2025
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Iddo Magen *Department of Molecular Genetics, Weizmann Institute of Science, Rehovot, Israel.
Nancy Sarah Yacovzada *Department of Molecular Genetics, Weizmann Institute of Science, Rehovot, Israel.ORCID http://orcid.org/0000-0002-5152-8775
Eran YanowskiDepartment of Molecular Genetics, Weizmann Institute of Science, Rehovot, Israel.
Anna Coenen-StassTranslational Medicine, Merck Healthcare KGaA, Darmstadt, Germany.
Julian GrosskreutzPrecision Neurology, Department of Neurology, University of Lübeck, Lübeck, Germany.
Ching-Hua LuDepartment of Neuromuscular Diseases, University College London, Queen Square Institute of Neurology, London, UK.
Linda GreensmithDepartment of Neuromuscular Diseases, University College London, Queen Square Institute of Neurology, London, UK.
Andrea MalaspinaDepartment of Neuromuscular Diseases, University College London, Queen Square Institute of Neurology, London, UK. a.malaspina@ucl.ac.uk.ORCID http://orcid.org/0000-0002-8020-7567
Pietro FrattaDepartment of Neuromuscular Diseases, University College London, Queen Square Institute of Neurology, London, UK. p.fratta@ucl.ac.uk.ORCID http://orcid.org/0000-0002-8762-8188
Eran HornsteinDepartment of Molecular Genetics, Weizmann Institute of Science, Rehovot, Israel. eran.hornstein@weizmann.ac.il.ORCID http://orcid.org/0000-0002-5534-1924

Funding

Medical Research Council MR/M008606/1Medical Research Council MR/S006508/1Motor Neurone Disease Association FRATTA/JAN15/946-795Motor Neurone Disease Association GREENSMITH/APR15/839-791Motor Neurone Disease Association MALASPINA/APR13/817-791Motor Neurone Disease Association TURNER/OCT15/972-797
6 · The paper itself

Abstract

Amyotrophic lateral sclerosis (ALS) is a relentless neurodegenerative disease of the human motor neuron system, where variability in progression rate limits clinical trial efficacy. Therefore, better prognostication will facilitate therapeutic progress. In this study, we investigated the potential of plasma cell-free microRNAs (miRNAs) as ALS prognostication biomarkers in 252 patients with detailed clinical phenotyping. First, we identified, in a longitudinal cohort, miRNAs whose plasma levels remain stable over the course of disease. Next, we showed that high levels of miR-181, a miRNA enriched in neurons, predicts a greater than two-fold risk of death in independent discovery and replication cohorts (126 and 122 patients, respectively). miR-181 performance is similar to neurofilament light chain (NfL), and when combined together, miR-181 + NfL establish a novel RNA-protein biomarker pair with superior prognostication capacity. Therefore, plasma miR-181 alone and a novel miRNA-protein biomarker approach, based on miR-181 + NfL, boost precision of patient stratification. miR-181-based ALS biomarkers encourage additional validation and might enhance the power of clinical trials.

Indexed as

AgedAmyotrophic Lateral SclerosisAnimalsBiomarkersCohort StudiesFemaleHumansLongitudinal StudiesMaleMiceMicroRNAsMiddle AgedPrognosisBiomarkersMicroRNAsMIrn181 microRNA, human

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.