Evidence map›Paper›PMID 38788066›Full record

ArticleJournal of Alzheimer's disease : JAD2024

Extracellular Vesicle-Enriched miRNA-Biomarkers Show Improved Utility for Detecting Alzheimer's Disease Dementia and Medial Temporal Atrophy.

Yuek Ling Chai, Lea Strohm, Yanan Zhu, Rachel S L Chia, Joyce Ruifen Chong, Danesha Devini Suresh, Li Han Zhou, Heng Phon Too, Saima Hilal, Tomas Radivoyevitch and 3 more

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. ACE2: Friend or Foe in Post-COVID-19 Neurodegeneration?International journal of molecular sciences · 2025
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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

13 authors.

Yuek Ling ChaiDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Kent Ridge, Singapore.
Lea StrohmDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Kent Ridge, Singapore.
Yanan ZhuDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Kent Ridge, Singapore.
Rachel S L ChiaDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Kent Ridge, Singapore.
Joyce Ruifen ChongDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Kent Ridge, Singapore.
Danesha Devini SureshCenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic Lerner Research Institute, Cleveland, OH, USA.
Li Han ZhouMiRXES, Chromos, Biopolis, Singapore.
Heng Phon TooDepartment of Biochemistry, Yong Loo Lin School of Medicine, NUS Centre for Cancer Research (N2CR), National University of Singapore, Kent Ridge, Singapore.
Saima HilalMemory Aging and Cognition Centre, National University Health System, Kent Ridge, Singapore.
Tomas RadivoyevitchQuantitative Health Sciences, Cleveland Clinic Lerner Research Institute, Cleveland, OH, USA.
Edward H KooDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Kent Ridge, Singapore.
Christopher P ChenDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Kent Ridge, Singapore.
Gunnar Heiko Dirk PoplawskiDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Kent Ridge, Singapore.

Funding

Medical Research Council
6 · The paper itself

Abstract

Background: Emerging diagnostic modalities suggest that miRNA profiles within extracellular vesicles (EVs) isolated from peripheral blood specimens may provide a non-invasive diagnostic alternative for dementia and neurodegenerative disorders. Given that EVs confer a protective environment against miRNA enzymatic degradation, the miRNAs enriched in the EV fraction of blood samples could serve as more stable and clinically relevant biomarkers compared to those obtained from serum. Objective: To compare miRNAs isolated from EVs versus serum in blood taken from Alzheimer's disease (AD) dementia patients and control cohorts. Methods: We compared 25 AD patients to 34 individuals who exhibited no cognitive impairments (NCI). Subjects were Singapore residents with Chinese heritage. miRNAs purified from serum versus blood-derived EVs were analyzed for associations with AD dementia and medial temporal atrophy detected by magnetic resonance imaging. Results: Compared to serum-miRNAs, we identified almost twice as many EV-miRNAs associated with AD dementia, and they also correlated more significantly with medial temporal atrophy, a neuroimaging marker of AD-brain pathology. We further developed combination panels of serum-miRNAs and EV-miRNAs with improved performance in identifying AD dementia. Dominant in both panels was miRNA-1290. Conclusions: This data indicates that miRNA profiling from EVs offers diagnostic superiority. This underscores the role of EVs as vectors harboring prognostic biomarkers for neurodegenerative disorders and suggests their potential in yielding novel biomarkers for AD diagnosis.

Indexed as

Alzheimer DiseaseAtrophyBiomarkersExtracellular VesiclesMicroRNAsTemporal LobeAgedAged, 80 and overFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedBiomarkersMicroRNAsAlzheimer’s diseaseblood biomarkerdementiadiagnosisextracellular vesiclemedial temporal atrophymicroRNA

Identifiers

PMID38788066
PMCPMC11191453

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Registered trials

None linked

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.