Evidence map›Paper›PMID 40413304›Full record

ArticleMolecular neurobiology2025

Circulating Neuronal Exosome Cargo as Biomarkers of Neuroplasticity in Cushing's Syndrome.

Marica Pagliarini, Loretta Guidi, Caterina Ciacci, Roberta Saltarelli, Monia Orciani, Marianna Martino, Maria Cristina Albertini, Giorgio Arnaldi, Patrizia Ambrogini

Abstract read
In one paragraph

Article in Molecular neurobiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Marica PagliariniDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, 61029, Urbino, Italy.
Loretta GuidiDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, 61029, Urbino, Italy.
Caterina CiacciDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, 61029, Urbino, Italy.
Roberta SaltarelliDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, 61029, Urbino, Italy.
Monia OrcianiDepartment of Clinical and Molecular Sciences-Histology, School of Medicine, University "Politecnica Delle Marche", 60126, Ancona, Italy.
Marianna MartinoDepartment of Clinical and Molecular Sciences-Division of Endocrinology and Metabolic Diseases, (DISCLIMO), University "Politecnica Delle Marche", 60126, Ancona, Italy.
Maria Cristina AlbertiniDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, 61029, Urbino, Italy.
Giorgio ArnaldiDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G. D'Alessandro" (PROMISE), University of Palermo, 90127, Palermo, Italy.
Patrizia AmbroginiDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, 61029, Urbino, Italy. patrizia.ambrogini@uniurb.it.

Funding

European Union - NextGenerationEU within the framework of PNNR Mission 4 - Component 2 - Investment 1.1 under the Italian Ministry of University and Research (MUR) programme "PRIN 2022" 2022XF7XZF
6 · The paper itself

Abstract

The hippocampus is the main target of glucocorticoids (GCs) in the brain since it contains the greatest concentration of the specific receptors. GCs are among the factors modulating adult hippocampal neurogenesis (AHN), which occurs in mammalians, including humans. Prolonged exposure to high GC levels triggers AHN impairment and induces affective and cognitive deficits, consistently with hippocampal neurogenesis functions. Cushing's syndrome (CS) is a rare endocrine disorder characterized by persistently elevated GC levels, namely, cortisol, that also results in affective disorders and impairment of hippocampus-associated memory, suggesting a disruption of hippocampal neurogenesis. Players of adult neurogenesis process, such as Neural Stem/Progenitor Cells and differentiating neuronal cells, release exosomes able to cross brain blood barrier, reaching the peripheral blood. MicroRNAs are known to be selectively enriched in neuronal exosomes and to play a crucial role in adult neurogenesis regulation. The main question addressed in this exploratory study was whether neuroplasticity-related microRNAs (miRNAs), carried by neuronal-derived exosomes in peripheral blood, could reflect alterations in neurogenic processes associated with Cushing's syndrome. Hence, in the present work, we measured the content in selected miRNAs of neuronally derived exosomes in peripheral blood of patients affected by endogenous and active CS and age and sex-matched healthy subjects. The human miRNAs (miR-126, miR-9, miR-223, miR-34a, miR-124a, and miR-146a) were quantified by RT-qPCR. All the miRNAs analyzed were significantly differentially expressed in CS patients as compared to healthy subjects. Our findings support the following: (i) patients with Cushing's syndrome (CS) may exhibit a putative dysregulation of neurogenesis that could underlie the early-onset impairment of affective and cognitive functions; (ii) the exosomal cargo may represent a potential biomarker for monitoring functional and dysfunctional neuroplasticity processes in adult humans. Additional studies are needed to confirm and expand upon the findings across a wider cohort of patients.

Indexed as

Cushing SyndromeExosomesNeuronal PlasticityNeuronsAdultBiomarkersFemaleHippocampusHumansMaleMicroRNAsMiddle AgedNeurogenesisBiomarkersMicroRNAsAdult neurogenesisCirculating biomarkersGlucocorticoidsMicroRNAsNeuronal exosomes

Identifiers

PMID40413304
PMCPMC12433352

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