Evidence map›Paper›PMID 40908688›Full record

ArticleCurrent reviews in clinical and experimental pharmacology2025

MicroRNAs as Biomarkers and Therapeutic Targets in Treatment-Resistant Depression: Unveiling Diagnostic and Treatment Pathways.

Alaa A A Aljabali, Almuthanna Alkaraki, Omar Gammoh, Esam Qnais, Abdelrahim Alqudah, Walhan Alshaer, Vijay Mishra, Yachana Mishra, Mohamed El-Tanani

Abstract read
In one paragraph

Article in Current reviews in clinical and experimental pharmacology, 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

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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Alaa A A AljabaliFaculty of Pharmacy, Department of Pharmaceutics and Pharmaceutical Technology, Yarmouk University, Irbid 21163, Jordan.ORCID 0000-0002-9519-6338
Almuthanna AlkarakiDepartment of Biological Sciences, Faculty of Science, Yarmouk University, Irbid 21163, Jordan.
Omar GammohDepartment of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Yarmouk University, PO BOX 566, Irbid, 21163, Jordan.
Esam QnaisDepartment of Biology and Biotechnology, Faculty of Science, The Hashemite University, Zarqa, Jordan.
Abdelrahim AlqudahDepartment of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmaceutical Sciences, The Hashemite University, Zarqa 13133, Jordan.
Walhan AlshaerCell Therapy Center, University of Jordan, Amman, Jordan.
Vijay MishraSchool of Pharmaceutical Sciences, Lovely Professional University, Phagwara (Punjab) 144411, India.
Yachana MishraSchool of Bioengineering and Biosciences, Lovely Professional University, Phagwara (Punjab) 144411, India.
Mohamed El-TananiCollege of Pharmacy, Ras Al Khaimah Medical and Health Sciences University, Ras Al Khaimah, UAE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTreatment-Resistant Depression (TRD) is a complex clinical condition characterized by inadequate response to conventional antidepressant treatments. There is growing evidence that microRNAs (miRNAs) play a role in the underlying pathophysiology of TRD and may offer new avenues for diagnostics and therapy.

methodsA structured literature review of peer-reviewed publications indexed in PubMed, Scopus, and Web of Science was conducted. The search strategy included combinations of keywords such as "treatment- resistant depression," "microRNAs," "biomarkers," and "miRNA-based interventions." Articles were selected based on relevance to miRNA expression patterns in TRD, therapeutic modulation, and their clinical potential.

resultsDysregulation of several miRNAs-including miR-135a, miR-34a, and miR-155-was consistently observed in patients with TRD. These miRNAs were linked to impaired synaptic plasticity and persistent neuroinflammation. Therapeutic approaches using miRNA mimics or inhibitors showed potential in restoring neurobiological balance and enhancing response to traditional antidepressants. However, delivery system limitations and blood-brain barrier penetration remain significant challenges. DISCUSSION: miRNAs appear to play a dual role in TRD, serving both as biomarkers for diagnosis and as targets for novel therapies. Integrating miRNA profiling into clinical workflows could enhance diagnostic precision and guide individualized treatment strategies. Translational barriers, such as delivery specificity and standardization of detection protocols, must be addressed before the widespread clinical application of this technology.

conclusionThis review highlights miRNAs as promising diagnostic and therapeutic tools in TRD. Continued advancements in delivery systems and validation of biomarker panels may pave the way for their clinical implementation in personalized psychiatry.

Indexed as

antidepressant resistance.biomarkersMicroRNAs (miRNAs)miRNA-based therapeuticsneuroinflammationprecision psychiatryTreatment-resistant depression (TRD)

Identifiers

PMID40908688
PMCPMC13625035

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.