Evidence map›Paper›PMID 40988736›Full record

ArticleFrontiers in medicine2025

Gastric juice MicroRNAs as biomarkers for functional dyspepsia: an observational case-control study.

Radu A Farcas, Teodora Surdea-Blaga, Ştefan Popa, Flaviu Rusu, Alexandra Chira, Cristina Sabo, Vlad-Ionuţ Nechita, Liviuţa Budişan, Oana Zanoaga, Ioana Berindan-Neagoe and 2 more

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Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Radu A Farcas2nd Department of Internal Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Teodora Surdea-Blaga2nd Department of Internal Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Ştefan Popa2nd Department of Internal Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Flaviu Rusu2nd Department of Internal Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Alexandra Chira2nd Department of Internal Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Cristina Sabo2nd Department of Internal Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Vlad-Ionuţ NechitaDepartment of Medical Education - Medical Informatics and Biostatistics, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Liviuţa BudişanGenomics Department, MEDFUTURE Institute of Biomedical Research, Iuliu-Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Oana ZanoagaGenomics Department, MEDFUTURE Institute of Biomedical Research, Iuliu-Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Ioana Berindan-NeagoeGenomics Department, MEDFUTURE Institute of Biomedical Research, Iuliu-Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Ştefan StrilciucGenomics Department, MEDFUTURE Institute of Biomedical Research, Iuliu-Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Dan L DumitrascuGenomics Department, MEDFUTURE Institute of Biomedical Research, Iuliu-Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: MicroRNAs (miRNAs, miRs) are stable RNA molecules that regulate gene expression and hold promise as biomarkers. Functional dyspepsia (FD), a complex gastrointestinal disorder, is characterized by motility dysfunction, visceral hypersensitivity, and gut microbiome alterations. Given the limitations of current diagnostic markers, miRNAs may offer novel insights for diagnosis and risk stratification. Methods: We conducted an observational case-control study involving 28 FD patients (14 with epigastric pain syndrome [EPS], 14 with postprandial distress syndrome [PDS]) and 22 healthy controls (HC). All subjects underwent gastroscopy with gastric juice collection. Quantitative real-time PCR was used to measure levels of selected miRNAs (miR-21-5p, miR-155-5p, miR-203a) in gastric fluid, with miR-16 and U6 as endogenous controls. Fold-change in miRNA expression was calculated. We compared miRNA levels between groups and between FD subtypes and assessed correlations with symptom severity (using the Functional Dyspepsia Symptom Diary scores). Statistical significance was determined by non-parametric tests, with Results: Gastric juice miR-21-5p was significantly elevated in FD patients compared to controls (FD: 19.98 ± 91.56 fold-change vs. HC: 2.63 ± 3.30 fold-change Conclusion: FD patients might have altered gastric juice miRNA profiles, notably an upregulation of miR-21, and distinctive differences between PDS and EPS subtypes. The PDS subtype is characterized by a high-miR-21 and miR-155 and low-miR-203 signature, whereas the opposite pattern is observed in EPS. These miRNA alterations align with the symptomatology of FD subtypes and may reflect underlying pathophysiological differences. Gastric juice miRNAs could serve as minimally invasive biomarkers for FD, aiding in differentiating functional subgroups and potentially guiding targeted therapies. Further studies are warranted to confirm this findings and establish their diagnostic utility and role in FD pathogenesis.

Indexed as

biomarkerepigastric pain syndromefunctional dyspepsiamicroRNAsmiRpostprandial distress syndrome

Identifiers

PMID40988736
PMCPMC12450937

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