Biomedicines (Jul 2022)

miRNAs and isomiRs: Serum-Based Biomarkers for the Development of Intellectual Disability and Autism Spectrum Disorder in Tuberous Sclerosis Complex

  • Mirte Scheper,
  • Alessia Romagnolo,
  • Zein Mersini Besharat,
  • Anand M. Iyer,
  • Romina Moavero,
  • Christoph Hertzberg,
  • Bernhard Weschke,
  • Kate Riney,
  • Martha Feucht,
  • Theresa Scholl,
  • Borivoj Petrak,
  • Alice Maulisova,
  • Rima Nabbout,
  • Anna C. Jansen,
  • Floor E. Jansen,
  • Lieven Lagae,
  • Malgorzata Urbanska,
  • Elisabetta Ferretti,
  • Aleksandra Tempes,
  • Magdalena Blazejczyk,
  • Jacek Jaworski,
  • David J. Kwiatkowski,
  • Sergiusz Jozwiak,
  • Katarzyna Kotulska,
  • Krzysztof Sadowski,
  • Julita Borkowska,
  • Paolo Curatolo,
  • James D. Mills,
  • Eleonora Aronica,
  • EPISTOP Consortium Members

DOI
https://doi.org/10.3390/biomedicines10081838
Journal volume & issue
Vol. 10, no. 8
p. 1838

Abstract

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Tuberous sclerosis complex (TSC) is a rare multi-system genetic disorder characterized by a high incidence of epilepsy and neuropsychiatric manifestations known as tuberous-sclerosis-associated neuropsychiatric disorders (TANDs), including autism spectrum disorder (ASD) and intellectual disability (ID). MicroRNAs (miRNAs) are small regulatory non-coding RNAs that regulate the expression of more than 60% of all protein-coding genes in humans and have been reported to be dysregulated in several diseases, including TSC. In the current study, RNA sequencing analysis was performed to define the miRNA and isoform (isomiR) expression patterns in serum. A Receiver Operating Characteristic (ROC) curve analysis was used to identify circulating molecular biomarkers, miRNAs, and isomiRs, able to discriminate the development of neuropsychiatric comorbidity, either ASD, ID, or ASD + ID, in patients with TSC. Part of our bioinformatics predictions was verified with RT-qPCR performed on RNA isolated from patients’ serum. Our results support the notion that circulating miRNAs and isomiRs have the potential to aid standard clinical testing in the early risk assessment of ASD and ID development in TSC patients.

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