학술논문

Development of circulating microRNA-based biomarkers for medical decision-making: a friendly reminder of what should NOT be done.
Document Type
Article
Source
Critical Reviews in Clinical Laboratory Sciences. Mar2023, Vol. 60 Issue 2, p141-152. 12p.
Subject
*BIOMARKERS
*MICRORNA
*RNA
*BLOOD collection
*GENE expression
*EXTRACELLULAR space
*DECISION making in clinical medicine
*COLLECTION & preservation of biological specimens
*NUCLEIC acids
*BLOOD
RESEARCH evaluation
Language
ISSN
1040-8363
Abstract
Circulating cell-free microRNAs (miRNAs) represent a major reservoir for biomarker discovery. Unfortunately, their implementation in clinical practice is limited due to a profound lack of reproducibility. The great technical variability linked to major pre-analytical and analytical caveats makes the interpretation of circulating cell-free miRNA data challenging and leads to inconsistent findings. Additional efforts directed to standardization are fundamental. Several well-established protocols are currently used by independent groups worldwide. Nonetheless, there are some specific aspects in specimen collection and processing, sample handling, miRNA quantification, and data analysis that should be considered to ensure reproducibility of results. Here, we have addressed this challenge using an alternative approach. We have highlighted and discussed common pitfalls that negatively impact the robustness of circulating miRNA quantification and their application for clinical decision-making. Furthermore, we provide a checklist usable by investigators to facilitate and ensure the control of the whole miRNA quantification and analytical process. We expect that these recommendations improve the reproducibility of findings, and ultimately, facilitate the incorporation of circulating miRNA profiles into clinical practice as the next generation of disease biomarkers. [ABSTRACT FROM AUTHOR]