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  4. MicroRNA Profiling Reveals Distinct Signatures in Degenerative Rotator Cuff Pathologies

MicroRNA Profiling Reveals Distinct Signatures in Degenerative Rotator Cuff Pathologies

Journal of Orthopaedic Research, 2020 · DOI: 10.1002/jor.24473 · Published: October 4, 2019

Regenerative MedicineGeneticsOrthopedics

Simple Explanation

This study investigates the role of microRNAs (miRNAs) in shoulder joint disorders, specifically rotator cuff tendinopathy and tears. MicroRNAs are small molecules that regulate gene expression and are involved in inflammatory and fibrotic diseases. The researchers analyzed blood samples from patients with and without shoulder pathologies to identify specific miRNAs associated with these conditions. They then verified the expression of these miRNAs in tendon biopsy samples. The study identified several miRNAs that are progressively deregulated in patients with chronic rotator cuff tendinopathy or degenerative rotator cuff tears. These miRNAs could potentially serve as biomarkers for diagnosing and predicting the progression of these conditions.

Study Duration
2015 to 2018
Participants
14 patients in liquid biopsy study, 11 patients with full-thickness rotator cuff tear and 8 controls in tendon biopsy study
Evidence Level
Level III, case-control study

Key Findings

  • 1
    Six miRNAs (hsa-miR-19b-3p, hsa-miR-192-5p, hsa-miR-25-3p, hsa-miR-19a-3p, hsa-miR-18b-5p, hsa-miR-93-5p) were exclusively repressed in patients with degenerative RCTs compared to controls and chronic tendinopathy.
  • 2
    Six miRNAs (hsa-miR-30a-5p, hsa-miR-324-3p, hsa-miR-210-3p, hsa-miR-140-3p, hsa-miR-425-5p, hsa-miR-222-3p) showed differential expression in both degenerative RCT and chronic tendinopathy serum samples compared to controls.
  • 3
    Candidate miRNAs found to be repressed in serum samples were also significantly repressed in tendon biopsy samples, suggesting a correlation between systemic and local miRNA expression.

Research Summary

This study aimed to identify circulating microRNAs (miRNAs) associated with chronic rotator cuff tendinopathy and degenerative rotator cuff tears (RCTs) to determine their potential as diagnostic tools. The study identified distinct miRNA signatures in serum samples from patients with chronic tendinopathy and degenerative RCTs, with several miRNAs showing progressive deregulation based on the severity of tendon degeneration. The study suggests that these circulating miRNAs, particularly those also found to be repressed in tendon biopsies, have potential as novel diagnostic or prognostic biomarkers for degenerative rotator cuff pathologies.

Practical Implications

Diagnostic Biomarkers

Circulating miRNAs can be used as non-invasive biomarkers for the early diagnosis and prognosis of rotator cuff tendinopathy and tears.

Therapeutic Targets

Specific miRNAs identified in this study can be targeted for therapeutic interventions to modulate inflammation and fibrosis in rotator cuff diseases.

Personalized Medicine

miRNA profiling can help tailor treatment strategies based on individual patient's molecular signatures.

Study Limitations

  • 1
    Small sample size.
  • 2
    Individual genes are usually not controlled by a single miRNA.
  • 3
    Further evaluation needed to understand the ramifications of the identified miRNA species on tendon homeostasis and degeneration.

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