Circulating microRNAs as novel biomarkers for bone diseases – Complex signatures for multifactorial diseases?

Biomarkers are essential tools in clinical research and practice. Useful biomarkers must combine good measurability, validated association with biological processes or outcomes, and should support clinical decision making if used in clinical practice. Several types of validated biomarkers have been...

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Published inMolecular and cellular endocrinology Vol. 432; pp. 83 - 95
Main Authors Hackl, Matthias, Heilmeier, Ursula, Weilner, Sylvia, Grillari, Johannes
Format Journal Article
LanguageEnglish
Published Ireland Elsevier Ireland Ltd 05.09.2016
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Online AccessGet full text
ISSN0303-7207
1872-8057
1872-8057
DOI10.1016/j.mce.2015.10.015

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Abstract Biomarkers are essential tools in clinical research and practice. Useful biomarkers must combine good measurability, validated association with biological processes or outcomes, and should support clinical decision making if used in clinical practice. Several types of validated biomarkers have been reported in the context of bone diseases. However, because these biomarkers face certain limitations there is an interest in the identification of novel biomarkers for bone diseases, specifically in those that are tightly linked to the disease pathology leading to increased fracture-risk. MicroRNAs (miRNAs) are the most abundant RNA species to be found in cell-free blood. Encapsulated within microvesicles or bound to proteins, circulating miRNAs are remarkably stable analytes that can be measured using gold-standard technologies such as quantitative polymerase-chain-reaction (qPCR). Nevertheless, the analysis of circulating miRNAs faces several pre-analytical as well as analytical challenges. From a biological view, there is accumulating evidence that miRNAs play essential roles in the regulation of various biological processes including bone homeostasis. Moreover, specific changes in miRNA transcription levels or miRNA secretory levels have been linked to the development and progression of certain bone diseases. Only recently, results from circulating miRNAs analysis in patients with osteopenia, osteoporosis and fragility fractures have been reported. By comparing these findings to studies on circulating miRNAs in cellular senescence and aging or muscle physiology and sarcopenia, several overlaps were observed. This suggests that signatures observed during osteoporosis might not be specific to the pathophysiology in bone, but rather integrate information from several tissue types. Despite these promising first data, more work remains to be done until circulating miRNAs can serve as established and robust diagnostic tools for bone diseases in clinical research, clinical routine and in personalized medicine. •Circulating microRNAs meet the three key criteria of valuable biomarkers: measurability, validation and utility.•The analysis of circulating miRNAs is rapidly advancing and clinical applications are on the verge of becoming reality.•Careful pre-analytical planning and standardized protocols are required to generate bias-free and reproducible data.•Several studies have addressed the utility of circulating miRNAs as biomarkers in bone and other multifactorial diseases.•MicroRNA signatures could reflect skeletal as well as non-skeletal risk factors and accurately predict fracture-risk.
AbstractList Biomarkers are essential tools in clinical research and practice. Useful biomarkers must combine good measurability, validated association with biological processes or outcomes, and should support clinical decision making if used in clinical practice. Several types of validated biomarkers have been reported in the context of bone diseases. However, because these biomarkers face certain limitations there is an interest in the identification of novel biomarkers for bone diseases, specifically in those that are tightly linked to the disease pathology leading to increased fracture-risk. MicroRNAs (miRNAs) are the most abundant RNA species to be found in cell-free blood. Encapsulated within microvesicles or bound to proteins, circulating miRNAs are remarkably stable analytes that can be measured using gold-standard technologies such as quantitative polymerase-chain-reaction (qPCR). Nevertheless, the analysis of circulating miRNAs faces several pre-analytical as well as analytical challenges. From a biological view, there is accumulating evidence that miRNAs play essential roles in the regulation of various biological processes including bone homeostasis. Moreover, specific changes in miRNA transcription levels or miRNA secretory levels have been linked to the development and progression of certain bone diseases. Only recently, results from circulating miRNAs analysis in patients with osteopenia, osteoporosis and fragility fractures have been reported. By comparing these findings to studies on circulating miRNAs in cellular senescence and aging or muscle physiology and sarcopenia, several overlaps were observed. This suggests that signatures observed during osteoporosis might not be specific to the pathophysiology in bone, but rather integrate information from several tissue types. Despite these promising first data, more work remains to be done until circulating miRNAs can serve as established and robust diagnostic tools for bone diseases in clinical research, clinical routine and in personalized medicine.
Biomarkers are essential tools in clinical research and practice. Useful biomarkers must combine good measurability, validated association with biological processes or outcomes, and should support clinical decision making if used in clinical practice. Several types of validated biomarkers have been reported in the context of bone diseases. However, because these biomarkers face certain limitations there is an interest in the identification of novel biomarkers for bone diseases, specifically in those that are tightly linked to the disease pathology leading to increased fracture-risk. MicroRNAs (miRNAs) are the most abundant RNA species to be found in cell-free blood. Encapsulated within microvesicles or bound to proteins, circulating miRNAs are remarkably stable analytes that can be measured using gold-standard technologies such as quantitative polymerase-chain-reaction (qPCR). Nevertheless, the analysis of circulating miRNAs faces several pre-analytical as well as analytical challenges. From a biological view, there is accumulating evidence that miRNAs play essential roles in the regulation of various biological processes including bone homeostasis. Moreover, specific changes in miRNA transcription levels or miRNA secretory levels have been linked to the development and progression of certain bone diseases. Only recently, results from circulating miRNAs analysis in patients with osteopenia, osteoporosis and fragility fractures have been reported. By comparing these findings to studies on circulating miRNAs in cellular senescence and aging or muscle physiology and sarcopenia, several overlaps were observed. This suggests that signatures observed during osteoporosis might not be specific to the pathophysiology in bone, but rather integrate information from several tissue types. Despite these promising first data, more work remains to be done until circulating miRNAs can serve as established and robust diagnostic tools for bone diseases in clinical research, clinical routine and in personalized medicine. •Circulating microRNAs meet the three key criteria of valuable biomarkers: measurability, validation and utility.•The analysis of circulating miRNAs is rapidly advancing and clinical applications are on the verge of becoming reality.•Careful pre-analytical planning and standardized protocols are required to generate bias-free and reproducible data.•Several studies have addressed the utility of circulating miRNAs as biomarkers in bone and other multifactorial diseases.•MicroRNA signatures could reflect skeletal as well as non-skeletal risk factors and accurately predict fracture-risk.
Biomarkers are essential tools in clinical research and practice. Useful biomarkers must combine good measurability, validated association with biological processes or outcomes, and should support clinical decision making if used in clinical practice. Several types of validated biomarkers have been reported in the context of bone diseases. However, because these biomarkers face certain limitations there is an interest in the identification of novel biomarkers for bone diseases, specifically in those that are tightly linked to the disease pathology leading to increased fracture-risk. MicroRNAs (miRNAs) are the most abundant RNA species to be found in cell-free blood. Encapsulated within microvesicles or bound to proteins, circulating miRNAs are remarkably stable analytes that can be measured using gold-standard technologies such as quantitative polymerase-chain-reaction (qPCR). Nevertheless, the analysis of circulating miRNAs faces several pre-analytical as well as analytical challenges. From a biological view, there is accumulating evidence that miRNAs play essential roles in the regulation of various biological processes including bone homeostasis. Moreover, specific changes in miRNA transcription levels or miRNA secretory levels have been linked to the development and progression of certain bone diseases. Only recently, results from circulating miRNAs analysis in patients with osteopenia, osteoporosis and fragility fractures have been reported. By comparing these findings to studies on circulating miRNAs in cellular senescence and aging or muscle physiology and sarcopenia, several overlaps were observed. This suggests that signatures observed during osteoporosis might not be specific to the pathophysiology in bone, but rather integrate information from several tissue types. Despite these promising first data, more work remains to be done until circulating miRNAs can serve as established and robust diagnostic tools for bone diseases in clinical research, clinical routine and in personalized medicine.Biomarkers are essential tools in clinical research and practice. Useful biomarkers must combine good measurability, validated association with biological processes or outcomes, and should support clinical decision making if used in clinical practice. Several types of validated biomarkers have been reported in the context of bone diseases. However, because these biomarkers face certain limitations there is an interest in the identification of novel biomarkers for bone diseases, specifically in those that are tightly linked to the disease pathology leading to increased fracture-risk. MicroRNAs (miRNAs) are the most abundant RNA species to be found in cell-free blood. Encapsulated within microvesicles or bound to proteins, circulating miRNAs are remarkably stable analytes that can be measured using gold-standard technologies such as quantitative polymerase-chain-reaction (qPCR). Nevertheless, the analysis of circulating miRNAs faces several pre-analytical as well as analytical challenges. From a biological view, there is accumulating evidence that miRNAs play essential roles in the regulation of various biological processes including bone homeostasis. Moreover, specific changes in miRNA transcription levels or miRNA secretory levels have been linked to the development and progression of certain bone diseases. Only recently, results from circulating miRNAs analysis in patients with osteopenia, osteoporosis and fragility fractures have been reported. By comparing these findings to studies on circulating miRNAs in cellular senescence and aging or muscle physiology and sarcopenia, several overlaps were observed. This suggests that signatures observed during osteoporosis might not be specific to the pathophysiology in bone, but rather integrate information from several tissue types. Despite these promising first data, more work remains to be done until circulating miRNAs can serve as established and robust diagnostic tools for bone diseases in clinical research, clinical routine and in personalized medicine.
Author Heilmeier, Ursula
Grillari, Johannes
Weilner, Sylvia
Hackl, Matthias
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  surname: Hackl
  fullname: Hackl, Matthias
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– sequence: 2
  givenname: Ursula
  surname: Heilmeier
  fullname: Heilmeier, Ursula
  organization: Musculoskeletal Quantitative Imaging Research Group, Department of Radiology & Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA
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  fullname: Weilner, Sylvia
  organization: Evercyte GmbH, 1190 Vienna, Austria
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  givenname: Johannes
  surname: Grillari
  fullname: Grillari, Johannes
  email: johannes.grillari@boku.ac.at
  organization: Evercyte GmbH, 1190 Vienna, Austria
BackLink https://www.ncbi.nlm.nih.gov/pubmed/26525415$$D View this record in MEDLINE/PubMed
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ISSN 0303-7207
1872-8057
IngestDate Thu Sep 04 22:25:03 EDT 2025
Fri Sep 05 06:16:03 EDT 2025
Fri Sep 05 08:33:54 EDT 2025
Fri Sep 05 14:56:59 EDT 2025
Wed Feb 19 02:42:45 EST 2025
Tue Jul 01 03:48:36 EDT 2025
Thu Apr 24 23:06:13 EDT 2025
Fri Feb 23 02:20:28 EST 2024
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Keywords Biomarkers
Aging
Osteoporosis
Sarcopenia
Bone disease
Circulating microRNA
Language English
License This is an open access article under the CC BY-NC-ND license.
Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.
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PublicationTitle Molecular and cellular endocrinology
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Snippet Biomarkers are essential tools in clinical research and practice. Useful biomarkers must combine good measurability, validated association with biological...
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SubjectTerms Aging
Animals
Biological activity
Biomarkers
Biomarkers - blood
blood
Bone disease
Bone Diseases - blood
Bones
cell senescence
Cellular
Circulating microRNA
Circulating MicroRNA - blood
decision making
Diseases
homeostasis
Humans
medicine
microRNA
Models, Biological
Multifactorial Inheritance
muscle physiology
osteopenia
Osteoporosis
Osteoporosis - blood
Osteoporosis - genetics
pathophysiology
patients
proteins
quantitative polymerase chain reaction
Ribonucleic acids
Sarcopenia
senescence (aging)
Signatures
Title Circulating microRNAs as novel biomarkers for bone diseases – Complex signatures for multifactorial diseases?
URI https://dx.doi.org/10.1016/j.mce.2015.10.015
https://www.ncbi.nlm.nih.gov/pubmed/26525415
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https://www.proquest.com/docview/1808719440
https://www.proquest.com/docview/1825547029
https://www.proquest.com/docview/2000288541
Volume 432
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