miR-424-5p Combined with miR-17-5p Has High Diagnostic Efficacy for Endometriosis
Serum miR-424-5p combined with miR-17-5p demonstrated high diagnostic efficacy for endometriosis, with a combined AUC of 0.938, outperforming individual miRNA detection.
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This study evaluated whether serum levels of microRNA (miR) miR-17-5p and miR-424-5p, alone and combined, have diagnostic value for endometriosis by comparing 80 reproductive-age women with pathology-confirmed endometriosis to 80 healthy reproductive-age controls. Using RT-qPCR on whole-blood-derived serum, the authors found both miRNAs were significantly downregulated in endometriosis, and ROC analysis showed higher diagnostic efficacy for their combination (AUC 0.938; 93.8% sensitivity and 88.7% specificity) than for either miRNA alone. They also measured VEGFA and inflammatory cytokines (IL-4, IL-6), reporting that these were increased in endometriosis and inversely associated with miR-17-5p and miR-424-5p, with negative correlations between the miRNAs and clinical features such as dysmenorrhea, infertility, pelvic pain, and rASRM stage. The paper’s key limitation is that it is a preprint and the included biomarker analysis appears limited to a single case-control cohort. This paper is centrally about endometriosis—specifically, combined diagnostic performance of serum miR-17-5p and miR-424-5p for endometriosis.
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