MicroRNA: Potential Biomarkers in Chronic
Kidney Disease
Vladana
Stojiljković1,2, Nikola Stefanović3, Marija Vukelić
Nikolić4, Branka Djordjević1,
Jelena Bašić1, Gordana Kocić1, Tatjana Cvetković1,2
1University of Niš, Faculty of Medicine,
Department of Biochemistry, Niš, Serbia
2University Clinical Center Niš, Center
for Medical and Clinical Biochemistry, Niš, Serbia
3University of Niš, Faculty of Medicine,
Department of Pharmacy, Niš, Serbia
4University of Niš, Faculty of Medicine,
Department of Biology and Medical Genetics, Niš, Serbia
SUMMARY
Introduction. Standard biomarkers for the diagnosis and follow-up of
chronic kidney disease patients are appropriate neither in early
diagnostics, adequate follow-up and progression assessment nor in
complication development risk assessment. For that reason, a search for
new, more suitable biomarkers continues. Various studies suggested
microRNAs as a potential solution, as they are involved in the
pathogenesis of diabetic nephropathy, kidney cancer and kidney function
impairment in general.
Methods. Internet search engines were used to find and select relevant
literature data and electronic databases.
Results. Research published so far, in oncology especially, have
reported various single microRNAs and panels of microRNAs as candidates
for routine diagnostic implementation. Chronic kidney disease is,
however, quite complex in terms of etiology of the disease occurrence,
since there are many causes that can lead to kidney tissue damage and
impairment of its function and finally full development of the chronic
kidney disease. MicroRNAs are stable in bodily fluids, and hemodialysis
procedure does not affect their levels. Also, high RNase activity in
chronic kidney disease patients does not accelerate microRNA degradation
in their samples.
Conclusions. Literature data suggest that microRNAs are appropriate
candidates for diagnostic use in chronic kidney disease. However, there
are challenges that are yet to be overcome in order to use microRNAs
routinely.
Keywords: microRNA, chronic kidney
disease, hemodialysis
Corresponding author:
Vladana Stojiljković
e-mail:
vladana93@hotmail.com