ACTA FAC MED NAISS 2023;40(3):270-278

Review article

UDC: 616.61-074:577.1
DOI: 10.5937/afmnai40-39805

                Running title: MiRNAs: Potential Biomarkers in CKD

 

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