Circulating microRNA molecular signatures converge with erythroid phenotypes and iron homeostasis in pediatric tic disorders - Report - MDSpire

Circulating microRNA molecular signatures converge with erythroid phenotypes and iron homeostasis in pediatric tic disorders

  • By

  • Ru Jia

  • Tingting Zhu

  • Xue Tian

  • Simeng Wang

  • Si Zhang

  • Fei Fan

  • Yaru Wang

  • Yuxin Chai

  • Zilin Chen

  • Yuchen Hu

  • Weifeng Li

  • Fei Han

  • May 4, 2026

  • 0 min

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Clinical Report: Circulating microRNA Profiles in Children with Tic Disorders

Overview

This study identifies significant correlations between circulating microRNAs, erythroid characteristics, and iron regulation in children with tic disorders. Notably, specific microRNAs were found to be upregulated, and the integrated model demonstrated high diagnostic performance.

Background

Tic disorders (TDs) are prevalent neurodevelopmental conditions that lack objective biomarkers for diagnosis. Understanding the molecular underpinnings of TDs, including the role of circulating microRNAs and iron metabolism, is crucial for developing effective diagnostic and therapeutic strategies. This study aims to bridge the gap in knowledge regarding the biological markers associated with TDs.

Data Highlights

ParameterTD GroupControl Group
hsa-miR-125b-5pUpregulatedNormal
hsa-miR-23a-3pUpregulatedNormal
HemoglobinLowerNormal
MCVLowerNormal
Serum FerritinLowerNormal
TransferrinLowerNormal
AUC of Integrated Model0.977-

Key Findings

  • hsa-miR-125b-5p and hsa-miR-23a-3p were significantly upregulated in children with TD.
  • Children with TD exhibited lower hemoglobin and MCV compared to healthy controls.
  • Serum ferritin and transferrin levels were significantly lower in the TD group.
  • The integrated model combining specific miRNAs and erythroid parameters showed excellent diagnostic performance (AUC=0.977).
  • Network analyses revealed pathways linking miRNA regulation to erythroid and iron-related processes.

Clinical Implications

The findings suggest that circulating microRNAs may serve as potential biomarkers for tic disorders, providing a new avenue for diagnosis. Clinicians should consider the implications of iron metabolism in the management of children with TD, as dysregulation may impact treatment strategies.

Conclusion

This study highlights the potential of circulating microRNAs as biomarkers in tic disorders and underscores the importance of iron homeostasis in understanding the pathophysiology of these conditions.

References

  1. Archives of Toxicology, 2023 -- Regulation of Ferroptosis via Nrf2 and Its Role in Neurodegenerative Disorders
  2. European Journal of Preventive Cardiology, 2023 -- Association of Genetically Inferred Iron Levels with Cardiovascular Structure and Function: Insights from a Mendelian Randomization Analysis
  3. Blood Cancer Journal, 2011 -- The relationship between cardiac and liver iron evaluated by MR imaging in haematological malignancies and chronic liver disease
  4. The Journal of Clinical Endocrinology & Metabolism, 2025 -- Potential Utility of Circulating MicroRNA-483 as a Biomarker for IGF-II–Associated Non–Islet Cell Tumor Hypoglycemia
  5. Diagnosing Tic Disorders | Tourette Syndrome | CDC, 2026
  6. Emerging pathophysiology relevant to iron in Tourette syndrome
  7. Practice guideline recommendations summary: Treatment of tics in people with Tourette syndrome and chronic tic disorders
  8. Diagnosing Tic Disorders | Tourette Syndrome | CDC

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