Serum and serum-derived extracellular vesicle microRNA signatures linked to neurodevelopmental processes in central precocious puberty - Summary - MDSpire

Serum and serum-derived extracellular vesicle microRNA signatures linked to neurodevelopmental processes in central precocious puberty

  • By

  • Maria Morrou

  • Vassos Neocleous

  • Meropi Toumba

  • Marios Tomazou

  • Louiza Potamiti

  • Maria Zanti

  • Kyriaki Michailidou

  • Fotios Mpekris

  • George M. Spyrou

  • Andreas Protopapas

  • Elena Sotiriou

  • Michalis Iasonides

  • Nicos Skordis

  • Pavlos Fanis

  • Leonidas A. Phylactou

  • July 10, 2026

  • 0 min

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Objective:

To analyze circulating microRNA profiles in female patients with central precocious puberty (CPP) and identify their association with neurodevelopmental and growth-related pathways.

Approach:
  • Sample Collection: Serum samples from 22 female patients diagnosed with central precocious puberty (CPP) and 18 age-matched healthy controls were collected.
  • Small RNA Sequencing: Differentially expressed miRNAs were identified using small RNA sequencing, which analyzed the expression profiles of circulating miRNAs.
  • Validation: Selected miRNAs were validated by quantitative real-time PCR (RT–qPCR) in an expanded cohort, confirming the findings from sequencing.
  • Functional Enrichment Analysis: Pathway enrichment analysis was conducted using experimentally validated miRNA target genes, highlighting biological processes related to neurodevelopment and growth regulation.
Key Findings:
  • Ten miRNAs showed significantly altered expression levels in CPP (adjusted p-value 0.5), with pathway enrichment analysis indicating associations with neurodevelopmental and growth-related pathways.
  • Reduced serum expression of miR-125a-5p, miR-125b-5p, and miR-99b-5p was confirmed in CPP patients, while miR-148a-3p exhibited a statistically significant increase in the EV-associated fraction of CPP samples.
Interpretation:

The study highlights the potential role of miRNA-mediated regulation in the premature activation of the HPG axis in CPP.

Limitations:
  • The study is limited to a small cohort of female patients, which may affect the generalizability of the findings.
  • Further investigation is needed to establish causative relationships between the identified miRNAs and the mechanisms of CPP.
Conclusion:

The findings provide a basis for further investigation into the molecular mechanisms underlying pubertal disorders, particularly focusing on the role of circulating miRNAs.

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