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10.1038/srep15501

http://scihub22266oqcxt.onion/10.1038/srep15501
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suck abstract from ncbi


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pmid26489516      Sci+Rep 2015 ; 5 (ä): ä
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  • Comprehensive microRNA profiling in acetaminophen toxicity identifies novel circulating biomarkers for human liver and kidney injury #MMPMID26489516
  • Vliegenthart ADB; Shaffer JM; Clarke JI; Peeters LEJ; Caporali A; Bateman DN; Wood DM; Dargan PI; Craig DG; Moore JK; Thompson AI; Henderson NC; Webb DJ; Sharkey J; Antoine DJ; Park BK; Bailey MA; Lader E; Simpson KJ; Dear JW
  • Sci Rep 2015[]; 5 (ä): ä PMID26489516show ga
  • Our objective was to identify microRNA (miRNA) biomarkers of drug-induced liver and kidney injury by profiling the circulating miRNome in patients with acetaminophen overdose. Plasma miRNAs were quantified in age- and sex-matched overdose patients with (N?=?27) and without (N?=?27) organ injury (APAP-TOX and APAP-no TOX, respectively). Classifier miRNAs were tested in a separate cohort (N?=?81). miRNA specificity was determined in non-acetaminophen liver injury and murine models. Sensitivity was tested by stratification of patients at hospital presentation (N?=?67). From 1809 miRNAs, 75 were 3-fold or more increased and 46 were 3-fold or more decreased with APAP-TOX. A 16 miRNA classifier model accurately diagnosed APAP-TOX in the test cohort. In humans, the miRNAs with the largest increase (miR-122-5p, miR-885-5p, miR-151a-3p) and the highest rank in the classifier model (miR-382-5p) accurately reported non-acetaminophen liver injury and were unaffected by kidney injury. miR-122-5p was more sensitive than ALT for reporting liver injury at hospital presentation, especially combined with miR-483-3p. A miRNA panel was associated with human kidney dysfunction. In mice, miR-122-5p, miR-151a-3p and miR-382-5p specifically reported APAP toxicity - being unaffected by drug-induced kidney injury. Profiling of acetaminophen toxicity identified multiple miRNAs that report acute liver injury and potential biomarkers of drug-induced kidney injury.
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