title: microRNA-guided diagnostics in clinical samples.
abstract: miRNA-guided diagnostics is a powerful molecular approach for evaluating clinical samples through miRNA detection and/or visualization. To date, this approach has been successfully used to diagnose, manage, and/or monitor a wide range of neoplastic and non-neoplastic diseases. Despite the promise of miRNA-guided diagnostics, particularly in the field of minimally invasive biomarkers, several knowledge and practical issues confound or hinder translation into routine clinical practice including: miRNA sequence database errors, suboptimal RNA extraction methods, detection assay variability, a vast array of online resources for bioinformatic analyses, and non-standardized statistical analyses for miRNA clinical testing. In this review, we raise awareness of these issues and recommend research directions to help specialists in endocrinology and metabolism integrate miRNA testing into clinical decision-making.
authors.affiliation: Laboratory of Translational RNA Biology, Department of Pathology and Molecular Medicine, Queen's University, Kingston, ON K7L 3N6, Canada. Electronic address: d.gustafson@queensu.ca.
authors.forename: Dakota
authors.initials: D
authors.lastname: Gustafson
authors.affiliation: Department of Pathology and Molecular Medicine, Queen's University, Kingston, ON K7L 3N6, Canada. Electronic address: kt40@queensu.ca.
authors.forename: Kathrin
authors.initials: K
authors.lastname: Tyryshkin
authors.affiliation: Laboratory of Translational RNA Biology, Department of Pathology and Molecular Medicine, Queen's University, Kingston, ON K7L 3N6, Canada. Electronic address: neil.renwick@queensu.ca.
authors.forename: Neil
authors.initials: N
authors.lastname: Renwick
mesh_terms: D015415:Biomarkers / Q000097:blood / Q000378:metabolism; D006801:Humans; D035683:MicroRNAs / Q000097:blood / Q000145:classification / Q000235:genetics* / Q000378:metabolism; D025202:Molecular Diagnostic Techniques / Q000379:methods*
chemical_list: D015415:Biomarkers; D035683:MicroRNAs
keywords: biomarkers; clinical decision-making; detection methods; miRNA; miRNA-guided diagnostics; microRNA