Paper-Based Exosomal MicroRNA-21 Detection for Wound Monitoring: A Proof of Concept and Clinical Validation Trial Study

Emerging evidence has shown that microRNAs play pivotal roles in wound healing. MicroRNA-21 (miR-21) was previously found to upregulate in order to fulfill an anti-inflammation role for wounds. Exosomal miRNAs have been identified and explored as essential markers for diagnostic medicine. However, t...

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Main Authors: Shin-Chen Pan, Chi-Hung Lai, Van-Truc Vu, Cao-An Vu, Chun-Jen Huang, Chao-Min Cheng, Wen-Yih Chen
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/12/9822
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author Shin-Chen Pan
Chi-Hung Lai
Van-Truc Vu
Cao-An Vu
Chun-Jen Huang
Chao-Min Cheng
Wen-Yih Chen
author_facet Shin-Chen Pan
Chi-Hung Lai
Van-Truc Vu
Cao-An Vu
Chun-Jen Huang
Chao-Min Cheng
Wen-Yih Chen
author_sort Shin-Chen Pan
collection DOAJ
description Emerging evidence has shown that microRNAs play pivotal roles in wound healing. MicroRNA-21 (miR-21) was previously found to upregulate in order to fulfill an anti-inflammation role for wounds. Exosomal miRNAs have been identified and explored as essential markers for diagnostic medicine. However, the role of exosomal miR-21 in wounds has yet to be well studied. In order to facilitate the early management of poorly healing wounds, we developed an easy-to-use, rapid, paper-based microfluidic-exosomal miR-21 extraction device to determine wound prognosis in a timely manner. We isolated and then quantitatively examined exosomal miR-21 in wound fluids from normal tissues and acute and chronic wounds. Eight improving wounds displayed lower levels of exosomal miR-21 expression after wound debridement. However, four instances of increased exosomal miR-21 expression levels were notably associated with patients with poor healing wounds despite aggressive wound debridement, indicating a predictive role of tissue exosomal miR-21 for wound outcome. Paper-based nucleic acid extraction device provides a rapid and user-friendly approach for evaluating exosomal miR-21 in wound fluids as a means of monitoring wounds. Our data suggest that tissue exosomal miR-21 is a reliable marker for determining current wound status.
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spelling doaj.art-8a1059547c4e451286dbbaba88ab60aa2023-11-18T10:44:40ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-06-012412982210.3390/ijms24129822Paper-Based Exosomal MicroRNA-21 Detection for Wound Monitoring: A Proof of Concept and Clinical Validation Trial StudyShin-Chen Pan0Chi-Hung Lai1Van-Truc Vu2Cao-An Vu3Chun-Jen Huang4Chao-Min Cheng5Wen-Yih Chen6Department of Surgery, Section of Plastic and Reconstructive Surgery, National Cheng Kung University Hospital, College of Medicine, International Center for Wound Repair and Regeneration, National Cheng Kung University, Tainan 704, TaiwanDepartment of Chemical and Materials Engineering, National Central University, Taoyuan 32001, TaiwanDepartment of Chemical and Materials Engineering, National Central University, Taoyuan 32001, TaiwanDepartment of Chemical and Materials Engineering, National Central University, Taoyuan 32001, TaiwanDepartment of Chemical and Materials Engineering, National Central University, Taoyuan 32001, TaiwanInstitute of Biomedical Engineering, National Tsing Hua University, Hsinchu 300, TaiwanDepartment of Chemical and Materials Engineering, National Central University, Taoyuan 32001, TaiwanEmerging evidence has shown that microRNAs play pivotal roles in wound healing. MicroRNA-21 (miR-21) was previously found to upregulate in order to fulfill an anti-inflammation role for wounds. Exosomal miRNAs have been identified and explored as essential markers for diagnostic medicine. However, the role of exosomal miR-21 in wounds has yet to be well studied. In order to facilitate the early management of poorly healing wounds, we developed an easy-to-use, rapid, paper-based microfluidic-exosomal miR-21 extraction device to determine wound prognosis in a timely manner. We isolated and then quantitatively examined exosomal miR-21 in wound fluids from normal tissues and acute and chronic wounds. Eight improving wounds displayed lower levels of exosomal miR-21 expression after wound debridement. However, four instances of increased exosomal miR-21 expression levels were notably associated with patients with poor healing wounds despite aggressive wound debridement, indicating a predictive role of tissue exosomal miR-21 for wound outcome. Paper-based nucleic acid extraction device provides a rapid and user-friendly approach for evaluating exosomal miR-21 in wound fluids as a means of monitoring wounds. Our data suggest that tissue exosomal miR-21 is a reliable marker for determining current wound status.https://www.mdpi.com/1422-0067/24/12/9822P-ELISAexosomemicroRNA-21wound healing
spellingShingle Shin-Chen Pan
Chi-Hung Lai
Van-Truc Vu
Cao-An Vu
Chun-Jen Huang
Chao-Min Cheng
Wen-Yih Chen
Paper-Based Exosomal MicroRNA-21 Detection for Wound Monitoring: A Proof of Concept and Clinical Validation Trial Study
International Journal of Molecular Sciences
P-ELISA
exosome
microRNA-21
wound healing
title Paper-Based Exosomal MicroRNA-21 Detection for Wound Monitoring: A Proof of Concept and Clinical Validation Trial Study
title_full Paper-Based Exosomal MicroRNA-21 Detection for Wound Monitoring: A Proof of Concept and Clinical Validation Trial Study
title_fullStr Paper-Based Exosomal MicroRNA-21 Detection for Wound Monitoring: A Proof of Concept and Clinical Validation Trial Study
title_full_unstemmed Paper-Based Exosomal MicroRNA-21 Detection for Wound Monitoring: A Proof of Concept and Clinical Validation Trial Study
title_short Paper-Based Exosomal MicroRNA-21 Detection for Wound Monitoring: A Proof of Concept and Clinical Validation Trial Study
title_sort paper based exosomal microrna 21 detection for wound monitoring a proof of concept and clinical validation trial study
topic P-ELISA
exosome
microRNA-21
wound healing
url https://www.mdpi.com/1422-0067/24/12/9822
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