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      <abstractText>Introduction: Preeclampsia (PE) is a severe obstetrical syndrome characterized by new-onset hypertension and proteinuria and it is often associated with fetal intrauterine growth restriction (IUGR). PE leads to long-term health complications, so early diagnosis would be crucial for timely prevention. There are multiple etiologies and subtypes of PE, and this heterogeneity has hindered accurate identification in the presymptomatic phase. Recent investigations have pointed to the potential role of small regulatory RNAs in PE, and these species, which travel in extracellular vesicles (EVs) in the circulation, have raised the possibility of non-invasive diagnostics. The aim of this study was to investigate the behavior of exosomal regulatory small RNAs in the most severe subtype of PE with IUGR.

Methods: We isolated exosomal EVs from first-trimester peripheral blood plasma samples of women who later developed preterm PE with IUGR (n=6) and gestational age-matched healthy controls (n=14). The small RNA content of EVs and their differential expression were determined by next-generation sequencing and further validated by quantitative real-time PCR. We also applied the rigorous exceRpt bioinformatics pipeline for small RNA identification, followed by target verification and Gene Ontology analysis.

Results: Overall, >2700 small RNAs were identified in all samples and, of interest, the majority belonged to the RNA interference (RNAi) pathways. Among the RNAi species, 16 differentially expressed microRNAs were up-regulated in PE, whereas up-regulated and down-regulated members were equally found among the six identified Piwi-associated RNAs. Gene ontology analysis of the predicted small RNA targets showed enrichment of genes in pathways related to immune processes involved in decidualization, placentation and embryonic development, indicating that dysregulation of the induced small RNAs is connected to the impairment of immune pathways in preeclampsia development. Finally, the subsequent validation experiments revealed that the hsa_piR_016658 piRNA is a promising biomarker candidate for preterm PE associated with IUGR.

Discussion: Our rigorously designed study in a homogeneous group of patients unraveled small RNAs in circulating maternal exosomes that act on physiological pathways dysregulated in preterm PE with IUGR. Therefore, our small RNA hits are not only suitable biomarker candidates, but the revealed biological pathways may further inform us about the complex pathology of this severe PE subtype.</abstractText>
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      <label>Gál Luca et al. Exosomal small RNA profiling in first-trimester maternal blood explores early molecular pathways of preterm preeclampsia. 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class=&quot;citingPub-count&quot;&gt;Nyilvános idéző összesen: 24&lt;/span&gt; | Független: 23 | Függő: 1 | Nem jelölt: 0 | WoS jelölt: 17 | Scopus jelölt:&amp;nbsp;19 | WoS/Scopus jelölt:&amp;nbsp;20 | DOI jelölt:&amp;nbsp;23 &lt;/div&gt; &lt;/div&gt; &lt;/div&gt; &lt;/div&gt;</template><template2>&lt;div class=&quot;JournalArticle Publication long-list&quot;&gt; &lt;div class=&quot;authors&quot;&gt; &lt;img title=&quot;Forrásközlemény&quot; style=&quot;float: left&quot; src=&quot;/frontend/resources/grid/publication-core-icon.png&quot;&gt; &lt;img title=&quot;Idézőközlemény&quot; style=&quot;float: left&quot; src=&quot;/frontend/resources/grid/publication-citation-icon.png&quot;&gt; &lt;div class=&quot;autype autype0&quot;&gt; &lt;span class=&quot;author-name&quot; mtid=&quot;10073902&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10073902&quot; target=&quot;_blank&quot;&gt;Gál Luca (&lt;span class=&quot;authorship-author-name&quot;&gt;Gál Luca&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; Molekuláris sejtbiológia&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Eötvös Loránd Tudományegyetem&quot;&gt;ELTE&lt;/span&gt;/&lt;span title=&quot;Természettudományi Kar&quot;&gt;TTK&lt;/span&gt;/Biológia Doktori Iskola; &lt;span title=&quot;HUN-REN Természettudományi Kutatóközpont&quot;&gt;HRN TTK&lt;/span&gt;/&lt;span title=&quot;Molekuláris Élettudományi Intézet&quot;&gt;MÉI&lt;/span&gt;/Génreguláció Kutatócsoport&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10067874&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10067874&quot; target=&quot;_blank&quot;&gt;Fóthi Ábel (&lt;span class=&quot;authorship-author-name&quot;&gt;Fóthi Ábel&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; genetika&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;HUN-REN Természettudományi Kutatóközpont&quot;&gt;HRN TTK&lt;/span&gt;/&lt;span title=&quot;Molekuláris Élettudományi Intézet&quot;&gt;MÉI&lt;/span&gt;/Génreguláció Kutatócsoport&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10059724&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10059724&quot; target=&quot;_blank&quot;&gt;Orosz Gergő (&lt;span class=&quot;authorship-author-name&quot;&gt;Orosz Gergő Balázs&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; Szülészet Nőgyógyászat&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Debreceni Egyetem&quot;&gt;DE&lt;/span&gt;/&lt;span title=&quot;Általános Orvostudományi Kar&quot;&gt;ÁOK&lt;/span&gt;/Szülészeti és Nőgyógyászati Intézet&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10034624&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10034624&quot; target=&quot;_blank&quot;&gt;Nagy Sándor (&lt;span class=&quot;authorship-author-name&quot;&gt;Nagy Sándor&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; szülészet-nőgyógyászat&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Széchenyi István Egyetem&quot;&gt;SZE&lt;/span&gt;/Egészség- és Sporttudományi Kar; &lt;span title=&quot;Széchenyi István Egyetem&quot;&gt;SZE&lt;/span&gt;/&lt;span title=&quot;Egészség- és Sporttudományi Kar&quot;&gt;ESK&lt;/span&gt;/Szülészeti és Nőgyógyászati Tanszék&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10011696&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10011696&quot; target=&quot;_blank&quot;&gt;Than Nándor Gábor (&lt;span class=&quot;authorship-author-name&quot;&gt;Than Nándor Gábor&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; Rendszerbiológia&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;HUN-REN Természettudományi Kutatóközpont&quot;&gt;HRN TTK&lt;/span&gt;/&lt;span title=&quot;Molekuláris Élettudományi Intézet&quot;&gt;MÉI&lt;/span&gt;/Lendület Reprodukció Rendszerbiológiája Kutatócsoport Enzim_416; &lt;span title=&quot;Semmelweis Egyetem&quot;&gt;SE&lt;/span&gt;/&lt;span title=&quot;Általános Orvostudományi Kar&quot;&gt;AOK&lt;/span&gt;/&lt;span title=&quot;Klinikum&quot;&gt;K&lt;/span&gt;/&lt;span title=&quot;Szülészeti és Nőgyógyászati Klinika&quot;&gt;SZSZNK&lt;/span&gt;/Szülészeti és Nőgyógyászati Klinika Baross utcai részleg&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10000148&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10000148&quot; target=&quot;_blank&quot;&gt;Orbán Tamás I. ✉ (&lt;span class=&quot;authorship-author-name&quot;&gt;Orbán Tamás I.&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; Molekuláris sejtbiológia&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Eötvös Loránd Tudományegyetem&quot;&gt;ELTE&lt;/span&gt;/&lt;span title=&quot;Természettudományi Kar&quot;&gt;TTK&lt;/span&gt;/Biológia Doktori Iskola; &lt;span title=&quot;HUN-REN Természettudományi Kutatóközpont&quot;&gt;HRN TTK&lt;/span&gt;/&lt;span title=&quot;Molekuláris Élettudományi Intézet&quot;&gt;MÉI&lt;/span&gt;/Génreguláció Kutatócsoport&lt;/span&gt; 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Egyeztetett &lt;/span&gt; Forrás Idéző | &lt;span class=&quot;type-subtype&quot;&gt;Folyóiratcikk ( Szakcikk ) &lt;/span&gt; | &lt;span class=&quot;pub-category&quot;&gt;Tudományos&lt;/span&gt; | &lt;span class=&quot;publication-sourceOfData&quot;&gt;kézi felvitel&lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;funder&quot;&gt; (LP2014-7/2014,), (PC-II-12/2022), (ELKH-POC-2022-014), (2018-1.2.1-NKP-2018-00005) Támogató: NKFIH, (FIEK-16-1-2016-0005), (K124862), (2019-2.1.7-ERANET-2020-00014) &lt;/div&gt; &lt;div class=&quot;notDuplums&quot;&gt;&lt;a target=&quot;_blank&quot; href=&quot;/api/publication/34669504/notduplums&quot;&gt;1 Nem duplumnak jelölés&lt;/a&gt; &lt;/div&gt; &lt;div class=&quot;lastModified&quot;&gt;Utolsó módosítás: 2024.07.25. 09:37 Reményiné Kállai Zsuzsa (DE admin 4) &lt;/div&gt; &lt;div class=&quot;lockedBy&quot;&gt;Központi kezelésű 2024.03.22. 14:59 Kovács Marcell (MTMT Közp., admin) &lt;/div&gt; &lt;/div&gt;&lt;/div&gt;</template2>
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