
Journal of the Neurological Sciences, Journal Year: 2024, Volume and Issue: 467, P. 123291 - 123291
Published: Nov. 8, 2024
Language: Английский
Journal of the Neurological Sciences, Journal Year: 2024, Volume and Issue: 467, P. 123291 - 123291
Published: Nov. 8, 2024
Language: Английский
Published: Jan. 1, 2025
Language: Английский
Citations
0Frontiers in Psychiatry, Journal Year: 2025, Volume and Issue: 16
Published: March 26, 2025
Background Postoperative delirium (POD) is a serious neuropsychiatric complication in elderly surgical patients, yet its pathogenesis remains incompletely understood. Transfer RNA-derived small RNAs (tsRNAs) have emerged as crucial regulators neurological disorders. We investigated whether specific tsRNAs could serve predictive biomarkers for POD. Methods This study conducted prospective case-control of 158 patients (≥60 years) undergoing orthopedic surgery. Plasma samples were collected preoperatively and on postoperative day 3.tsRNA expression profiles analyzed using RNA sequencing validated by RT-qPCR. Propensity score matching was performed to balance demographic clinical variables. The value candidate assessed ROC analysis, their potential functions explored through bioinformatic analyses. Results Among 128 non-POD 30 POD two (Other-14: 31-tRNA-Gly-CCC-3 Other-39: 73-tRNA-Arg-TCG-5) showed significantly elevated preoperative levels (p<0.001).ROC analysis revealed strong performance (AUC=0.868 0.956, respectively).These differences persisted the propensity-matched cohort (29 pairs).Bioinformatic analyses indicated enrichment pathways related neurotransmission, inflammation, metabolism. Conclusion identified novel tsRNA that robustly predict risk provide insights into molecular pathogenesis. These findings may facilitate early stratification preventive interventions.
Language: Английский
Citations
0Journal of the Neurological Sciences, Journal Year: 2024, Volume and Issue: 467, P. 123291 - 123291
Published: Nov. 8, 2024
Language: Английский
Citations
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