Longitudinal analysis of hsa-miR-3163, hsa-miR-124-3p, hsa-miR-548c-3p, and hsa-miR-27a-3p as prognostic biomarkers in HIV-infected patients

IntroductionMicroRNAs (miRNAs), key regulators of cellular pathways, play crucial roles in the pathogenesis of various diseases, including Human Immunodeficiency Virus (HIV). This study aimed to evaluate the expression and diagnostic potential of in silico-identified miRNAs (miR-124-3p, miR-27a-3p,...

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Main Authors: Ilker Inanç Balkan, Andleeb Shahzadi, Haktan Sönmez, Burhaneddin Oktan, Muhammad Ihtisham Umar, Bilgül Mete, Fehmi Tabak, Günnur Deniz, Umut Can Küçüksezer
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Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1565068/full
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author Ilker Inanç Balkan
Ilker Inanç Balkan
Ilker Inanç Balkan
Andleeb Shahzadi
Haktan Sönmez
Burhaneddin Oktan
Muhammad Ihtisham Umar
Bilgül Mete
Fehmi Tabak
Günnur Deniz
Umut Can Küçüksezer
author_facet Ilker Inanç Balkan
Ilker Inanç Balkan
Ilker Inanç Balkan
Andleeb Shahzadi
Haktan Sönmez
Burhaneddin Oktan
Muhammad Ihtisham Umar
Bilgül Mete
Fehmi Tabak
Günnur Deniz
Umut Can Küçüksezer
author_sort Ilker Inanç Balkan
collection DOAJ
description IntroductionMicroRNAs (miRNAs), key regulators of cellular pathways, play crucial roles in the pathogenesis of various diseases, including Human Immunodeficiency Virus (HIV). This study aimed to evaluate the expression and diagnostic potential of in silico-identified miRNAs (miR-124-3p, miR-27a-3p, miR-548ac-3p, miR-3163) before and during antiretroviral treatment (ART), together with their correlations with immunological markers (CD4 count, CD4/CD45 ratio) and virological parameters (HIV RNA load).MethodsBlood samples and clinical data of 16 patients were collected at 4 different time points; before the initiation of ART (baseline), 1st, 2nd and 6th months following HIV diagnosis. 16 healthy controls were enrolled to this study. RT-qPCR and ELISA techniques were used to analyze miRNA expression levels while immunological markers (CD4 count and ratio) were assessed by flow cytometry.ResultsmiR-27a-3p expression was significantly increased at 2nd and 6th months of ART (p<0.001). miR-548ac-3p was upregulated at 6th month compared to healthy individuals and ART-naive subjects (p<0.05). miR-124-3p expression was significantly elevated in ART-naive subjects in comparison with healthy controls (p<0.001). Conversely, miR-3163 was downregulated in ART-naive, 1-month, and 2-month ART groups (p<0.001), but returned to normal levels by 6 months. miR-548ac-3p and miR-3163 showed moderate-to-strong positive correlations with CD4 counts (R=0.46, R=0.67; p<0.001). ROC analysis identified miR-3163 as a promising prognostic marker, with an AUC of 0.8561, (95% CI: 0.756–0.9265).DiscussionOur findings highlight the potential of miR-3163 as a robust prognostic biomarker for monitoring HIV progression and optimizing ART strategies. Validation in larger cohorts is warranted to confirm its clinical utility.
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spelling doaj-art-8722c4bc032f49eea88c41e3b9172e2c2025-08-20T03:52:37ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-05-011610.3389/fimmu.2025.15650681565068Longitudinal analysis of hsa-miR-3163, hsa-miR-124-3p, hsa-miR-548c-3p, and hsa-miR-27a-3p as prognostic biomarkers in HIV-infected patientsIlker Inanç Balkan0Ilker Inanç Balkan1Ilker Inanç Balkan2Andleeb Shahzadi3Haktan Sönmez4Burhaneddin Oktan5Muhammad Ihtisham Umar6Bilgül Mete7Fehmi Tabak8Günnur Deniz9Umut Can Küçüksezer10Department of Immunology, Aziz Sancar Institute of Experimental Medicine, İstanbul University, İstanbul, TürkiyeInstitute of Graduate Studies in Health Sciences, İstanbul University, İstanbul, TürkiyeDepartment of Infectious Diseases and Clinical Microbiology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, İstanbul, TürkiyeDepartment of Medical Pharmacology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, İstanbul, TürkiyeDepartment of Medical Pharmacology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, İstanbul, TürkiyeDepartment of Medical Pharmacology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, İstanbul, TürkiyeDepartment of Pharmacy, COMSATS University Islamabad, Lahore, PakistanDepartment of Infectious Diseases and Clinical Microbiology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, İstanbul, TürkiyeDepartment of Infectious Diseases and Clinical Microbiology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, İstanbul, TürkiyeDepartment of Immunology, Aziz Sancar Institute of Experimental Medicine, İstanbul University, İstanbul, TürkiyeDepartment of Immunology, Aziz Sancar Institute of Experimental Medicine, İstanbul University, İstanbul, TürkiyeIntroductionMicroRNAs (miRNAs), key regulators of cellular pathways, play crucial roles in the pathogenesis of various diseases, including Human Immunodeficiency Virus (HIV). This study aimed to evaluate the expression and diagnostic potential of in silico-identified miRNAs (miR-124-3p, miR-27a-3p, miR-548ac-3p, miR-3163) before and during antiretroviral treatment (ART), together with their correlations with immunological markers (CD4 count, CD4/CD45 ratio) and virological parameters (HIV RNA load).MethodsBlood samples and clinical data of 16 patients were collected at 4 different time points; before the initiation of ART (baseline), 1st, 2nd and 6th months following HIV diagnosis. 16 healthy controls were enrolled to this study. RT-qPCR and ELISA techniques were used to analyze miRNA expression levels while immunological markers (CD4 count and ratio) were assessed by flow cytometry.ResultsmiR-27a-3p expression was significantly increased at 2nd and 6th months of ART (p<0.001). miR-548ac-3p was upregulated at 6th month compared to healthy individuals and ART-naive subjects (p<0.05). miR-124-3p expression was significantly elevated in ART-naive subjects in comparison with healthy controls (p<0.001). Conversely, miR-3163 was downregulated in ART-naive, 1-month, and 2-month ART groups (p<0.001), but returned to normal levels by 6 months. miR-548ac-3p and miR-3163 showed moderate-to-strong positive correlations with CD4 counts (R=0.46, R=0.67; p<0.001). ROC analysis identified miR-3163 as a promising prognostic marker, with an AUC of 0.8561, (95% CI: 0.756–0.9265).DiscussionOur findings highlight the potential of miR-3163 as a robust prognostic biomarker for monitoring HIV progression and optimizing ART strategies. Validation in larger cohorts is warranted to confirm its clinical utility.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1565068/fullHuman Immunodeficiency Virus (HIV)Antiretroviral Therapy (ART)MicroRNAs (miRNAs)miR-3163 expressionprognostic biomarkersCD4 T-lymphocyte count
spellingShingle Ilker Inanç Balkan
Ilker Inanç Balkan
Ilker Inanç Balkan
Andleeb Shahzadi
Haktan Sönmez
Burhaneddin Oktan
Muhammad Ihtisham Umar
Bilgül Mete
Fehmi Tabak
Günnur Deniz
Umut Can Küçüksezer
Longitudinal analysis of hsa-miR-3163, hsa-miR-124-3p, hsa-miR-548c-3p, and hsa-miR-27a-3p as prognostic biomarkers in HIV-infected patients
Frontiers in Immunology
Human Immunodeficiency Virus (HIV)
Antiretroviral Therapy (ART)
MicroRNAs (miRNAs)
miR-3163 expression
prognostic biomarkers
CD4 T-lymphocyte count
title Longitudinal analysis of hsa-miR-3163, hsa-miR-124-3p, hsa-miR-548c-3p, and hsa-miR-27a-3p as prognostic biomarkers in HIV-infected patients
title_full Longitudinal analysis of hsa-miR-3163, hsa-miR-124-3p, hsa-miR-548c-3p, and hsa-miR-27a-3p as prognostic biomarkers in HIV-infected patients
title_fullStr Longitudinal analysis of hsa-miR-3163, hsa-miR-124-3p, hsa-miR-548c-3p, and hsa-miR-27a-3p as prognostic biomarkers in HIV-infected patients
title_full_unstemmed Longitudinal analysis of hsa-miR-3163, hsa-miR-124-3p, hsa-miR-548c-3p, and hsa-miR-27a-3p as prognostic biomarkers in HIV-infected patients
title_short Longitudinal analysis of hsa-miR-3163, hsa-miR-124-3p, hsa-miR-548c-3p, and hsa-miR-27a-3p as prognostic biomarkers in HIV-infected patients
title_sort longitudinal analysis of hsa mir 3163 hsa mir 124 3p hsa mir 548c 3p and hsa mir 27a 3p as prognostic biomarkers in hiv infected patients
topic Human Immunodeficiency Virus (HIV)
Antiretroviral Therapy (ART)
MicroRNAs (miRNAs)
miR-3163 expression
prognostic biomarkers
CD4 T-lymphocyte count
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1565068/full
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