Serum microRNA profiles in children with autism
© Mundalil Vasu et al.; licensee BioMed Central Ltd. 2014
Received: 23 May 2014
Accepted: 18 July 2014
Published: 30 July 2014
As regulators of gene expression, microRNAs (miRNAs) play a key role in the transcriptional networks of the developing human brain. Circulating miRNAs in the serum and plasma are remarkably stable and are suggested to have promise as noninvasive biomarkers for neurological and neurodevelopmental disorders. We examined the serum expression profiles of neurologically relevant miRNAs in autism spectrum disorder (ASD), a complex neurodevelopmental disorder characterized by multiple deficits in communication, social interaction and behavior.
Total RNA, including miRNA, was extracted from the serum samples of 55 individuals with ASD and 55 age- and sex-matched control subjects, and the mature miRNAs were selectively converted into cDNA. Initially, the expression of 125 mature miRNAs was compared between pooled control and ASD samples. The differential expression of 14 miRNAs was further validated by SYBR Green quantitative PCR of individual samples. Receiver-operating characteristic (ROC) analysis was used to evaluate the sensitivity and specificity of miRNAs. The target genes and pathways of miRNAs were predicted using DIANA mirPath software.
Thirteen miRNAs were differentially expressed in ASD individuals compared to the controls. MiR-151a-3p, miR-181b-5p, miR-320a, miR-328, miR-433, miR-489, miR-572, and miR-663a were downregulated, while miR-101-3p, miR-106b-5p, miR-130a-3p, miR-195-5p, and miR-19b-3p were upregulated. Five miRNAs showed good predictive power for distinguishing individuals with ASD. The target genes of these miRNAs were enriched in several crucial neurological pathways.
This is the first study of serum miRNAs in ASD individuals. The results suggest that a set of serum miRNAs might serve as a possible noninvasive biomarker for ASD.
KeywordsAutism spectrum disorder microRNA complementary DNA microarray quantitative PCR
Autism spectrum disorder (ASD) refers to a group of heterogeneous neurodevelopmental disorders characterized by impairments in communication and social interaction, and restricted, repetitive and stereotypic patterns of behavior . According to a recent estimate, 1 in 88 individuals has ASD . ASD is largely genetic in origin, with most data supporting a polygenic epistatic model [3, 4]. However, owing to the heterogeneous nature of this disorder, classical genetic studies have not necessarily been successful in identifying suitable candidate genes for ASD. In addition to the genetic factors, environmental factors also play a vital role in predisposing individuals to ASD . In recent years, epigenetic mechanisms, which act at the interface of genes and the environment, have been identified as a potential contributor to the pathogenesis of several neurodevelopmental abnormalities such as ASD . Epigenetic factors control heritable changes in gene expression without changing the DNA sequence .
MicroRNAs (miRNAs) have recently emerged as prominent epigenetic regulators of a variety of cellular processes, including differentiation, apoptosis and metabolism . miRNAs are a class of small (approximately 21 nucleotides) noncoding transcripts that can modulate cellular messenger RNA (mRNA) and protein levels by interacting with specific mRNAs, usually at the 3′ untranslated region (UTR), resulting in mRNA degradation or repression of translation [9, 10], through partial sequence complementation . MiRNAs are abundantly present in the brain, and have been found to play crucial roles in several facets of brain function, particularly in neuronal plasticity and neuronal development .
So far, three studies have determined the expression of miRNAs in lymphoblastoid cell cultures of ASD patients, and one study has identified dysregulated miRNAs in the cerebellar cortex of ASD patients. Abu-Elneel et al. first observed an altered expression of miRNAs and their brain-specific targets in the postmortem cerebellar cortices of autism subjects . Studies in lymphoblastoid cells have implicated brain-related miRNAs and their targets in the pathophysiological conditions underlying autism [14–16].
MiRNAs have also been found to be present in the extracellular fluids such as plasma, serum, saliva, and urine of humans in detectable concentrations [17–20]. In particular, serum miRNAs, which may be derived from circulating blood cells, are known to be remarkably stable, reproducible and resistant to the actions of RNase , suggesting the potential efficacy of serum miRNAs as noninvasive biomarkers for ASD. Therefore, in the present study we performed miRNA expression profiling of serum samples from individuals with ASD who had never received drug treatment.
This study was approved by the Ethics Committee of Hamamatsu University School of Medicine, Japan. A detailed description of the study was given to all participants and their parents before enrollment. Blood samples were collected from the donors after obtaining written informed consent.
Clinical and/demographic variables of individuals with autism and of control subjects
Autism (n = 55)
Control (n = 55)
11.29 ± 2.45 (6 to 16)
11.31 ± 2.37 (6 to 16)
Domain A score, social
17.7 ± 7.62 (10 to 29)
Domain BV score, communication
12.8 ± 5.62 (8 to 25)
Domain C score, stereotype
4.1 ± 2.84 (3 to 12)
Typically developed individuals (control group) were recruited through advertisements in local newspapers. Control group participants underwent a comprehensive assessment of their medical history; those with neurological or other medical disorders were excluded. The SCID was also conducted to screen all participants for any past or present mental illness. None of the control participants were diagnosed with any neuropsychiatric condition.
Blood samples were collected between 11:00 am and noon from each subject by venipuncture, and the samples were kept for 30 min at room temperature. All protocols for serum separation were completed within 1 h of drawing blood. Serum was separated by centrifugation at 3,500 rpm for 10 min at room temperature. Hemolyzed samples were excluded from the study at this stage. The clear supernatant was collected into RNase/DNase-free microfuge tubes in 200 μl aliquots and stored at -80°C until use.
RNA extraction and cDNA synthesis
Total RNA, including miRNA, was extracted from 200 μl serum by using an MiRNeasy Serum/Plasma Kit (QIAGEN GmbH, Hilden, Germany) in accordance with the manufacturer’s protocol. Briefly, five volumes of QIAzol lysis reagent was added to the sample; a synthetic spike-in control, Caenorhabditis elegans miR-39 (1.6 × 108 copies/μl), was added to the lysed samples for internal normalization. After adding an equal volume of chloroform, the samples were centrifuged for 15 min at 12,000 g at 4°C. The upper aqueous phase was mixed with 1.5 volumes of 100% ethanol, transferred to a spin column, centrifuged, washed, and eluted in 14 μl RNase-free water.
Two microliters of each RNA sample was used for cDNA synthesis using the miScript ІІ RT kit (QIAGEN). The reverse-transcription reaction mix (20 μl) was prepared using Hispec buffer (for selective conversion of mature miRNAs into cDNA), nucleics mix, RT mix and RNase-free water. The reaction mixture was incubated for 60 min at 37°C, followed by denaturation for 5 min at 95°C. Each cDNA was further diluted to 220 μl with RNase-free water and stored at -20°C until use.
Initial screening was done using the Human Neurological Development & Disease miRNA PCR array (SABiosciences, Frederick, MD, USA), which contains 84 miRNA assays, and a custom-made array (SABiosciences) with 41 miRNA assays (see Additional files 1 and 2). For this purpose, 40 samples were chosen from 55 ASD subjects at random, and 40 matched control samples were selected. All the miRNAs included in the arrays have previously been reported to play a role in various aspects of brain development and function and/or in several neuropsychiatric conditions such as ASD. Both arrays included C. elegans miR-39 primer assays for internal normalization, snoRNA/snRNA (SNORD48, SNORD61, SNORD68, SNORD72, SNORD95, SNORD96A and RNU6-2) PCR control assays, positive PCR control (PPC) assays, and miRNA reverse transcription control (miRTC) assays.
RNA from age- and sex-matched control (n = 40) and ASD (n = 40) samples were pooled separately to generate four pools per group, with each pool consisting of 10 samples. Then, cDNA prepared from 3 μl of the pooled RNA was used for array screening. The expression of miRNAs was detected and quantified by means of SYBR Green reverse-transcription quantitative PCR performed with an ABI PRISM 7900 Sequence Detection System (Applied Biosystems, Foster City, CA, USA).
The data sets were first calibrated using a C. elegans miR-39 assay, which detected the spike-in control that was added to the serum samples during RNA extraction. This calibration would have resolved any differences in recovery that may have occurred during the purification procedure, or any differences in amplification efficiency. Due to the very low expression of snoRNA/snRNA PCR controls in the serum, three alternate normalization strategies, as recommended by the manufacturer, were used for data normalization. These were (i) normalization to the whole plate Ct mean, (ii) normalization to the plate Ct mean of commonly expressed (Ct < 30) miRNAs, and (iii) normalization to the Ct mean of at least four invariant miRNAs with little (<1) Ct variation between samples. In the third strategy, miR-125b-5p, miR-126-5p, miR-140-5p and miR-191-5p were chosen for the data normalization of the neurological array, whereas miR-103a-3p, miR-21-5p, miR-23a-3p, and miR-25-3p were chosen for the custom array. Consistent results were obtained using all three strategies.
An Excel-based miRNA PCR Array Data Analysis tool (SABiosciences; http://pcrdataanalysis.sabiosciences.com/mirna) was used for data analysis. SABiosciences makes use of the ΔΔCt method for the relative quantification of miRNAs. Student’s t-test was used to examine any differential expression of miRNAs between the ASD and control groups; values of P <0.05 were considered to indicate statistical significance (GEO Accession Number: GSE58850).
Quantitative reverse-transcription PCR
SYBR Green qPCR, performed on an ABI PRISM 7900 Sequence Detection System (Applied Biosystems), was used for the validation of differentially expressed miRNAs (the accession ID and mature miRNA sequence are given in Additional file 3). In this validation experiment, all the samples (55 subjects with autism and 55 controls) were examined individually. Ten microliters of qPCR reaction mixture was prepared with a universal primer, primer assay and RNase-free water. All the qPCR reactions were performed in triplicate with the following cycling conditions: 95°C → 15 min, followed by 40 cycles of 94°C → 15 sec, 55°C → 30 sec and 70°C → 30 sec.
The Ct values of nine miRNAs (miR-101-3p, miR-106b-5p, miR-151a-3p, miR-195-5p, miR-19b-3p, miR-27a-3p, miR-320a, miR-328, and miR-489) were in the range of 25–30, while the remaining five miRNAs (miR-130a-3p, miR-181b-5p, miR-433, miR-572, and miR-663a) had Ct values in the range of 30 to 35.
A randomly chosen control sample was amplified in each plate and used as an interplate calibrator to correct for the experimental differences among consecutive PCR runs. The qPCR data was first subjected to interplate calibration, followed by C. elegans miR-39 (detection of the spike-in control) calibration. The expression of miR-16, an miRNA highly abundant in the red blood cells, was analyzed in each sample to examine the extent of hemolysis in the serum. Any sample that showed significant hemolysis (the value of Ct invariant miRNA - Ct miR16 was greater than 5) was omitted from further analyses. Finally, the qPCR data were normalized to the average of three invariantly expressed miRNAs, let-7a, miR-191-5p and miR-103a-3p. Among these, miR-191-5p and miR-103a-3p were selected on the basis of their performance as invariant miRNAs in the neurological array and custom array, respectively, while let-7a has been widely reported as an invariant miRNA in blood. The fold change in gene expression between the control and ASD groups was determined by the ΔΔCt method of relative quantification.
All statistical calculations were performed with PASW Statistics 18 software (IBM, Tokyo, Japan). Student’s t-test and chi-square test were used to examine any variability in the distribution of age and sex, respectively, across the control and ASD groups. Any differential expression of miRNAs between the control and ASD groups was determined by Mann–Whitney test. The relationship between the expression of miRNA and ADI-R subscores was evaluated by Spearman’s correlation coefficient. Analysis of covariance (ANCOVA) was used to control for potential covariates such as age and sex. Receiver Operating Characteristics (ROC) curve analysis was used for evaluating the diagnostic power of miRNAs.
Enrichment pathway analysis and target gene prediction
The DIANA mirPath v2.0 (http://diana.cslab.ece.ntua.gr/pathways/) functional annotation tool was used to predict the target genes and altered pathways of differentially expressed miRNAs. This tool predicts the miRNA targets based on DIANA-microT-CDS and/or experimentally verified targets from TarBase v6 (manually curated, experimentally validated miRNA-gene interactions database).
Confirmation with quantitative PCR
When the samples from the ASD individuals were examined for correlations between the expression of each miRNA and each of the three domains assessed by ADI-R (Domain A score, social; Domain score BV, communication; Domain C score, stereotype), none of the miRNA expressions was correlated with any of the domains (see Additional file 4).
The effects of age and sex on miRNA expression were examined by ANCOVA. The difference in the expression of miRNAs between the ASD and control groups remained significant even after adjusting for the effects of age and sex (see Additional file 5).
Receiver operating characteristic analysis
Enrichment pathway analysis and target gene prediction
Comparison of the results of the present study and previous autism microRNA studies
Type of sample
Brain, lymphoblastoid cell line
Lymphoblastoid cell line
Lymphoblastoid cell line
Lymphoblastoid cell line
Lymphoblastoid cell line
ROC curve analyses showed significant diagnostic values of 13 differentially expressed miRNAs for ASD (Figure 3). High values for sensitivity, specificity and area under the curve (AUC) were observed for five miRNAs: miR-181b-5p, miR-320a, miR-572, miR-130a-3p and miR-19b-3p (see Additional file 6). Therefore, these five miRNAs may be potential candidates for circulating miRNA-based prediction of ASD.
MiRNA can influence gene silencing via translational repression or mRNA degradation . This mRNA destabilization may alter several downstream pathways and induce several noticeable effects . A number of neurologically relevant pathways and target genes were identified by our enrichment analysis, with most of the target genes being involved in multiple pathways. Collectively, these results predicted several neurologically relevant canonical pathways for the target genes of the five miRNAs (miR-130a-3p, miR-19b-3p, miR-320a, miR181b-5p, and miR-572) that showed a good discriminative power in ROC analysis. Most of these genes and pathways have already been implicated in the pathogenesis of ASD [4, 26–30].
The differentially expressed miRNAs in this study, which included miR-101, miR-106b, miR-130a, miR-151a, miR181b, miR-328, miR-433, miR-489 and miR-572, were previously reported to have altered expression in schizophrenia [31–35], supporting the contention that ASD and schizophrenia share common neurobiological features .
The detection of clinically useful noninvasive biomarkers that could allow early intervention for ASD is an important goal in ASD research. As an initial step toward this goal, our results suggest that serum miRNAs could be potential peripheral biomarkers of ASD. A limitation of this study is that the samples came from ASD individuals ranging from 6 to 16 years old, although ASD is an early-onset disorder. Therefore, to accurately evaluate the diagnostic power of circulating miRNAs in ASD, further studies on subjects of lower age will be necessary. Another limitation of the study is that we used the same sample set in both the screening and validation. It would have been more informative if we had screened an independent sample set.
This preliminary noninvasive study found a set of significantly differentially expressed miRNAs in the sera of children with ASD. The predicted target genes of these miRNAs were found to be associated with neurologically relevant pathways and functions.
Autism Diagnostic Interview-Revised
analysis of covariance
autism spectrum disorder
area under the curve
Diagnostic and Statistical Manual, Fourth Edition, Text Revision
mitogen-activated protein kinase
miRNA reverse transcription control
mammalian target of rapamycin
positive PCR control
quantitative polymerase chain reaction
receiver operating characteristics
Structured Clinical Interview for DSM-IV
transforming growth factor
We thank Mses. Mika Oyaizu and Tae Takahashi for their technical assistance. This work was supported by the Takeda Science Foundation. It was also supported in part by a Grant-in-Aid for ‘Integrated Research on Neuropsychiatric Disorders’ carried out under the Strategic Research Program for Brain Sciences from the Ministry of Education, Culture, Sports, Science and Technology of Japan. None of these funding sources played any role in the design and conduct of the study; the collection, management, analysis, and interpretation of the data; or the preparation, review, or approval of the manuscript.
- American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 2000, Washington DC, USA: American Psychiatric Association Publishing Inc, 4Google Scholar
- Autism and Developmental Disabilities Monitoring (ADDM) Network: Funded by the Centers for Disease Control and Prevention (CDC). 2012, USA: U.S. Department of Health and Human ServicesGoogle Scholar
- Persico AM, Napolioni V: Autism genetics. Behav Brain Res. 2013, 251: 95-112.View ArticlePubMedGoogle Scholar
- Cristino AS, Williams SM, Hawi Z, An JY, Bellgrove MA, Schwartz CE, Costa Lda F, Claudianos C: Neurodevelopmental and neuropsychiatric disorders represent an interconnected molecular system. Mol Psychiatry. 2014, 19: 294-301.View ArticlePubMedGoogle Scholar
- Meek SE, Lemery-Chalfant K, Jahromi LB, Valiente C: A review of gene-environment correlations and their implications for autism: a conceptual model. Psychol Rev. 2013, 120: 497-521.View ArticlePubMedGoogle Scholar
- Miyake K, Hirasawa T, Koide T, Kubota T: Epigenetics in autism and other neurodevelopmental diseases, neurodegenerative diseases. Adv Exp Med Biol. 2012, 724: 91-98.View ArticlePubMedGoogle Scholar
- Delcuve GP, Rastegar M, Davie JR: Epigenetic control. J Cell Physiol. 2009, 219: 243-250.View ArticlePubMedGoogle Scholar
- Beveridge NJ, Cairns MJ: MicroRNA dysregulation in schizophrenia. Neurobiol Dis. 2012, 46: 263-271.View ArticlePubMedGoogle Scholar
- Wu S, Huang S, Ding J, Zhao Y, Liang L, Liu T, Zhan R, He X: Multiple microRNAs modulate p21Cip1/Waf1 expression by directly targeting its 3′ untranslated region. Oncogene. 2010, 29: 2302-2308.View ArticlePubMedGoogle Scholar
- Ambros V: The functions of animal microRNAs. Nature. 2004, 431: 350-355.View ArticlePubMedGoogle Scholar
- Wang K, Yuan Y, Cho JH, McClarty S, Baxter D, Galas DJ: Comparing the MicroRNA spectrum between serum and plasma. PLoS One. 2012, 7: e41561-PubMed CentralView ArticlePubMedGoogle Scholar
- Kosik KS: The neuronal microRNA system. Nat Rev Neurosci. 2006, 7: 911-920.View ArticlePubMedGoogle Scholar
- Abu-Elneel K, Liu T, Gazzaniga FS, Nishimura Y, Wall DP, Geschwind DH, Lao K, Kosik KS: Heterogeneous dysregulation of microRNAs across the autism spectrum. Neurogenetics. 2008, 9: 153-161.View ArticlePubMedGoogle Scholar
- Talebizadeh Z, Butler MG, Theodoro MF: Feasibility and relevance of examining lymphoblastoid cell lines to study role of microRNAs in autism. Autism Res. 2008, 1: 240-250.PubMed CentralView ArticlePubMedGoogle Scholar
- Sarachana T, Zhou R, Chen G, Manji HK, Hu VW: Investigation of post-transcriptional gene regulatory networks associated with autism spectrum disorders by microRNA expression profiling of lymphoblastoid cell lines. Genome Med. 2010, 2: 23-PubMed CentralView ArticlePubMedGoogle Scholar
- Ghahramani Seno MM, Hu P, Gwadry FG, Pinto D, Marshall CR, Casallo G, Scherer SW: Gene and miRNA expression profiles in autism spectrum disorders. Brain Res. 2011, 1380: 85-97.View ArticlePubMedGoogle Scholar
- Cortez MA, Calin GA: MicroRNA identification in plasma and serum: a new tool to diagnose and monitor diseases. Exp Opin Biol Ther. 2009, 9: 703-711.View ArticleGoogle Scholar
- Hanke M, Hoefig K, Merz H, Feller AC, Kausch I, Jocham D, Warnecke JM, Sczakiel G: A robust methodology to study urine microRNA as tumor marker: microRNA-126 and microRNA-182 are related to urinary bladder cancer. Urol Oncol. 2010, 28: 655-661.View ArticlePubMedGoogle Scholar
- Zubakov D, Boersma AW, Choi Y, van Kuijk PF, Wiemer EA, Kayser M: MicroRNA markers for forensic body fluid identification obtained from microarray screening and quantitative RT-PCR confirmation. Int J Leg Med. 2010, 124: 217-226.View ArticleGoogle Scholar
- Park NJ, Zhou H, Elashoff D, Henson BS, Kastratovic DA, Abemayor E, Wong DT: Salivary microRNA: discovery, characterization, and clinical utility for oral cancer detection. Clin Cancer Res. 2009, 15: 5473-5477.PubMed CentralView ArticlePubMedGoogle Scholar
- Chen X, Ba Y, Ma L, Cai X, Yin Y, Wang K, Guo J, Zhang Y, Chen J, Guo X, Li Q, Li X, Wang W, Zhang Y, Wang J, Jiang X, Xiang Y, Xu C, Zheng P, Zhang J, Li R, Zhang H, Shang X, Gong T, Ning G, Wang J, Zen K, Zhang J, Zhang CY: Characterization of microRNAs in serum: a novel class of biomarkers for diagnosis of cancer and other diseases. Cell Res. 2008, 18: 997-1006.View ArticlePubMedGoogle Scholar
- Lord C, Rutter M, Le Couteur A: Autism diagnostic interview - revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord. 1994, 24: 659-685.View ArticlePubMedGoogle Scholar
- American Psychiatric Association: User’s Guide for the Structured Clinical Interview for DSM-IV axis I Disorders SCID-1: Clinician Version. 1997, Washington DC: American Psychiatric PressGoogle Scholar
- Huntzinger E, Izaurralde E: Gene silencing by microRNAs: contributions of translational repression and mRNA decay. Nat Rev Genet. 2011, 12: 99-110.View ArticlePubMedGoogle Scholar
- Fabian MR, Sonenberg N, Filipowicz W: Regulation of mRNA translation and stability by microRNAs. Annu Rev Biochem. 2010, 79: 351-379.View ArticlePubMedGoogle Scholar
- Okada K, Hashimoto K, Iwata Y, Nakamura K, Tsujii M, Tsuchiya KJ, Sekine Y, Suda S, Suzuki K, Sugihara G, Matsuzaki H, Sugiyama T, Kawai M, Minabe Y, Takei N, Mori N: Decreased serum levels of transforming growth factor-beta1 in patients with autism. Prog Neuropsychopharmacol Biol Psychiatry. 2007, 31: 187-190.View ArticlePubMedGoogle Scholar
- Suda S, Iwata K, Shimmura C, Kameno Y, Anitha A, Thanseem I, Nakamura K, Matsuzaki H, Tsuchiya KJ, Sugihara G, Iwata Y, Suzuki K, Koizumi K, Higashida H, Takei N, Mori N: Decreased expression of axon-guidance receptors in the anterior cingulate cortex in autism. Mol Autism. 2011, 2: 14-PubMed CentralView ArticlePubMedGoogle Scholar
- Anitha A, Nakamura K, Thanseem I, Matsuzaki H, Miyachi T, Tsujii M, Iwata Y, Suzuki K, Sugiyama T, Mori N: Downregulation of the expression of mitochondrial electron transport complex genes in autism brains. Brain Pathol. 2013, 23: 294-302.View ArticlePubMedGoogle Scholar
- Hu VW, Nguyen A, Kim KS, Steinberg ME, Sarachana T, Scully MA, Soldin SJ, Luu T, Lee NH: Gene expression profiling of lymphoblasts from autistic and nonaffected sib pairs: altered pathways in neuronal development and steroid biosynthesis. PLoS One. 2009, 4: e5775-PubMed CentralView ArticlePubMedGoogle Scholar
- Ziats MN, Rennert OM: Identification of differentially expressed microRNAs across the developing human brain. Mol Psychiatry. 2013, 19: 848-852.PubMed CentralView ArticlePubMedGoogle Scholar
- Beveridge NJ, Gardiner E, Carroll AP, Tooney PA, Cairns MJ: Schizophrenia is associated with an increase in cortical microRNA biogenesis. Mol Psychiatry. 2010, 15: 1176-1189.PubMed CentralView ArticlePubMedGoogle Scholar
- Santarelli DM, Beveridge NJ, Tooney PA, Cairns MJ: Upregulation of dicer and microRNA expression in the dorsolateral prefrontal cortex Brodmann area 46 in schizophrenia. Biol Psychiatry. 2011, 69: 180-187.View ArticlePubMedGoogle Scholar
- Lai CY, Yu SL, Hsieh MH, Chen CH, Chen HY, Wen CC, Huang YH, Hsiao PC, Hsiao CK, Liu CM, Yang PC, Hwu HG, Chen WJ: MicroRNA expression aberration as potential peripheral blood biomarkers for schizophrenia. PLoS One. 2011, 6: e21635-PubMed CentralView ArticlePubMedGoogle Scholar
- Moreau MP, Bruse SE, David-Rus R, Buyske S, Brzustowicz LM: Altered microRNA expression profiles in postmortem brain samples from individuals with schizophrenia and bipolar disorder. Biol Psychiatry. 2011, 69: 188-193.PubMed CentralView ArticlePubMedGoogle Scholar
- Shi W, Du J, Qi Y, Liang G, Wang T, Li S, Xie S, Zeshan B, Xiao Z: Aberrant expression of serum miRNAs in schizophrenia. J Psychiatr Res. 2012, 46: 198-204.View ArticlePubMedGoogle Scholar
- Rapoport J, Chavez A, Greenstein D, Addington A, Gogtay N: Autism spectrum disorders and childhood-onset schizophrenia: clinical and biological contributions to a relation revisited. J Am Acad Child Adolesc Psychiatry. 2009, 48: 10-18.PubMed CentralView ArticlePubMedGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.