Review
Copyright ©The Author(s) 2025.
World J Psychiatry. Aug 19, 2025; 15(8): 108933
Published online Aug 19, 2025. doi: 10.5498/wjp.v15.i8.108933
Table 2 Summary of changes of exosomal microRNAs in Alzheimer’s disease patients
miRNA
Alteration
Model
Type tissue
Significance
Ref.
miR-320a, miR-328-3p, miR-204-5pDecreaseHuman patientsCSFPotential targets for miR-328-3p involve AMPK signaling pathways associated with amyloid and tau metabolism in AD. Reliable biomarkers of ADTan et al[73]
miR-455-3pIncreaseHuman patientsCSFA potential biomarker for ADKumar and Reddy[74]
miR-9, miR-21, miR29-b, miR-122, miR-132DecreaseHuman patientsPlasmaMiR-122 is related to alpha-tocopherol and may be a new targeted therapyBoccardi et al[75]
miR-125b, miR-451aIncreaseHuman patientsPeripheral bloodIt plays a role through the PI3K/Akt signaling pathway. Possible biomarker for ADDuan et al[76]
miR-342-5pIncreaseHuman patientsPeripheral bloodDegradation of BACE1 mRNA in cells by targeting the 3’UTR sequence of BACE1 ameliorates β-Amyloid formationDong et al[77]
miR-16-5p, miR-25-3p, miR-92a-3p, miR-451aDecreaseHuman patientsPlasmaMay have been involved in the early development of ADVisconte et al[78]
miR-373, miR-204DecreaseHuman patientsPeripheral bloodPotential biomarkers for ADTaşdelen et al[79]
miR-30b-5p, miR-22-3p, miR-378a-3pDecreaseHuman patientsPeripheral bloodPotential biomarkers for the diagnosis of ADDong et al[80]
miR-483-5p, miR-502-5pDecreaseHuman patientsPlasmaPossible biomarker for ADLiu et al[81]
miR-29c-3pIncreaseHuman patientsPlasmaPossible biomarker for ADLi et al[82]
miR-23aIncreaseHuman patientsPlasmaPossible biomarker for ADBarbagallo et al[83]
miR-126-3p, miR-142-3p, miR-146a-5p, miR-223-3pDecreaseHuman patientsCSF and peripheral bloodAs a biomarker reflecting AD severityAharon et al[84]
miR-384IncreaseHuman patientsCSF and plasmaMiR-384 downregulates the expression and activity of ACE-1 to alleviate AD symptomsLi et al[85]
miR-485-3pIncreaseHuman patientsSalivaPossible biomarker and treatment for ADRyu et al[86]
miR-486-3PIncreaseHuman patientsBrain tissue and peripheral bloodPossible biomarker for ADCheng et al[87]
miR-185-5pHuman patientsBlood sampleEducation decreased AD expression, depression increased AD expression, and participated in the production and accumulation of Aβ in patients, and enhanced depression, which participated in the production and accumulation of AβWang et al[88]