WNT signaling is fundamental to bone health, and its aberrant activation leads to skeletal pathologies. The heterozygous missense mutation p.C218G in WNTWNT pathway ligand, leads to severe early-onset and progressive osteoporosis with multiple peripheral and spinal fractures. Despite the severe skeletal manifestations, conventional bone turnover markers are normal in mutation-positive patients.
This study sought to explore the circulating microRNA (miRNA) pattern in patients with impaired WNT signaling.
A cross-sectional cohort study at a university hospital.
Altogether, 12 mutation-positive (MP) subjects (median age, 39 years; range, 11 to 76 years) and 12 mutation-negative (MN) subjects (35 years; range, 9 to 59 years) from two Finnish families with <em>WNT</em>1 osteoporosis due to the heterozygous p.C218G <em>WNT</em>1 mutation.
Serum samples were screened for 192 miRNAs using quantitative polymerase chain reaction. Findings were compared between <em>WNT</em>1 MP and MN subjects.
The pattern of circulating miRNAs was significantly different in the MP subjects compared with the MN subjects, with two upregulated (miR-18a-3p and miR-223-3p) and six downregulated miRNAs (miR-22-3p, miR-31-5p, miR-34a-5p, miR-143-5p, miR-423-5p, and miR-423-3p). Three of these (miR-22-3p, miR-34a-5p, and miR-31-5p) are known inhibitors of <em>WNT</em> signaling: miR-22-3p and miR-34a-5p target <em>WNT</em>1 messenger RNA, and miR-31-5p is predicted to bind to <em>WNT</em>1 3'UTR.
The circulating miRNA pattern reflects WNTWNTWNTWNT-related bone disorders. These miRNAs may have potential in the diagnosis and treatment of osteoporosis.