RT Journal Article T1 Serum MicroRNAs as Biomarkers of Sepsis and Resuscitation A1 Oteiza, Lorena A1 Ferruelo, Antonio A1 Nín, Nicolás A1 Arenillas Baquero, Mario A1 Paula, Marta de A1 Pandolfi, Rachele A1 Moreno Gutiérrez, Laura A1 Herrero, Raquel A1 González Rodríguez, Paloma A1 Peñuelas, Óscar A1 Pérez Vizcaíno, Francisco A1 Lorente, José Ángel AB There is a lack of biomarkers of sepsis and the resuscitation status. Our objective was to prove that the serum expression of certain microribonucleic acids (miRNAs) is differentially regulated in sepsis and is sensitive to different resuscitation regimes. Anesthetized pigs (Sus scrofa domesticus) received no treatment (n = 15) or intravenous live E. coli (n = 24). The septic animals received 0.9% saline at 4 mL/kg/h (n = 8) (low resuscitation group (LoR)) or 10–17 mL/kg/h (high resuscitation group (HiR)) (n = 8 each group). Blood samples were obtained at the end of the experiment for measurement of seven different miRNAs (RT-qPCR, Qiagen, Hilden, Germany). The serum expression of miR-146a-5p and miR-34a-5p increased significantly in the septic group, and miR-146a-5p was significantly lower in the HiR group than in the LoR group. The toll-like receptor signaling pathway involving 22 target proteins was significantly (adjusted p = 3.87 × 10−4) regulated by these two microRNAs (KEGG). Highly significant (p value = 2.22 × 10−16) protein–protein interactions (STRING) were revealed for these 22 hits. MiR-146a-5p and miR-34a-5p were identified as biomarkers of sepsis, and miRNA146a-5p seemed to be a biomarker of the intensity of the resuscitation PB MDPI SN 2076-3417 YR 2021 FD 2021-12-06 LK https://hdl.handle.net/20.500.14352/5068 UL https://hdl.handle.net/20.500.14352/5068 LA eng DS Docta Complutense RD 9 abr 2025