Evidence map›Paper›PMID 42222013›Full record

ArticleFrontiers in pediatrics2025

A serum exosomal four-miRNA signature for the diagnosis of central precocious puberty: a discovery and validation study.

Jing Wang, Huangdi Xie, Jie Deng, Xiu Zhao, Linzhu Zhang, Lisheng Wan

Abstract read
In one paragraph

Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Global, regional, and national burden of Clostridioides difficile infection (1990-2021) with projections to 2051: A multimodal analysis integrating machine learning (SHAP-XGBoost) and GBD 2021 data.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jing WangDepartment of Traditional Chinese Medicine, Shenzhen Children's Hospital, Shenzhen, China.
Huangdi XieDepartment of Pediatrics, Shenzhen Traditional Chinese Medicine Hospital (Shenzhen Hospital of Traditional Chinese Medicine), Shenzhen, China.
Jie DengThe Affiliated Changsha Central Hospital, Department of Pediatrics, Hengyang Medical School, University of South China, Changsha, Hunan, China.
Xiu ZhaoDepartment of Traditional Chinese Medicine, Shenzhen Children's Hospital, Shenzhen, China.
Linzhu ZhangDepartment of Traditional Chinese Medicine, Shenzhen Children's Hospital, Shenzhen, China.
Lisheng WanDepartment of Traditional Chinese Medicine, Shenzhen Children's Hospital, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The current diagnosis of central precocious puberty (CPP) relies on the invasive and time-consuming GnRH stimulation test. There is an urgent need for convenient, molecular-level non-invasive biomarkers. This study aimed to characterize serum exosomal miRNA profiles and construct a robust diagnostic model to distinguish treatment-naïve CPP patients from healthy controls. Methods: A prospective study enrolled 120 girls (Healthy Controls, Results: Sequencing identified 92 differentially expressed small RNAs, predominantly miRNAs. Bioinformatics analysis revealed significant enrichment of the GnRH signaling pathway (FDR = 2.8  ×  10 Conclusion: This study establishes a novel serum exosomal four-miRNA signature as a highly sensitive and specific non-invasive diagnostic tool for CPP. Beyond diagnostic performance, the signature offers molecular insights connecting circulating markers to the GnRH and metabolic pathways. This model presents a promising alternative to invasive testing and lays a foundation for precision diagnostics in pediatric endocrinology.

Indexed as

biomarker diagnosiscentral precocious puberty (CPP)exosomemicroRNA (miRNA)non-invasivepediatric endocrinology

Identifiers

PMID42222013
PMCPMC13218294

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.