Evidence map›Paper›PMID 42327521›Full record

ArticleInfectious diseases & clinical microbiology2026

Upregulation of Serum microRNA-21 as a Noninvasive Biomarker in Active Pulmonary Tuberculosis Patients in Duhok, Iraq.

Nishteman Faysal Mohammad, Amir Hani Raziq

Abstract read
In one paragraph

Article in Infectious diseases & clinical microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Nishteman Faysal MohammadDepartment of Medical Microbiology, College of Medicine, University of Duhok, Duhok, Iraq.ORCID https://orcid.org/0009-0000-0834-3241
Amir Hani RaziqDepartment of Medical Laboratory Science, College of Health Sciences, University of Duhok, Duhok, Iraq.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the diagnostic potential of serum microRNA-21 (miR-21) as a noninvasive biomarker for active pulmonary tuberculosis (PTB) and to compare its performance with conventional diagnostic methods, including smear microscopy and the GeneXpert MTB/RIF assay. Materials and Methods: A cross-sectional study was conducted between July 2024 and August 2025 in Duhok and Mosul, Iraq. Sputum samples were examined by Ziehl-Neelsen (ZN) staining, and selected samples were analyzed using the GeneXpert MTB/RIF assay. Serum samples were collected from patients with confirmed active PTB and healthy controls. Serum miR-21 expression levels were quantified using reverse transcription quantitative polymerase chain reaction (RT-qPCR), normalized to U6 small nuclear RNA as an internal reference, and analyzed using the comparative Ct (2-ΔΔCt) method. Statistical analysis was performed using SPSS software, and a p-value of ≤ 0.05 was considered statistically significant. Results: A total of 474 sputum samples from patients suspected of PTB were examined. Serum miR-21 analysis was performed in 40 patients with confirmed PTB and 30 healthy controls. Serum miR-21 expression was significantly higher in patients with PTB compared with healthy controls (9.29 ± 0.11 vs. 1.30 ± 0.02; Conclusion: Serum miR-21 was significantly upregulated in patients with active PTB, suggesting its potential as a noninvasive biomarker that may complement existing diagnostic methods. However, large-scale studies are needed to further validate its diagnostic value.

Indexed as

biomarkerGeneXpert MTB/RIFmicroRNA-21Pulmonary tuberculosisRT-qPCRZiehl-Neelsen staining

Identifiers

PMID42327521
PMCPMC13277600

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