, vol. 75, issue 2, 2026.
BackgroundResearchers discovered that microRNA 223-3p (miR-223-3p) was elevated in sepsis due to its dysregulation in infection, so the aim of our study was to identify the role of miR-223-3p expression as a potential biomarker and predictor of outcome in sepsis.
Patients and methods
Our study was a prospective observational cohort model consisting of 46 patients diagnosed as either sepsis or septic shock according to sepsis score 3, who were admitted to ICU. Four healthy individuals participated as a reference group for the expression of miR-223-3p. Serum samples were obtained for miR-223-3p gene expression by real-time PCR technology.
Results
The current study demonstrated that there was a higher mean value of miR-223-3p expression in sepsis cases (1.10±1.35) than in healthy persons (0.85±0.41). Pneumonia was the most common diagnosis in 24 (52.2%) cases. Klebsiella was the most predominant bacteria detected in this study 21 (45.7%) patients followed by 10 (21.7%) patients with Acinetobacter. There was a statistical significance difference between males and females, being higher in males (P0.046), also between smokers and nonsmokers, being higher in smokers than nonsmoker (P0.017). It was noticed that high expression of miRNA expression in Klebsiella and E coli infections. Correlation coefficient of miR-223-3p expression in relation to clinical and laboratory data showed the following: in spite of the expression being negatively correlated to body temperature, mean arterial blood pressure, white blood cells, platelet count, and liver functions but there was no statistically significant P value. Despite higher miRNA expression 223-3p in sepsis patients with disturbed consciousness, septic shock, nonsurvivors, and patients with positive fibrin degradation products, there was no statistically significant difference.
Conclusions
MiR-223-3p could be considered a promising biomarker for both marker of severity and predictor of outcomes in sepsis, providing perspectives to the exact molecular mechanisms and potential therapeutic targets. MiR-223-3pp showed higher expression with bacterial infection especially E-coli and klebsiella. These findings pay attention to the potentiality of miR-223-3p as both a diagnostic modality and tool of differentiation between sepsis etiologies and leading precision management.