“…miRNAs can be exported or released by cells and circulate with the blood in a remarkably stable form by packaging into microparticles, e.g., exosomes, microvesicles, or apoptotic bodies (4, 5), binding to RNA-binding proteins or high-density lipoprotein (6–8). Although the precise role of circulating miRNAs is still largely unknown, dysregulated expression of circulating miRNAs has been found to be associated with the occurrence of a variety of diseases including cancers (8, 9, 9–14), cardiovascular disease (15–20), diabetes mellitus (21), obesity (22, 23), neurodegenerative disease (24, 25), and autoimmune disease (26), as well as altered physiological states such as pregnancy (27). Thus, circulating miRNAs have become of increasing interest as non-invasive biomarkers for predicting disease risk and prognosis, as well as for cancer early diagnosis and monitoring of treatment responses.…”