“…Toward this goal, miR-21-5p and miR-322-5p (also identified as upregulated in exosomes from GSS infected cells, Bellingham et al, 2012 ), not previously suggested as biomarkers in blood serum/plasma of other NDs such as AD ( Geekiyanage et al, 2012 ; Kiko et al, 2013 ; Dong et al, 2015 ; Guo et al, 2017 ; Nagaraj et al, 2017 ; Zeng et al, 2017 ), MS ( Vistbakka et al, 2017 ), PD ( Ding et al, 2016 ; Dong et al, 2016 ; Ma et al, 2016 ), and ALS ( Freischmidt et al, 2013 ), emerge as prion-specific biomarker candidates. Other prion infected exosomal miRNAs with diagnostic potential include let-7b-5p, miR-29b-3p, miR-222-3p, and miR-342-3p; these miRNAs display inverse deregulation in prion infected exosomes (upregulation, Bellingham et al, 2012 ) compared to ALS (let-7b-5p in ALS patients serum, Freischmidt et al, 2013 ), or AD [miR-29b-ep in AD patients serum ( Geekiyanage et al, 2012 ) and/or PBMCs ( Villa et al, 2013 ), miR-222-3p in AD patients serum ( Zeng et al, 2017 ) and miR-342-3p in AD serum ( Tan et al, 2014 )]. Other upregulated in prion infected exosomes miRNAs, such as let-7i-5p and miR-128-3p, and the downregulated miR-146a-5p, display similar deregulation patterns in MS patients exosomes (let-7i-5p, Kimura et al, 2018 ), Primary Progressive (PPMS) MS patients serum (miR-128-3p, Vistbakka et al, 2017 ) and AD (miR-146a-5p, Kiko et al, 2013 ; Dong et al, 2015 ) or PD patients serum (miR-146a-5p, Ma et al, 2016 ).…”