“…1 Dysregulation of microRNA expression has been linked to multiple forms of cancer and is considered an important diagnostic and prognostic signature. 2−5 Absolute quantification of microRNA species presents four main challenges: (1) microRNAs are low in abundance, together making up only about 0.1% (w/w) of a cell's total RNA content, 6 (2) concentrations of a single microRNA species can vary by over 3 orders of magnitude, 7 (3) microRNA species can differ by as little as a single nucleotide, 4,5 and (4) so-called "mature" microRNA species must be distinguished from "precursors" sharing the full mature sequence. 4,5 Given these constraints, a clinically-viable microRNA detection assay will require picomolar or better sensitivity (e.g., assuming 10 000 cells, or approximately 100 ng of total RNA, as the starting sample), greater than 3 orders of magnitude dynamic range, and single-nucleotide specificity, in addition, the quantification and delivery of an answer in a relatively short amount of time.…”