Study record

Diagnostic relevance of Humanin, GAS5 and miR-21/miR-103 in prostate disease risk stratification

Coradduzza D, Cruciani S, Sibono L et al. · Clin Exp Med · 2025

Human obs.SeveralEvidence tier B

What this study reported

Measured circulating humanin and MOTS-c, GAS5 and exosomal miR-21 and miR-103 in men investigated for prostate disease. Found lower humanin and GAS5 in precancerous lesions and prostate cancer than in benign prostatic hyperplasia, higher exosomal miR-21 and miR-103 in prostate cancer, and higher MOTS-c in precancerous lesions than in benign prostatic hyperplasia. Reported that a plasma model combining humanin, GAS5 and MOTS-c reached 95% cross-validated classification accuracy across these clinical groups.

Limitations

Single cross-sectional cohort with no external validation, and near-perfect reported AUCs raise the possibility of overfitting; group sizes are not given, men only by disease definition, and MOTS-c is one of several biomarkers rather than the primary focus.

Study record

Annotated fields for this study
Study modelHuman observational
Substance studiedSeveralMore than one of these is central to the paper (common for reviews).
Specieshuman
System studiedMale patients investigated for suspected prostate cancer, grouped as benign hyperplasia, precancerous lesions or prostate cancer
Populationmen with suspected prostate cancer, classified as benign prostatic hyperplasia, precancerous lesions or prostate cancer
DesignCross-sectional diagnostic biomarker study
Sample size as reported375 male patients
Control grouppatients with benign prostatic hyperplasia as the comparison group
Route (data field only)Not reported
Endpoints measuredplasma MOTS-c; plasma humanin; GAS5; exosomal miR-21 and miR-103; ROC/AUC discrimination; classification accuracy
Pathways measuredApoptosis · Inflammation
Research areasCancer · Methods
Evidence tierB — Other human study
Publication typesJournal Article

Appraisal

Each dimension is recorded separately and never combined into a single score. A study can be well controlled and still tell you little about people.

Relevance to MOTS-c
Indirect
Model applicability
Human
Sample size
Adequate
Controls
Limited
Outcome validity
Exploratory
Support for its own conclusion
Weak

Provenance

  • Bibliographic fields retrieved from PubMed E-utilities efetch (title, journal, date, authors, DOI) on 2026-11-11.
  • Annotated from the published abstract.
  • Editorial review: approved (2026-11-11).
  • Classification follows the site methodology; the record describes the study, not what MOTS-c does in people.