Pediatric anesthesia & critical care

MiR-18a-5p serves as a risk factor in perioperative respiratory adverse events in children under general anesthesia

Perioper Med (Lond)Published Diagnostic accuracy study

Authors' conclusion

The miR-18a-5p served as a predictive factor and held diagnostic significance for PRAEs following general anesthesia in children.

Study context

Population
Children undergoing GA
Participants
174 children
Comparison
Perioperative respiratory adverse events (PRAEs) vs no PRAEs
Outcome
Serum miR-18a-5p expression and its diagnostic value for PRAEs (ROC curves)
Methodological detailsin vitro experiments
  • In vitro experiments

Performance

As reported in the abstract

Serum miR-18a-5p
  • Significantly elevated miR-18a-5p levels in PRAEs subjects, with diagnostic relevance
  • Expression correlated positively with TNF-α/IL-6 concentrations and was associated with age, obesity, American Society of Anesthesiologists (ASA) grade and anaesthesia duration
  • These parameters jointly constituted the PRAEs predictors

Further findings

In vitro AEC-II cells

miR-18a-5p silencing enhanced viability, suppressed apoptosis and lipopolysaccharide (LPS)-triggered TNF-α and IL-6 release

Original publication

MiR-18a-5p serves as a risk factor in perioperative respiratory adverse events in children under general anesthesia. Perioper Med (Lond). Published 28 November 2025. doi:10.1186/s13741-025-00629-2

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