AUTHOR=Carini Giulia , Musazzi Laura , Bolzetta Francesco , Cester Alberto , Fiorentini Chiara , Ieraci Alessandro , Maggi Stefania , Popoli Maurizio , Veronese Nicola , Barbon Alessandro TITLE=The Potential Role of miRNAs in Cognitive Frailty JOURNAL=Frontiers in Aging Neuroscience VOLUME=Volume 13 - 2021 YEAR=2021 URL=https://www.frontiersin.org/journals/aging-neuroscience/articles/10.3389/fnagi.2021.763110 DOI=10.3389/fnagi.2021.763110 ISSN=1663-4365 ABSTRACT=Frailty is a condition, common among the elderly, which has been defined as a state of enhanced vulnerability to stressors, leading to a limited capacity to meet homeostatic demands. Cognitive deficits are also frequent in elderly people, often accompanying frailty. Age is the main independent risk factor for both frailty and cognitive disorders, and compelling evidence suggests that similar age-associated mechanisms could underlie both clinical conditions. Accordingly, it has been suggested that frailty and cognitive impairments share common pathways, and some authors proposed “cognitive frailty” as a single complex phenotype. Nevertheless, so far, no clear common underlying pathways have been discovered for both conditions. MicroRNAs (miRNAs) have emerged as key fine-tuning regulators in most physiological processes, as well as pathological conditions. Importantly, miRNAs have been proposed as both peripheral biomarkers and potential molecular mechanisms involved in physiological and pathological aging. In this review, we discuss the evidence linking changes of selected miRNAs expression with frailty and cognitive disorders. Overall, miR-92a-5p and miR-532-5p, as well as other miRNAs implicated in pathological aging, should be investigated as potential biomarkers (and putative molecular effectors) of cognitive frailty.