Mirra Davida, Cione Erika, Spaziano Giuseppe, Esposito Renata, Sorgenti Mario, Granato Elisabetta, Cerqua Ida, Muraca Lucia, Iovino Pasquale, Gallelli Luca, D'Agostino Bruno
Department of Environmental Biological and Pharmaceutical Sciences and Technologies University of Campania "Luigi Vanvitelli", 81100 Caserta, Italy.
Department of Pharmacy, Health and Nutritional Sciences-Department of Excellence 2018-2022, University of Calabria, 87036 Rende, CS, Italy.
J Clin Med. 2022 Sep 16;11(18):5446. doi: 10.3390/jcm11185446.
Bronchial asthma is an inflammatory airway disease with an ever-increasing incidence. Therefore, innovative management strategies are urgently needed. MicroRNAs are small molecules that play a key role in lungs cellular functions and are involved in chronic inflammatory diseases, such as bronchial asthma. This study aims to compare microRNA serum expression between subjects with asthma, obesity, the most common co-morbidity in asthma, and healthy controls to obtain a specific expression profile specifically related to lung inflammation.
We collected serum samples from a prospective cohort of 25 sex-matched subjects to determine circulating miRNAs through a quantitative RT-PCR. Moreover, we performed an in silico prediction of microRNA target genes linked to lung inflammation.
Asthmatic patients had a significant lower expression of hsa-miR-34a-5p, 181a-5p and 146a-5p compared to both obese and healthy ones suggesting microRNAs' specific involvement in the regulation of lungs inflammatory response. Indeed, using in silico analysis, we identified microRNAs novel target genes as GATA family, linked to the inflammatory-related pathway.
This study identifies a novel circulating miRNAs expression profile with promising potentials for asthma clinical evaluations and management. Further and larger investigations will be needed to confirm the potential role of microRNA as a clinical marker of bronchial asthma and eventually of pharmacological treatment response.
支气管哮喘是一种发病率不断上升的气道炎症性疾病。因此,迫切需要创新的管理策略。微小RNA是在肺细胞功能中起关键作用的小分子,参与诸如支气管哮喘等慢性炎症性疾病。本研究旨在比较哮喘患者、肥胖(哮喘最常见的合并症)患者和健康对照者之间的微小RNA血清表达,以获得与肺部炎症特异性相关的特定表达谱。
我们从25名性别匹配的前瞻性队列受试者中收集血清样本,通过定量逆转录聚合酶链反应测定循环微小RNA。此外,我们对与肺部炎症相关的微小RNA靶基因进行了计算机预测。
与肥胖患者和健康对照者相比,哮喘患者的hsa-miR-34a-5p、181a-5p和146a-5p表达显著降低,提示微小RNA在肺部炎症反应调节中具有特定作用。事实上,通过计算机分析,我们确定了与炎症相关途径相连的GATA家族作为微小RNA的新靶基因。
本研究确定了一种新的循环微小RNA表达谱,在哮喘临床评估和管理方面具有广阔的应用前景。需要进一步开展更大规模的研究,以证实微小RNA作为支气管哮喘临床标志物以及最终作为药物治疗反应标志物的潜在作用。