Sun Yi-Fan, Ma Li, Li Jian-Hui, Yang Yuan, Gong Xiao-Hui, Cai Cheng
Department of Neonatology, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Ann Transl Med. 2023 Jan 15;11(1):4. doi: 10.21037/atm-22-3293. Epub 2022 Dec 19.
Bronchopulmonary dysplasia (BPD) is a severe pulmonary complication causing morbidity and mortality in preterm infants. A key histopathological feature of BPD is late lung growth retardation, in which the process of alveolarization is hindered and the mechanism of which is unclear. Emerging evidence indicates that microRNAs (miRNAs) promote the development of BPD via the inhibition of their target genes. MiR-495 has been reported to be involved in various lung diseases. However, the physiological function of miR-495 in BPD has not yet been fully understood.
Differentially expressed miRNAs in peripheral blood of patients with BPD were compared with those of normal controls. A dual-luciferase reporter assay was performed to identify the target genes of miR-495. A BPD neonatal rat model was established by injecting lipopolysaccharide (LPS) in the amniotic sac of pregnant rats. The morphology of the lungs was observed using hematoxylin and eosin (HE) staining. The expression of miR-495, neural precursor cell expressed developmentally down-regulated 4-like (), and epithelial Na channel () was tested using quantitative reverse transcription-polymerase chain reaction (qRT-PCR), Western blot analysis, and immunofluorescent (IF) staining.
The expression of miR-495 was significantly increased in the peripheral blood samples of premature infants with BPD and verified using qRT-PCR. was proven to be the target gene of miR-495. Additionally, miR-495 expression was also increased in the lungs of rat pups with BPD at postnatal day (P) 3 compared with the control group. qRT-PCR and Western blot results showed that expression was decreased while expression was increased at the transcriptional and translational levels. IF staining results showed that NEDD4L level was decreased while ENaC level was increased in the LPS-induced BPD rat model, which was consistent with abnormal changes in alveolar structure.
The aberrant overexpression of miR-495 may contribute to the development of BPD by targeting pathway, implying an imbalance in lung fluid clearance.
支气管肺发育不良(BPD)是一种导致早产儿发病和死亡的严重肺部并发症。BPD的一个关键组织病理学特征是晚期肺生长迟缓,其中肺泡化过程受到阻碍,其机制尚不清楚。新出现的证据表明,微小RNA(miRNA)通过抑制其靶基因促进BPD的发展。据报道,miR-495参与多种肺部疾病。然而,miR-495在BPD中的生理功能尚未完全了解。
将BPD患者外周血中差异表达的miRNA与正常对照者进行比较。进行双荧光素酶报告基因检测以鉴定miR-495的靶基因。通过向孕鼠羊膜腔内注射脂多糖(LPS)建立BPD新生大鼠模型。使用苏木精和伊红(HE)染色观察肺的形态。使用定量逆转录-聚合酶链反应(qRT-PCR)、蛋白质印迹分析和免疫荧光(IF)染色检测miR-495、神经前体细胞表达的发育下调4样蛋白(NEDD4L)和上皮钠通道(ENaC)的表达。
BPD早产儿外周血样本中miR-495的表达显著增加,并通过qRT-PCR进行了验证。NEDD4L被证明是miR-495的靶基因。此外,与对照组相比,出生后第3天(P3)患有BPD的幼鼠肺中miR-495表达也增加。qRT-PCR和蛋白质印迹结果表明,在转录和翻译水平上,NEDD4L表达降低而ENaC表达增加。IF染色结果显示,在LPS诱导的BPD大鼠模型中,NEDD4L水平降低而ENaC水平增加,这与肺泡结构的异常变化一致。
miR-495的异常过表达可能通过靶向NEDD4L-ENaC途径促进BPD的发展,这意味着肺液清除失衡。