Laboratory of Pneumology, GIGA Research Center, University of Liège, University Hospital of Liège, Liège, Belgium.
Fibropole Research Group, University Hospital of Liège, Liège, Belgium.
Respir Res. 2023 Apr 15;24(1):112. doi: 10.1186/s12931-023-02413-6.
BACKGROUND: Pulmonary fibrosis is an emerging complication of SARS-CoV-2 infection. In this study, we speculate that patients with COVID-19 and idiopathic pulmonary fibrosis (IPF) may share aberrant expressed microRNAs (miRNAs) associated to the progression of lung fibrosis. OBJECTIVE: To identify miRNAs presenting similar alteration in COVID-19 and IPF, and describe their impact on fibrogenesis. METHODS: A systematic review of the literature published between 2010 and January 2022 (PROSPERO, CRD42022341016) was conducted using the key words (COVID-19 OR SARS-CoV-2) AND (microRNA OR miRNA) or (idiopathic pulmonary fibrosis OR IPF) AND (microRNA OR miRNA) in Title/Abstract. RESULTS: Of the 1988 references considered, 70 original articles were appropriate for data extraction: 27 studies focused on miRNAs in COVID-19, and 43 on miRNAs in IPF. 34 miRNAs were overlapping in COVID-19 and IPF, 7 miRNAs presenting an upregulation (miR-19a-3p, miR-200c-3p, miR-21-5p, miR-145-5p, miR-199a-5p, miR-23b and miR-424) and 9 miRNAs a downregulation (miR-17-5p, miR-20a-5p, miR-92a-3p, miR-141-3p, miR-16-5p, miR-142-5p, miR-486-5p, miR-708-3p and miR-150-5p). CONCLUSION: Several studies reported elevated levels of profibrotic miRNAs in COVID-19 context. In addition, the balance of antifibrotic miRNAs responsible of the modulation of fibrotic processes is impaired in COVID-19. This evidence suggests that the deregulation of fibrotic-related miRNAs participates in the development of fibrotic lesions in the lung of post-COVID-19 patients.
背景:肺纤维化是 SARS-CoV-2 感染的一种新出现的并发症。在这项研究中,我们推测 COVID-19 患者和特发性肺纤维化(IPF)患者可能具有与肺纤维化进展相关的异常表达的 microRNAs(miRNAs)。
目的:鉴定 COVID-19 和特发性肺纤维化中存在相似变化的 miRNAs,并描述它们对纤维化的影响。
方法:对 2010 年至 2022 年 1 月期间发表的文献进行了系统回顾(PROSPERO,CRD42022341016),使用关键词(COVID-19 或 SARS-CoV-2)和(microRNA 或 miRNA)或(特发性肺纤维化或 IPF)和(microRNA 或 miRNA)在标题/摘要中进行检索。
结果:在考虑的 1988 篇参考文献中,有 70 篇原始文章适合数据提取:27 项研究聚焦于 COVID-19 中的 miRNAs,43 项研究聚焦于特发性肺纤维化中的 miRNAs。COVID-19 和特发性肺纤维化中存在 34 个重叠的 miRNAs,其中 7 个 miRNA 呈上调(miR-19a-3p、miR-200c-3p、miR-21-5p、miR-145-5p、miR-199a-5p、miR-23b 和 miR-424),9 个 miRNA 呈下调(miR-17-5p、miR-20a-5p、miR-92a-3p、miR-141-3p、miR-16-5p、miR-142-5p、miR-486-5p、miR-708-3p 和 miR-150-5p)。
结论:一些研究报告 COVID-19 中存在高水平的促纤维化 miRNAs。此外,COVID-19 中调节纤维化过程的抗纤维化 miRNAs 的平衡被破坏。这一证据表明,纤维化相关 miRNAs 的失调参与了 COVID-19 后患者肺部纤维化病变的发展。
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