Büllöz pemfigoidli hastalarda serum ve lezyonel miRNA-1291 ekspresyonlarının karşılaştırılması

Şule SUBAŞI GÖKŞİN, Buket Er Urgancı, Işıl Göğem İmren, I. Açıkbaş
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Abstract

Purpose: Bullous pemphigoid (BP) is an autoimmune disease increasing by age. miRNA-1291 is a microRNA that plays major role in many immune-mediated cutaneous diseases. We aimed to investigate the role of miRNA-1291 in BP by comparing its expression levels in serum and lesional skin and its correlation with other BP biomarkers (CCL17, anti-BP180, and anti-BP230). Materials and methods: Twenty three patients with BP and 23 healthy control patients were included in the study. The miRNeasy Mini Kits was used for RNA isolation from serum and biopsy samples. Qiagen-miRCURY LNA RT Kit was used for conversion of cDNA. miRNA-1291 expression was performed by Real-Time PCR with the original primer and SYBR Green master mix. Serum CCL17, anti-BP180, and anti-BP230 levels were measured with use of ELISA. SPSS 25.0 (IBM SPSS Statistics 25 software) was used for statistical evaluation. Results: The expression of miRNA-1291 in serum and biopsy samples were 7.02 and 4.77-fold significantly upregulated than that of control group respectively (p=0.001, p=0.007). The serum levels of anti-BP-180, anti-BP-230 and CCL17 in BP patients were significantly higher compared to control group (p=0.0049, p=0.0071, p=0.001). Anti-BP180, anti-BP230, CCL17 levels and serum miRNA-1291 expression were correlated positively in BP patients. Additionally, serum miRNA-1291 expression were correlated well with lesional miRNA-1291 expression. Conclusion: The increase in miRNA-1291 levels in serum and lesional tissue compared to non-lesional tissue suggests that miRNA-1291 may play a role in the pathogenesis of BP. As miRNA-1291 correlates with other BP biomarkers, it may serve as an important biomarker for BP.
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目的:大疱性类天疱疮(BP)是一种随年龄增长而增加的自身免疫性疾病。miRNA-1291是一种在许多免疫介导的皮肤疾病中起重要作用的microRNA。我们的目的是通过比较miRNA-1291在血清和病变皮肤中的表达水平及其与其他BP生物标志物(CCL17、抗bp180和抗bp230)的相关性来研究miRNA-1291在BP中的作用。材料与方法:选取23例BP患者和23例健康对照。使用miRNeasy迷你试剂盒从血清和活检样本中分离RNA。采用qiagen - mircurry LNA RT Kit进行cDNA转化。用原始引物和SYBR Green主混合物进行实时荧光定量PCR表达miRNA-1291。采用ELISA法检测血清CCL17、抗bp180、抗bp230水平。采用SPSS 25.0 (IBM SPSS Statistics 25)软件进行统计评价。结果:血清和活检样本中miRNA-1291的表达量分别比对照组显著上调7.02倍和4.77倍(p=0.001, p=0.007)。BP患者血清抗BP-180、抗BP-230、CCL17水平显著高于对照组(p=0.0049, p=0.0071, p=0.001)。BP患者抗bp180、抗bp230、CCL17水平与血清miRNA-1291表达呈正相关。此外,血清miRNA-1291表达与病变miRNA-1291表达密切相关。结论:与非病变组织相比,血清和病变组织中miRNA-1291水平升高,提示miRNA-1291可能在BP发病过程中发挥作用。由于miRNA-1291与其他BP生物标志物相关,可能是BP的重要生物标志物。
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