Abstract

BackgroundOral lichen planus (OLP) is a T cell-mediated autoimmune disease. The aetiology and molecular mechanisms of OLP remain unclear. Human cytomegalovirus (HCMV) infection is a causal factor in the development of various diseases, but the clinical relevance of HCMV in OLP has not been thoroughly investigated.MethodsIn the present study, we firstly examined twenty-three HCMV-encoded microRNA (miRNA) expression profiles in plasma from training set that including 21 OLP patients and 18 healthy controls using RT-qPCR technology. Dysregulated miRNAs were subsequently confirmed in another larger cohort refereed as validation set consisting of 40 OLP patients and 33 healthy controls. HCMV DNA in peripheral blood leukocytes (PBLs) was also measured in an additional cohort of 13 OLP patients and 12 control subjects. Furthermore, bioinformatics analyses, luciferase reporter assay and western blotting were also performed to predict and verify the direct potential targets of HCMV-encoded miRNAs.ResultsThe RT-qPCR results showed that the plasma levels of five HCMV-encoded miRNAs including hcmv-miR-UL112-3p, hcmv-miR-UL22a-5p, hcmv-miR-UL148d, hcmv-miR-UL36-5p and hcmv-miR-UL59 were significantly increased in OLP patients in both training and validation sets. HCMV DNA in PBLs was also significantly higher in OLP patients than in control subjects. Additionally, by using a combination of luciferase reporter assay and western blotting, we demonstrated that cytomegalovirus UL16-binding protein 1, a molecule that mediates the killing of virus-infected cells by natural killer cells, is a direct target of hcmv-miR-UL59.ConclusionsOur results demonstrate a distinct expression pattern of HCMV-encoded miRNAs in OLP patients, which may provide insight into the relationship between HCMV infection and OLP, and warrants additional study in the diagnosis and aetiology of OLP.

Highlights

  • Oral lichen planus (OLP) is a T cell-mediated autoimmune disease

  • We found that the plasma expression pattern of Human cytomegalovirus (HCMV)-encoded miRNAs in patients with OLP was different from normal controls, and 5 of 23 studied HCMV miRNAs were upregulated in OLP patients

  • We demonstrated that CMV UL16-binding protein 1 (ULBP1), which is a molecule that mediates the killing of virus-infected cells by natural killer (NK) cells, is a direct target of hcmvmiR-UL59

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Summary

Introduction

Oral lichen planus (OLP) is a T cell-mediated autoimmune disease. The aetiology and molecular mecha‐ nisms of OLP remain unclear. Human cytomegalovirus (HCMV) infection is a causal factor in the development of vari‐ ous diseases, but the clinical relevance of HCMV in OLP has not been thoroughly investigated. Oral lichen planus (OLP) is a relatively common chronic inflammatory disease of the oral mucosa that affects 0.1–4.0% of the adult population, with middle-aged and aged females exhibiting higher incidences [1, 2]. The highly relapsing nature of OLP is a great clinical challenge to improve the treatment result of the disease. Opinions on the pathogenesis of OLP vary, but it is currently accepted that OLP is a T-cell-mediated autoimmune disease [5]. The aetiology and molecular mechanisms underlying this autoimmune disease remain unclear

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