Abstract

BackgroundBehçet’s disease (BD) is a systemic vasculitis disorder with multifactorial immunopathogenesis and associated with significant morbidity and mortality. MicroRNAs (miRNAs) are involved in the pathogenesis of inflammatory diseases. MiR-146 and miR-155 are known key regulators of immune response. This study was conducted to determine the expression of miRNA-146a and miRNA-155 in patients with BD and to link their possible association with the clinical manifestations and activity of this disease to evaluate their role as diagnostic or prognostic markers. A total of 60 patients with BD and 25 age- and gender-matched healthy controls were examined in a case-control study from October 2017 to September 2018 for the expression levels of miR-146a and miR-155 using singleplexTaqMan two-step stem loop quantitative reverse transcription real-time polymerase chain reaction (qRT-PCR).ResultsPatients with BD had significantly lower miR-146a levels than control subjects (P < 0.001). Regarding the miR-155 expression level, no statistically significant differences were detected between patients and healthy controls (P = 0.736). The expression level of miR-146a showed no significant association with the different clinical manifestations of patients with BD.ConclusionThis study suggests the possibility that miR-146a expression in patients with BD is involved in the pathogenesis of disease. Furthermore, it can be used as a diagnostic biomarker and a therapeutic target for BD in the future.

Highlights

  • Behçet’s disease (BD) is a systemic vasculitis disorder with multifactorial immunopathogenesis and associated with significant morbidity and mortality

  • Due to the lack of pathognomonic signs or specific laboratory, radiologic, or histologic findings for BD [6], its diagnosis depends on the presence of a number of clinical findings defined by a set of diagnostic criteria, which are known as the International Criteria of Behçet’s Disease (ICBD), which define that seven clinical items with a total score of 4 points is diagnostic of BD [7]

  • The present study showed that miR-146a expression was downregulated in patients with BD in comparison with healthy controls

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Summary

Introduction

Behçet’s disease (BD) is a systemic vasculitis disorder with multifactorial immunopathogenesis and associated with significant morbidity and mortality. MicroRNAs (miRNAs) are involved in the pathogenesis of inflammatory diseases. MiR-146 and miR-155 are known key regulators of immune response. This study was conducted to determine the expression of miRNA-146a and miRNA-155 in patients with BD and to link their possible association with the clinical manifestations and activity of this disease to evaluate their role as diagnostic or prognostic markers. MicroRNAs (miRNAs), one of the noncoding RNA families, play a significant role in mediating the posttranscriptional regulation of gene expression [8] and controlling biological events, including development, proliferation, differentiation, cell fate determination, apoptosis, signal transduction, and organ development [9, 10]. Among the various miRNAs playing a possible role in regulating the immune system, miR-146 (miR-146a and miR-146b) and miR-155 have emerged as key regulators of the immune response [12]

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