Abstract

Hepatic fibrosis is the repair reaction of excessive deposition and abnormal distribution of extracellular matrix after various liver injuries, especially chronic HBV infection, which is a key step in the development of various chronic liver diseases to cirrhosis. Recent studies have showed that microRNAs (miRNAs) can regulate a series of liver fibrosis-related gene express and play an important role in the development of liver fibrosis. But the miRNAs expression profiling and the differentially expressed miRNAs in patients with HBV-related liver fibrosis were little known. This study aims to have a record of a systemic screening for liver fibrosis-associated miRNAs in patients infected with HBV. A IlluminaHiSeq sequencing of plasma miRNAs from the HBV-related liver fibrosis patients (S2/3, n = 8) based on Scheuer's staging criteria and from healthy volunteers 42 (n = 7) was performed. Cluster analysis and target gene prediction were performed for the differentially expressed miRNAs. Gene ontology (GO) analysis and KEGG pathway enrichment analysis also were performed on the differentially expressed target miRNA genes. Compared with the healthy control group, 77 miRNAs were screened out from the liver fibrosis group, among which 51 miRNAs were up-regulated and 26 miRNAs were down-regulated. Eventually, miR-98-5p was identified as a candidate predictor of liver fibrosis progression. miR-98-5p is reduced in activated LX2 cells, and miR-98-5p overexpression inhibited the HSCs activation. Mechanically, MiR-98-5p prevents liver fibrosis by targeting TGFbR1 and blocking TGFb1/Smad3 signaling pathway. Furthermore, serum miR-98-5p levels were measured from a total of 70 recruited patients with chronic HBV infection and 29 healthy individuals as controls. Serum miR-98-5p level was significantly lower in patients with liver fibrosis than in healthy controls and HBV carriers. The expression of miRNAs in patients with liver fibrosis is significantly different from that of healthy volunteers. Many signal pathways of hepatic fibrosis are regulated by miRNAs. The potential value of miR-98-5p is as diagnostic biomarkers and therapeutic targets for HBV-related liver fibrosis.

Highlights

  • The prevalence of HBV infection is worldwide, but the epidemic status varies greatly in different regions

  • There was no significant difference in age and sex between the liver fibrosis group and the healthy group

  • The level of miR-98-5p was no difference between healthy controls and HBV carriers. These results partially suggest that serum miR-98-5p could be a potential biomarker for liver fibrosis in patients with chronic HBV infection

Read more

Summary

Introduction

The prevalence of HBV infection is worldwide, but the epidemic status varies greatly in different regions. According to WHO, the more 257 million people are infected with chronic HBV, the more 887,000 people die of HBV-related diseases worldwide every year, among which cirrhosis and primary hepatocellular carcinoma account for. The prevalence rate of HBsAg in the general population of our country is about 5%-6% at present, and chronic HBV infection is about 7000 cases, among which chronic HBV patients are about 20 million to 30 million cases(2).Liver fibrosis is a pathological repair response to chronic injury and an important link in the development of various chronic liver diseases to cirrhosis. The methods of early diagnosis of liver fibrosis, includes liver biopsy, imaging or laboratory examination, are not satisfactory. Reliable non-invasive biomarkers are required for early diagnosis of liver fibrosis

Methods
Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call