Abstract

BackgroundThe mechanism underlying nonsevere and severe asthma remains unclear, although it is commonly associated with increased airway smooth muscle (ASM) mass. Long noncoding RNAs (lncRNAs) are known to be important in regulating healthy primary airway smooth muscle cells (ASMCs), whereas changed expression has been observed in CD8 T cells from patients with severe asthma.MethodsPrimary ASMCs were isolated from healthy subjects (n = 9) and patients classified as having nonsevere (n = 9) or severe (n = 9) asthma. ASMCs were exposed to dexamethasone and FCS. mRNA and lncRNA expression was measured by using a microarray and quantitative real-time PCR. Bioinformatic analysis was used to examine relevant biological pathways. Finally, the lncRNA plasmacytoma variant translocation 1 (PVT1) was inhibited by transfection of primary ASMCs with small interfering RNAs, and the effect on ASMC phenotype was examined.ResultsThe mRNA expression profile was significantly different between patient groups after exposure to dexamethasone and FCS, and these were associated with biological pathways that might be relevant to the pathogenesis of asthma, including cellular proliferation and pathways associated with glucocorticoid activity. We also observed a significant change in lncRNA expression, yet the expression of only one lncRNA (PVT1) is decreased in patients with corticosteroid-sensitive nonsevere asthma and increased in patients with corticosteroid-insensitive severe asthma. Subsequent targeting studies demonstrated the importance of this lncRNA in controlling both proliferation and IL-6 release in ASMCs from patients with severe asthma.ConclusionslncRNAs are associated with the aberrant phenotype observed in ASMCs from asthmatic patients. Targeting PVT1 might be effective in reducing airway remodeling in asthmatic patients.

Highlights

  • The mechanism underlying nonsevere and severe asthma remains unclear, it is commonly associated with increased airway smooth muscle (ASM) mass

  • We have reported that the aberrant phenotype of airway smooth muscle cells (ASMCs) from asthmatic patients is under the negative regulation of the cyclin inhibitors p21WAF1 and p27kip[1], which are controlled by microRNA221.3 using a transcriptomics-based approach, we identified potential microRNA targets and pathways in activated human ASMCs and observed changes in expression of long noncoding RNAs, including natural antisense, pseudogenes, intronic Long noncoding RNAs (lncRNAs), and intergenic lncRNAs.[4]

  • Comparison of mRNA expression in ASMCs from healthy subjects and patients with nonsevere or severe asthma showed differential expression (P < .05) of different gene sets depending on the status of the cells being at a ‘‘baseline’’ state after stimulation with FCS and those pretreated with dexamethasone before stimulation with FCS

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Summary

Introduction

The mechanism underlying nonsevere and severe asthma remains unclear, it is commonly associated with increased airway smooth muscle (ASM) mass. Long noncoding RNAs (lncRNAs) are known to be important in regulating healthy primary airway smooth muscle cells (ASMCs), whereas changed expression has been observed in CD8 T cells from patients with severe asthma. Methods: Primary ASMCs were isolated from healthy subjects (n 5 9) and patients classified as having nonsevere (n 5 9) or severe (n 5 9) asthma. MRNA and lncRNA expression was measured by using a microarray and quantitative real-time PCR. Bioinformatic analysis was used to examine relevant biological pathways. The lncRNA plasmacytoma variant translocation 1 (PVT1) was inhibited by transfection of primary ASMCs with small interfering RNAs, and the effect on ASMC phenotype was examined

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