Cellular and Kaposi's sarcoma-associated herpes virus microRNAs in sepsis and surgical trauma

S Tudor1, D E Giza1, H Y Lin2

  • 11] Department of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA [2] Department of Surgery, Fundeni Clinical Hospital, Bucharest, Romania.

Cell Death & Disease
|December 6, 2014
PubMed

Insights

Cellular and viral microRNAs (miRNAs) show promise as sepsis biomarkers. Specific Kaposi sarcoma herpes virus (KSHV) miRNAs, miR-K-10b and miR-K-12-12*, are elevated in sepsis and may drive inflammation via Toll-like receptor 8 (TLR8).

Area of Science:

  • Molecular Biology
  • Immunology
  • Genetics

Background:

  • Sepsis diagnosis and triage are critical, as survival rates decrease significantly with delayed antibiotic treatment.
  • Identifying reliable biomarkers for sepsis is essential for timely intervention and improved patient outcomes.
  • MicroRNAs (miRNAs) are emerging as potential diagnostic and prognostic indicators in various diseases, including sepsis.

Purpose of the Study:

  • To investigate the potential of cellular and viral microRNAs (miRNAs) as biomarkers for sepsis diagnosis.
  • To explore the functional role of Kaposi sarcoma herpes virus (KSHV) miRNAs in sepsis-associated inflammation.
  • To determine the impact of KSHV miRNAs on cytokine secretion and their mechanism of action.

Main Methods:

  • Genome-wide miRNA expression profiling in leukocytes from septic and nonseptic individuals.
  • Quantitative RT-PCR analysis of plasma miRNAs in multiple patient cohorts (septic, nonseptic surgical, healthy).
  • Enzyme-linked immunosorbent assay (ELISA), miRNA transfection, and chromatin immunoprecipitation to study KSHV miRNA function.

Main Results:

  • Plasma levels of 10 cellular and 2 KSHV miRNAs (miR-K-10b, miR-K-12-12*) differed significantly between septic and nonseptic patients.
  • Elevated levels of KSHV miRNAs were observed in septic patients compared to controls; Afro-American patients showed higher miR-K-12-12* levels.
  • KSHV miRNAs acted as direct agonists of Toll-like receptor 8 (TLR8), leading to increased secretion of IL-6 and IL-10, suggesting a positive feedback loop in sepsis.

Conclusions:

  • Cellular and KSHV miRNAs are differentially expressed in sepsis and early postsurgical patients, indicating their potential as diagnostic biomarkers.
  • Increased miR-K-10b and miR-K-12-12* are functionally implicated in sepsis pathogenesis by activating TLR8 and promoting cytokine dysregulation.
  • These findings suggest that KSHV miRNAs could be valuable targets for novel diagnostic and therapeutic strategies in sepsis management.

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