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Changes in circulating microRNA-126 levels are associated with immune imbalance in children with acute asthma
Man Tian1, Yong Ji2, Tingting Wang3
11 Department of Respiratory, Children's Hospital of Nanjing Medical University, Nanjing, P.R. China.
Insights
MicroRNA-126 (miR-126) is overexpressed in children with acute asthma, correlating with immune imbalance and disease severity. This suggests miR-126 may serve as a potential biomarker for asthma diagnosis and evaluation.
Area of Science:
- Immunology
- Pulmonology
- Molecular Biology
Background:
- Asthma involves complex immune dysregulation.
- MicroRNA-126 (miR-126) is implicated in immune responses.
- Clinical significance of circulating miR-126 in pediatric asthma requires elucidation.
Purpose of the Study:
- To investigate the clinical significance of miR-126 in the peripheral blood of children with acute asthma.
- To correlate miR-126 levels with immune cell profiles and disease severity.
- To assess the diagnostic and predictive value of miR-126 in asthma.
Main Methods:
- Compared 80 children with acute asthma to 80 healthy children.
- Measured circulating miR-126, IL-4, IFN-γ levels, and Th17 and CD4+CD25+Treg cell percentages.
- Analyzed correlations between miR-126, immune markers, lung function, and asthma severity.
Main Results:
- Children with asthma showed higher miR-126, IL-4, and Th17 cells, and lower IFN-γ and Treg cells compared to controls.
- miR-126 levels positively correlated with IL-4 and Th17 cells, and negatively with IFN-γ, Treg cells, and lung function.
- miR-126 and Treg cell percentages were highly predictive for asthma diagnosis.
Conclusions:
- Overexpressed miR-126 in acute asthma is linked to immune imbalance.
- miR-126 levels correlate with asthma severity and immune cell dynamics.
- Circulating miR-126 shows potential as a serological marker for asthma diagnosis and severity assessment.
Abstract:
Regulation of the immune response in asthma is complex. MicroRNA-126 (miR-126) expression has been implicated in this response, so we sought to determine the clinical significance of miR-126 measured in the peripheral blood. A total of 80 children with acute asthma were selected to participate in the study and were compared to 80 healthy children. The relative circulating miR-126 levels, interleukin (IL)-4 levels, and the Th17 cell percentage in the peripheral blood of children in the case group were significantly higher than those in the control group, while the interferon (IFN)-γ levels and the CD4+CD25+Treg cell percentage were significantly lower than those in the control group. Along with the aggravation of the disease, the relative levels of miR-126 and IL-4 and the percentage of Th17 cells increased gradually, while the IFN-γ levels and the CD4CD25Treg cell percentage decreased. The relative level of miR-126 in the peripheral blood of children with asthma was positively correlated with IL-4 and the Th17 cell percentage and was negatively correlated with IFN-γ levels, CD4CD25Treg cell percentage and lung function indicators. The relative level of miR-126 was correlated with the Th17 cell percentage in the peripheral blood, forced vital capacity (FVC), and forced expiratory flow (FEF)75% of the children with asthma. The relative levels of miR-126 and IL-4 and the Th17 cell percentage were positively correlated with the severity of the asthma, while IFN-γ levels and the CD4CD25Treg cell percentage were negatively correlated with the severity of the asthma. CD4CD25Treg cell percentage and relative miR-126 levels were of the most predictive value in the diagnosis of asthma. Our findings show that the overexpression of miR-126 in acute asthma is correlated with signs of immune imbalance and is predictive of the severity of the disease, suggesting that it could be used as a potential serological marker for asthma diagnosis and evaluation.
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