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Updated: Aug 5, 2025

Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis
Published on: May 10, 2024
MEX3B inhibits collagen production in eosinophilic nasal polyps by downregulating epithelial cell TGFBR3 mRNA
Jin-Xin Liu1, Ao-Nan Chen1, Qihong Yu2,3
1Department of Otolaryngology-Head and Neck Surgery, Tongji Hospital; and.
Abstract:
Although the expression of Mex3 RNA-binding family member B (MEX3B) is upregulated in human nasal epithelial cells (HNECs) predominately in the eosinophilic chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP) subtype, its functions as an RNA binding protein in airway epithelial cells remain unknown. Here, we revealed the role of MEX3B based on different subtypes of CRS and demonstrated that MEX3B decreased the TGF-β receptor III (TGFBR3) mRNA level by binding to its 3' UTR and reducing its stability in HNECs. TGF-βR3 was found to be a TGF-β2-specific coreceptor in HNECs. Knocking down or overexpressing MEX3B promoted or inhibited TGF-β2-induced phosphorylation of SMAD2 in HNECs, respectively. TGF-βR3 and phosphorylated SMAD2 levels were downregulated in CRSwNP compared with controls and CRS without nasal polyps with a more prominent downregulation in the eosinophilic CRSwNP. TGF-β2 promoted collagen production in HNECs. Collagen abundance decreased and edema scores increased in CRSwNP compared with control, again more prominently in the eosinophilic type. Collagen expression in eosinophilic CRSwNP was negatively correlated with MEX3B but positively correlated with TGF-βR3. These results suggest that MEX3B inhibits tissue fibrosis in eosinophilic CRSwNP by downregulating epithelial cell TGFBR3 expression; consequently, MEX3B might be a valuable therapeutic target against eosinophilic CRSwNP.
Insights
Mex3 RNA-binding family member B (MEX3B) downregulates TGF-β receptor III (TGFBR3) in airway cells, reducing fibrosis in eosinophilic chronic rhinosinusitis with nasal polyps (CRSwNP). MEX3B is a potential therapeutic target for CRSwNP.
Area of Science:
- Immunology
- Molecular Biology
- Otorhinolaryngology
Background:
- Mex3 RNA-binding family member B (MEX3B) expression is elevated in eosinophilic chronic rhinosinusitis with nasal polyps (CRSwNP).
- The function of MEX3B in airway epithelial cells is not well understood.
Purpose of the Study:
- To investigate the role of MEX3B in different subtypes of chronic rhinosinusitis (CRS).
- To elucidate the molecular mechanism by which MEX3B affects airway epithelial cells and its relevance to CRSwNP.
Main Methods:
- Analysis of MEX3B expression in human nasal epithelial cells (HNECs) from CRS subtypes.
- Investigating MEX3B's interaction with TGF-β receptor III (TGFBR3) mRNA.
- Assessing the impact of MEX3B manipulation on TGF-β2 signaling and collagen production in HNECs.
- Correlating molecular findings with clinical features of CRSwNP.
Main Results:
- MEX3B binds to the 3' UTR of TGFBR3 mRNA, reducing its stability and expression in HNECs.
- TGF-βR3 acts as a TGF-β2-specific coreceptor in HNECs.
- MEX3B levels inversely correlate with TGFBR3 and phosphorylated SMAD2 in CRSwNP, particularly the eosinophilic subtype.
- TGF-β2-induced collagen production is modulated by MEX3B and TGFBR3 levels.
- Collagen expression is negatively correlated with MEX3B and positively with TGFBR3 in eosinophilic CRSwNP.
Conclusions:
- MEX3B inhibits tissue fibrosis in eosinophilic CRSwNP by downregulating epithelial TGFBR3 expression.
- MEX3B plays a protective role against fibrosis in eosinophilic CRSwNP.
- MEX3B represents a potential therapeutic target for treating eosinophilic CRSwNP.
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