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Published on: October 7, 2025
Potential roles of microRNAs in chronic rhinosinusitis: from mechanistic insights to clinical studies
Danunuch Pasupat1, Saisawat Chaiyasate1, Chanisa Thonusin2,3,4
1Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
Background:
Chronic rhinosinusitis (CRS) is a complex disorder influenced by both environmental and genetic factors. Due to incomplete understanding of its pathophysiology, effective treatment remains challenging. Microribonucleic acids (miRNAs) have emerged as one of the promising epigenetic regulators, with increasing evidence supporting their role in modulating multiple diseases. This insight might inform future research directions toward the development of miRNA-based biomarkers and therapies.
Objective:
This comprehensive scoping review summarizes the current literature on the functions of miRNAs as epigenetic regulators in CRS.
Methods:
A comprehensive literature review from PubMed database, focusing on chronic rhinosinusitis/nasal polyps and microRNA/miRNA.
Results:
Numerous clinical, in vivo, and in vitro studies have identified altered miRNA levels in CRS, and distinct profiles between type 2 and non-type 2 endotypes of CRS. Several studies revealed positive correlations between miRNAs and symptom scores, objective disease measurements, and polyp recurrence. Certain in vivo and in vitro studies also demonstrated the effects of miRNAs changes mainly on inflammation and tissue remodeling, such as epithelial-mesenchymal transition, or fibrin deposition in nasal polyps. The most researched miRNAs in which involved these mechanisms include miR-125b, miR-155, miR-21, and miR-145-5p. miRNAs also have been shown to contribute to other CRS-related processes, including increased mucus secretion and vascular permeability. Collectively, these findings support the effects of miRNA on CRS development. However, a few studies indicated contradictory results, suggesting that miR-21 has a role in anti-inflammation.
Conclusion:
Increasing evidence highlights the role of miRNAs in CRS pathogenesis. Further research on miRNA-based biomarkers and therapies is warranted.
Insights
MicroRNAs (miRNAs) play a significant role in chronic rhinosinusitis (CRS) development and progression. Further research into miRNA-based biomarkers and therapies is crucial for improved patient outcomes.
Area of Science:
- Epigenetics
- Molecular Biology
- Otolaryngology
Background:
- Chronic rhinosinusitis (CRS) is a complex inflammatory condition with unclear pathophysiology.
- Epigenetic regulators, such as microRNAs (miRNAs), are increasingly recognized for their disease-modulating roles.
- Understanding miRNA functions in CRS may lead to novel diagnostic and therapeutic strategies.
Purpose of the Study:
- To comprehensively review the existing literature on the epigenetic functions of miRNAs in chronic rhinosinusitis.
- To summarize the current understanding of miRNA involvement in CRS pathogenesis.
Main Methods:
- A systematic scoping review of the PubMed database was conducted.
- Literature search focused on keywords related to chronic rhinosinusitis, nasal polyps, and microRNAs (miRNAs).
Main Results:
- Altered miRNA expression levels are consistently observed in CRS patients, with distinct profiles in different endotypes.
- miRNA levels correlate with symptom severity, disease markers, and polyp recurrence.
- miRNAs influence key CRS processes including inflammation, epithelial-mesenchymal transition, and tissue remodeling, with miR-125b, miR-155, miR-21, and miR-145-5p being frequently studied.
- Some studies suggest contradictory roles for specific miRNAs, like miR-21 in anti-inflammation.
Conclusions:
- Emerging evidence strongly implicates miRNAs in the pathogenesis of CRS.
- Further investigation into miRNA-based biomarkers and therapeutic interventions for CRS is warranted.
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