Analysis of gene expression patterns modulated by tuberculous pleural effusion-derived exosomal miRNAs in lung cancer

Goeun Park1, Hyun-Jung Kang1, Yoonki Hong2

  • 1Institute of New Frontier Research Team, Hallym University College of Medicine, Chuncheon, Republic of Korea.

Frontiers in Genetics
|June 15, 2026
PubMed
Abstract

Insights

This study reveals how exosomes from tuberculosis (TB) pleural effusions may influence lung cancer by altering gene expression. Researchers identified specific microRNAs (miRNAs) and genes involved in TB-associated lung cancer pathways.

Area of Science:

  • Oncology
  • Infectious Diseases
  • Molecular Biology

Background:

  • Previous pulmonary tuberculosis (TB) is a recognized risk factor for lung cancer development.
  • Exosomal microRNAs (miRNAs) derived from tuberculous pleural effusion (TPE) have been implicated in promoting lung cancer progression.

Purpose of the Study:

  • To identify potential miRNA-mRNA regulatory pathways involved in the pathogenesis of TB-associated lung cancer.
  • To investigate the molecular mechanisms linking TB and lung cancer through exosomal communication.

Main Methods:

  • Exosomes were isolated from TB patient lung effusions and administered to lung cancer xenograft mice.
  • Differentially expressed miRNAs (DEMs) in exosomes and differentially expressed genes (DEGs) in tumors were identified.
  • Network analysis was performed to elucidate miRNA-mRNA regulatory relationships.

Main Results:

  • Five DEMs and 54 DEGs were identified, associated with pathways like oxidative phosphorylation and ribosome biogenesis.
  • A miRNA-mRNA regulatory network involving 94 genes and 4 DEMs was constructed.
  • In vitro assays confirmed the role of genes NDUFA4, RPS27, and COX7A2 in regulating miRNA expression.

Conclusions:

  • Findings suggest indirect regulatory links between TB-derived exosomal miRNAs and lung cancer-associated genes.
  • The study provides a preliminary framework for understanding the molecular landscape of TB-associated lung cancer.
  • Further functional validation is needed to confirm these exploratory insights.

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