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Prioritization of Candidate miRNA Regulators Targeting Fibrotic-Immune Remodeling in Ligamentum Flavum Hypertrophy:
Sevim Ondul1, Kadir Oznam2, Tamer Tamdogan1
1Department of Neurosurgery, Giresun University Faculty of Medicine, Giresun 28200, Türkiye.
Biomedicines
|July 28, 2026
Summary
This study reveals a coordinated fibrotic and immune remodeling landscape in ligamentum flavum hypertrophy (LFH), identifying key microRNAs (miRNAs) involved in lumbar spinal stenosis.
Area of Science:
- Biomedical Science
- Molecular Biology
- Genomics
Background:
- Ligamentum flavum hypertrophy (LFH) contributes significantly to lumbar spinal stenosis.
- LFH involves extracellular matrix (ECM) remodeling and immune components.
- The regulatory role of microRNAs (miRNAs) in LFH transcriptomic changes is not fully understood.
Purpose of the Study:
- To investigate the regulatory architecture linking miRNA dysregulation to LFH transcriptomic remodeling.
- To identify key miRNAs and pathways involved in the fibrotic and immune processes of LFH.
- To prioritize candidate miRNAs for further experimental validation.
Main Methods:
- Integrated analysis of public Gene Expression Omnibus datasets (mRNA and miRNA).
- Single-cell and bulk RNA sequencing to characterize cellular landscape and identify differentially expressed genes.
- Bioinformatic analyses including functional enrichment, protein-protein interaction networks, and miRNA-target prediction.
Main Results:
- Single-cell analysis revealed fibroblast, myofibroblast, and ECM remodeling in LFH.
- Integration of mRNA and miRNA data identified 651 inverse-regulated core genes.
- Enrichment analyses highlighted ECM organization, proteoglycan/glycosaminoglycan biology, and immune/NF-κB/Wnt pathways.
- Top candidate miRNAs including hsa-miR-708-5p were prioritized.
Conclusions:
- An integrated transcriptomic approach delineated a fibrotic-immune remodeling landscape in LFH.
- Candidate miRNAs linked to central regulatory pathways were identified for LFH.
- This study provides a foundation for understanding LFH pathogenesis and developing targeted therapies.