Startseite MicroRNA 322-5p reduced neuronal inflammation via the TLR4/TRAF6/NF-κB axis in a rat epilepsy model
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MicroRNA 322-5p reduced neuronal inflammation via the TLR4/TRAF6/NF-κB axis in a rat epilepsy model

  • Qin Zhou , Qiong Wang , Baomei He , Haibo Kong , Huanjun Luo , Xiaowei Wang und Wenlan Wang EMAIL logo
Veröffentlicht/Copyright: 13. Mai 2022

Abstract

This study aimed to determine whether microRNA-322-5p regulates seizure and seizure damage by targeting the TLR4/TRAF6/NF-κB-associated inflammatory signaling pathway. In a pilocarpine-induced epileptic rat model, the expressions of miR-322-5p, TLR4, NF-κB, TRAF6, IRF5, IL-1β, and GABA were assessed by a quantitative polymerase chain reaction and western blotting. Tunel detects hippocampal neuron apoptosis. The results showed that the expression of miR-322-5p significantly decreased in status epilepticus (SE) rats. The reduction of miR-322-5p was accompanied by increased levels of pro-inflammatory cytokines, an increased NF-κB expression, and reduced γ-aminobutyric acid (GABA) levels. Exogenous miR-322-5p reduced the expression of inflammatory molecules and increased the GABA levels in SE rats, and also reduced hippocampal neuronal cell apoptosis caused by epilepsy. In conclusion, the miR-322-5p significantly inhibited the TLR4/TRAF6/NF-κB-associated inflammation and reduced neuronal apoptosis, suggesting that its induction may be of potential interest for novel antiseizure medications.

1 Introduction

Status epilepticus (SE) in childhood is a medical emergency that may lead to permanent brain damage, neurological sequelae, or death. The incidence of SE is 18–23 per 100,000 children per year and the most common cause is febrile seizure. In children with epilepsy, most SE occurs at or prior to the diagnosis of epilepsy. The goal of therapy is the rapid termination of seizure activity, since appropriate and timely therapy of SE reduces the associated mortality and morbidity [1]. However, patients still receive inadequate treatment for a variety of reasons.

Emerging evidence indicates that SE occurs due to the failure of seizure termination [2]. Different biological processes have been proposed to lead to seizure termination including release of inflammatory peptides and decreased activity of γ-aminobutyric acid (GABA) [3]. The Toll-like receptor (TLR) family is constitutively expressed by brain cells and the signaling activation in brain inflammation has been well documented [4]. TLR4 stimulates nuclear factor kappa-B (NF-κB) through tumor necrosis factor receptor-associated factor 6 (TRAF6) and interferon regulatory factor 5 (IRF5), thereby activating inflammatory pathways [5]. TLR4 also modulates GABAergic synaptic activities [6]. However, the involvement of TLR4 signaling in epilepsy has not been fully elucidated.

MicroRNAs (or miRNAs) are a class of non-coding RNAs that play important roles in regulating gene expression and may contribute to the development of epileptogenesis [7]. A previous study reported specific upregulated and downregulated miRNAs in a rat model of SE [8]. The miR-322-5p is involved in the TLR4 signaling pathway and is decreased in the rat brain during SE. In the current study, we aimed to demonstrate the relationship among miR-322-5p, the TLR4/TRAF6/NF-κB signaling pathway, and apoptosis, speculating on their potential involvement as a target for new antiseizure medications.

2 Materials and methods

2.1 Pilocarpine-induced epileptic rat model

Male Sprague Dawley rats (3 weeks old) were purchased from SLAC (Shanghai, People’s Republic of China) and maintained at a constant temperature of 23 ± 2°C, with a 12-h light/dark cycle (light on from 08:00 to 20:00 h) and food and water ad libitum. All procedures were conducted according to the regulations set up by the Animal Experiment Facility and approved by the Experimental Animal Ethical Committee of Zhejiang Provincial People’s Hospital. A total of 72 rats were used to develop an epilepsy model through lithium chloride injection (3 mEq/kg, intraperitoneal [i.p.]), followed by an injection of methyl scopolamine bromide (1 mg/kg, 18 h later). After 30 min, the rats were injected with pilocarpine hydrochloride (100 mg/kg, i.p.) and then monitored to detect seizure activity within the next 2 h. Convulsive scores were given based on Racine’s scores for seizures as follows: 0, no response; 1, face and vibrissae twitching, ear rubbing on forepaws or chewing; 2, nodding of the head or unilateral limb clonus; 3, limb clonus or mild convulsions; 4, rearing with bilateral forelimb clonus, tail hypertension, lockjaw, or whole-body convulsions; 5, body convulsions with rearing or collapsing body with rigidity. The onset of SE was defined as reaching scores 4 or 5 [9]. Chloral hydrate (400 mg/kg, i.p.) and atropine (1 mg/kg, i.p.) were subsequently injected 30 min post onset of SE to attenuate seizure activity [10].

2.2 Animals and interventions

The rats were divided and used for two experiments: (1) the expressions of miR-322-5p, TLR4, TRAF6, the NF-κB subunit RelA, IRF5, and GABA were evaluated at different time points (1 week, 2 weeks, 3 weeks, and 4 weeks, n = 8 in each group) and (2) the effects of exogenous miR-322-5p were evaluated. Rats were divided into control (C), epilepsy (EP), epilepsy + vehicle (EP + V), and epilepsy + miR-322-5p (EP + miR) intervention group (n = 8 in each group). MiR-322-5p intervention group received 10 µL miR-322-5p (50 µmol/L) 30 min after epilepsy modeling for 3 consecutive days. The primer sequences were designed and synthesized by Shanghai GeneChem Co., Ltd. (Shanghai, China) (Table 1). Following each injection, the needle was left in place for 5 min to allow complete diffusion of the injected material [11]. The SE + vehicle group received 10 µL vehicle. The control group and the epilepsy group received the same volume of normal saline for microinjection. One week after treatment, all animals were killed and specimens were kept. The left brain was quickly removed on ice to make homogenate and stored in liquid nitrogen. The right hippocampal tissues were collected and fixed in 4% paraformaldehyde for 2 h, embedded in paraffin, and then sectioned and stained.

Table 1

Primer sequences for real-time PCR

Gene name Forward Reverse
miR-322-5p AGCGTGCTGTGCGTGTGAC CAGTGCAGGGTCCGAGGTATT
TLR4 CTACCTCGAGTGGGAGGACA TGCTACTTCCTTGTGCCCTG
GABA AATGGGCGGATTGGTGTC TCATCTTGGGAGGGCTGT
IL-1β CACCTCTCAAGCAGAGCACAG GGGTTCCATGGTGAAGTCAAC
NF-kB (RelA) AATTGCCCCGGCAT TCCCGTAACCGCGTA
TRAF6 CAGTCCCCTGCACATT GAGGAGGCATCGCAT
GAPDH AGCCACATCGCTCAGACA TGGACTCCACGACGTACT

2.3 Quantitative real-time PCR

The expressions of inflammatory genes and miR-322-5p were measured by quantitative real-time PCR. Total RNAs were extracted by TRIzol reagent (Takara, China). The cDNAs were transcribed into mRNA transcripts and the quantitative PCR was performed using a LightCycler 96 system (Hoffman-La Roche Ltd., Basel, Switzerland), with the following parameters: initial denaturation at 95°C for 5 min, denaturation at 95°C for 30 s, annealing at 58°C for 30 s, and 30 cycles of extension at 72°C for 30 s. The expressions of the genes of interest were determined by the 2−ΔΔCT method, with U6 and GAPDH serving as endogenous controls. All primer sequences are displayed in Table 1.

2.4 Western blot

Proteins from the brain homogenates were extracted using RIPA buffer (Beyotime Biotechnology, China) supplemented with protease inhibitors (ComWin Biotech, China). The concentration of the protein extracts was determined using the BCA Protein Assay Kit (Solarbio, China). Each sample (40 µg) was loaded into a 10% sodium dodecyl sulfate-polyacrylamide gel, electrophoresed, and transferred to polyvinylidene fluoride (PVDF) membranes (GE Healthcare Life, China). PVDF membranes were then blocked with 5% BSA for 1 h at room temperature and incubated with primary antibodies. The primary antibodies were anti-TLR4 (ab13556), anti-TRAF6 (ab137452), anti-RelA (ab76302), anti-IL-1β (ab283818), anti-GABA (ab185205), and anti-GAPDH (ab8245). They were all purchased from Cell Signaling Technology (Abcam, UK). All membranes were subsequently probed with HRP-conjugated secondary antibodies (Sigma-Aldrich) for 1 h at room temperature (1:6,000 dilution). An ECL kit (Biosharp, China) was used to detect the protein-antibody signal.

2.5 Tunel assay

Tunel assay was used to detect the apoptosis of hippocampal neurons following the instructions given in the kit (Servicebio, China). After they were dewaxed and rehydrated, the paraffin sections were digested with proteinase K (Servicebio, China). Then equilibration buffer was added dropwise, incubated for 20 min, and the buffer was discarded. Appropriate amount of TDT enzyme, dUTP, and buffer was added dropwise in a ratio of 1:5:50 and incubated at 37°C for 2 h. DAPI (Servicebio, China) counterstains the nucleus. After performing the standard procedures as described in the instructions of the assay kit, the images were taken under fluorescence microscope (Nikon Eclipse C1, Japan). The blue color indicates normal cell nucleus and green indicates positive apoptotic cell nucleus. The apoptotic rate = tunel-positive cell numbers/total cell numbers × 100%.

2.6 Statistical analysis

All the statistical analyses were processed with SPSS 17.0 (SPSS Inc., Chicago, IL, USA). Data are presented as mean ± standard deviation. The comparison of data between the two groups was carried out by student’s t-test, and one-way analysis of variance was used to analyze the difference among multiple groups. P-value < 0.05 was considered statistically significant.

3 Results

3.1 SE rats showed an elevated TLR4/NF-κB expression and a decreased GABA level

In the pilocarpine-induced epileptic rat model, the level of GABA was significantly reduced compared to controls (Figure 1a). The expression of TLR4, TRAF6, RelA (NF-κB subunit), and IRF5 increased in a time-dependent manner (Figure 1b), suggesting that inflammation occurred in the brain of SE rats.

Figure 1 
                  The TLR4/TRAF6/NF-kB signaling pathway in status epilepticus rats. Notes: (a) GABA and GAPDH levels in status epilepticus rats. (b) Western blot of rat brain revealed that the increased expression of TLR4, TRAF6, IRF5, and RelA post SE induction.
Figure 1

The TLR4/TRAF6/NF-kB signaling pathway in status epilepticus rats. Notes: (a) GABA and GAPDH levels in status epilepticus rats. (b) Western blot of rat brain revealed that the increased expression of TLR4, TRAF6, IRF5, and RelA post SE induction.

3.2 miR-322-5p was downregulated in SE rats

The expression of miR-322-5p was decreased in SE rats (Figure 2a). According to several target gene prediction tools (miRmap, TargetScan, and PITA), miR-322-5p binds to the 3′-UTR of TRAF6, one of the key TLR4/NF-κB signaling components (upper panel, Figure 2b). A further evaluation indicated a negative relationship between the expression of miR-322-5p and the incidence of SE (lower panel, Figure 2b). One week after SE induction by pilocarpine, the level of miR-322-5p reduced and continued to decrease during the subsequent 3 weeks (Figure 2c).

Figure 2 
                  The expression of miR-322-5p. Notes: (a) miR-322-5p was identified as one of the most decreased microRNA species post SE induction in rats’ brain (GSE49850). (b) Insert demonstrates the binding sequences of miR-322-5p and the 3′-UTR of TRAF6. Lower the panel, a relatively strong negative correlation was identified between the expression of miR-322-5p and TRAF6 mRNA in patients with intractable epilepsy. (c) Real-time PCR analysis of mRNA isolated from SE rat brains indicated a significantly decreased miR-322-5p in the SE rats post induction. ***p < 0.001 compared with control.
Figure 2

The expression of miR-322-5p. Notes: (a) miR-322-5p was identified as one of the most decreased microRNA species post SE induction in rats’ brain (GSE49850). (b) Insert demonstrates the binding sequences of miR-322-5p and the 3′-UTR of TRAF6. Lower the panel, a relatively strong negative correlation was identified between the expression of miR-322-5p and TRAF6 mRNA in patients with intractable epilepsy. (c) Real-time PCR analysis of mRNA isolated from SE rat brains indicated a significantly decreased miR-322-5p in the SE rats post induction. ***p < 0.001 compared with control.

3.3 Exogenous miR-322-5p reduced inflammation in SE rats

Compared with normal control, TLR4, TRAF6, RelA, and IL-1β expressions were significantly upregulated after SE (Figure 3b–e). The level of miR-322-5p was elevated in the brain of miR-322-5p-injected rats compared to the EP + V group (Figure 3a). The rat brain tissues injected with exogenous miR-322-5p after SE induction showed a lower level of inflammation, as reflected by the reduced expression of TLR4, TRAF6, RelA, and IL-1β (Figure 3b–e). In contrast, GABA was reduced in epilepsy model, but upregulated after injecting miR-322-5p (Figure 3f). The western blot of brain homogenates showed lower expressions of inflammatory markers after being injected miR-322-5p, including TLR4, TRAF6, RelA, and IL-1β, and increased expressions of GABA (Figure 4).

Figure 3 
                  qRT-PCR analysis of the inflammatory markers and miR-322-5p. Notes: (a) The miR-322-5p-treated rats showed a higher miR-322-5p level than EP + V group. (b) TLR4 levels decreased after miR-322-5p injection. (c) TRAF6 levels decreased after miR-322-5p injection. (d) RelA levels decreased after miR-322-5p injection. (e) IL-1β levels decreased after miR-322-5p injection. (f) GABA levels increased after miR-322-5p injection. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001 compared with control; #p < 0.05, ##p < 0.01 compared with EP + V group. Abbreviations: C: control, EP: epilepsy, EP + V: epilepsy + vehicle, EP + miR: epilepsy + miR-322-5p intervention group.
Figure 3

qRT-PCR analysis of the inflammatory markers and miR-322-5p. Notes: (a) The miR-322-5p-treated rats showed a higher miR-322-5p level than EP + V group. (b) TLR4 levels decreased after miR-322-5p injection. (c) TRAF6 levels decreased after miR-322-5p injection. (d) RelA levels decreased after miR-322-5p injection. (e) IL-1β levels decreased after miR-322-5p injection. (f) GABA levels increased after miR-322-5p injection. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001 compared with control; #p < 0.05, ##p < 0.01 compared with EP + V group. Abbreviations: C: control, EP: epilepsy, EP + V: epilepsy + vehicle, EP + miR: epilepsy + miR-322-5p intervention group.

Figure 4 
                  Western blot detected the changes of inflammatory markers after injection of exogenous miR-322-5p. Abbreviations: EP + V: epilepsy + vehicle, EP + miR: epilepsy + miR-322-5p intervention group.
Figure 4

Western blot detected the changes of inflammatory markers after injection of exogenous miR-322-5p. Abbreviations: EP + V: epilepsy + vehicle, EP + miR: epilepsy + miR-322-5p intervention group.

3.4 Exogenous miR-322-5p inhibited apoptosis in SE rats

Compared with the control group, apoptotic cells in the hippocampal CA1 area of the Ep group increased significantly (Figure 5). It can be seen that the epilepsy model triggers typical apoptosis in the CA1 area. Compared with the EP + V group, the apoptotic cells in the hippocampal CA1 area of the EP + miR group were significantly reduced (Figure 5). It can be concluded that upregulation of miR-322-5p can effectively inhibit the apoptosis of hippocampal neurons in the CA1 region of the hippocampus of rats.

Figure 5 
                  Exogenous miR-322-5p prohibited epilepsy-induced neuronal apoptosis. Notes: (a) apoptosis detected by Tunel. Magnification 200×. (b) Quantitative data of the apoptosis. ****p < 0.0001 compared with control; ####p < 0.0001 compared with EP + V group. Abbreviations: C: control, EP: epilepsy, EP + V: epilepsy + vehicle, EP + miR: epilepsy + miR-322-5p intervention group.
Figure 5

Exogenous miR-322-5p prohibited epilepsy-induced neuronal apoptosis. Notes: (a) apoptosis detected by Tunel. Magnification 200×. (b) Quantitative data of the apoptosis. ****p < 0.0001 compared with control; ####p < 0.0001 compared with EP + V group. Abbreviations: C: control, EP: epilepsy, EP + V: epilepsy + vehicle, EP + miR: epilepsy + miR-322-5p intervention group.

4 Discussion

The occurrence and development of epilepsy are potentially related to inflammation. The inflammatory mediators directly affect the function of neurons and glial cells, increasing the excitability of the nervous system. The epileptic seizures can also promote the neuroinflammatory response and apoptosis, forming the pathological basis of SE and refractory epilepsy [12]. However, the signaling network underlying neuroinflammation in epilepsy remains to be explored.

The TLR4/NF-κB signaling pathway is responsible for inflammatory responses in different disorders, including epilepsy [13]. In the current study, we found that the TLR4/TRAF6/NF-κB signaling pathway was upregulated in the brain of SE rats. Previous studies demonstrated that different inflammatory mediators, including tumor necrosis factor (TNF)-α, IL-1β, and IL-6, may contribute to epilepsy development and progression. Of note, an elevated expression of TLR4 was identified in surgical specimens of drug-resistant temporal lobe epilepsy, focal cortical dysplasia, and tuberous sclerosis patients [14]. The inhibition of HMGB1/TLR4 was demonstrated to reduce the incidence of seizures [15], while a downstream effector of TLR4, TRAF6, played an essential role in Th1 inflammation [16]. In addition, the inhibition of TLR4/NF-κB signaling pathway and IL-1β in the hippocampus attenuated the severity of SE in rats [17]. Overall, these findings suggest that the TLR4/NF-κB signaling pathway may have an important role in the development of epilepsy.

Here, we demonstrated another potential regulatory mechanism by which TLR4 signaling was amplified in the SE rat brains. miR-322-5p was one of the most reduced microRNA species after the SE establishment in our study as well as in another study [18]. Our results showed that miR-322-5p downregulated TRAF6, which activated the NF-κB signaling pathway. A previous study indirectly supported our notion where an increased level of miR-322-5p elevated the EZH2 and activated Akt/GSK3β pathway, thereby protecting myocardial cells from ischemic reperfusion injury [19]. On the contrary, in the SE rat brain, miR-322-5p was significantly reduced and associated with a higher level of neuroinflammation.

Compared with the control group, rats injected with exogenous miR-322-5p after SE induction showed a significant decrease in the expression of TLR4, TRAF6, NF-κB and IL-1β, and an increase in the expression of GABA. A previous study found that miR-322 mimics decrease the expression levels of NF-κB1 (p50) and inflammatory cytokines in LPS-stimulated murine macrophages [20]. This finding suggested the feasibility of exogenous miR-322-5p as an inhibitor of neuroinflammation. Emerging evidence demonstrates that stereotactic injection or antagomirs or mimic molecules into the hippocampal regions not only is feasible but also reduces the incidence of seizures in rodent models [21]. Thus, our findings provided support for injecting exogenous miR-322-5p as a preventive measure for reducing chronic neuroinflammatory circuits, namely, the TLR4/TRAF6/NF-κB pathway.

Apoptosis is an important form of neuronal damage after SE. After SE, the release of excitatory amino acids increases intracellular calcium overload, caspase cascades, promote oxidative stress, and caspase-3 activation, and then induce cell apoptosis [22]. We confirmed that epileptic seizures induce apoptosis of hippocampal neurons, and injection of exogenous miR-322-5p can reduce cell apoptosis caused by epilepsy. Studies have found that miR-322 has the effect of reducing cell apoptosis, but its mechanism of action is still unclear [23]. miR-322 regulated the apoptosis of neural stem cells through silencing NADPH oxidase 4, thereby inhibiting the occurrence of neural tube defects in rats [24]. miR-322 can regulate breast cancer cell apoptosis by targeting NF-κB1 [25]. Our experiments have found that exogenous miR-322-5p can reduce neuronal cell apoptosis after SE, accompanied by downregulation of TLR4, TRAF6, and NF-κB expression. It is speculated that the mechanism of miR-322 inhibiting apoptosis may be related to the TLR4/TRAF6/NF-κB pathway, but it still needs more in-depth experiments to verify.

5 Conclusion

The present study provided evidence that the TLR4/TRAF6/NF-κB signaling pathway is positively associated with neuroinflammation and apoptosis in pilocarpine-induced epilepsy. The miR-322-5p is a negative regulator of epileptic seizures and may serve as a potential medication for epileptic seizures. Further investigation is warranted to test this hypothesis.

Abbreviations

GABA

γ-aminobutyric acid

GAPDH

glyceraldehyde 3-phosphate dehydrogenase

IL-1β

interleukin-1β

NF-kB

nuclear factor-k-gene binding

TLR4

Toll-like receptor 4

TRAF6

tumor necrosis factor receptor-associated factor 6


# Qin Zhou and Qiong Wang contributed equally to the writing of this article.


Acknowledgments

We appreciate the linguistic assistance provided by TopEdit (www.topeditsci.com ) during the preparation of this manuscript.

  1. Funding information: This work was supported by the Science and Technology Program of Zhejiang province (No. 2018C37086), the Traditional Chinese Medicine Science and Technology Program of Zhejiang province (No. 2020ZB022), Zhejiang medical and health science and technology plan project (No. 2022KY073).

  2. Conflict of interest: Authors state no conflict of interest.

  3. Data availability statement: The datasets generated during and/or analyzed during the current study and the SE animal model are available from the corresponding author on reasonable request.

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Received: 2022-02-21
Revised: 2022-04-18
Accepted: 2022-04-19
Published Online: 2022-05-13

© 2022 Qin Zhou et al., published by De Gruyter

This work is licensed under the Creative Commons Attribution 4.0 International License.

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  32. Smurf2 suppresses the metastasis of hepatocellular carcinoma via ubiquitin degradation of Smad2
  33. circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury
  34. Sonoclot’s usefulness in prediction of cardiopulmonary arrest prognosis: A proof of concept study
  35. Four drug metabolism-related subgroups of pancreatic adenocarcinoma in prognosis, immune infiltration, and gene mutation
  36. Decreased expression of miR-195 mediated by hypermethylation promotes osteosarcoma
  37. LMO3 promotes proliferation and metastasis of papillary thyroid carcinoma cells by regulating LIMK1-mediated cofilin and the β-catenin pathway
  38. Cx43 upregulation in HUVECs under stretch via TGF-β1 and cytoskeletal network
  39. Evaluation of menstrual irregularities after COVID-19 vaccination: Results of the MECOVAC survey
  40. Histopathologic findings on removed stomach after sleeve gastrectomy. Do they influence the outcome?
  41. Analysis of the expression and prognostic value of MT1-MMP, β1-integrin and YAP1 in glioma
  42. Optimal diagnosis of the skin cancer using a hybrid deep neural network and grasshopper optimization algorithm
  43. miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells
  44. Clinical value of SIRT1 as a prognostic biomarker in esophageal squamous cell carcinoma, a systematic meta-analysis
  45. circ_0020123 promotes cell proliferation and migration in lung adenocarcinoma via PDZD8
  46. miR-22-5p regulates the self-renewal of spermatogonial stem cells by targeting EZH2
  47. hsa-miR-340-5p inhibits epithelial–mesenchymal transition in endometriosis by targeting MAP3K2 and inactivating MAPK/ERK signaling
  48. circ_0085296 inhibits the biological functions of trophoblast cells to promote the progression of preeclampsia via the miR-942-5p/THBS2 network
  49. TCD hemodynamics findings in the subacute phase of anterior circulation stroke patients treated with mechanical thrombectomy
  50. Development of a risk-stratification scoring system for predicting risk of breast cancer based on non-alcoholic fatty liver disease, non-alcoholic fatty pancreas disease, and uric acid
  51. Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway
  52. circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis
  53. Human amniotic fluid as a source of stem cells
  54. lncRNA NONRATT013819.2 promotes transforming growth factor-β1-induced myofibroblastic transition of hepatic stellate cells by miR24-3p/lox
  55. NORAD modulates miR-30c-5p-LDHA to protect lung endothelial cells damage
  56. Idiopathic pulmonary fibrosis telemedicine management during COVID-19 outbreak
  57. Risk factors for adverse drug reactions associated with clopidogrel therapy
  58. Serum zinc associated with immunity and inflammatory markers in Covid-19
  59. The relationship between night shift work and breast cancer incidence: A systematic review and meta-analysis of observational studies
  60. LncRNA expression in idiopathic achalasia: New insight and preliminary exploration into pathogenesis
  61. Notoginsenoside R1 alleviates spinal cord injury through the miR-301a/KLF7 axis to activate Wnt/β-catenin pathway
  62. Moscatilin suppresses the inflammation from macrophages and T cells
  63. Zoledronate promotes ECM degradation and apoptosis via Wnt/β-catenin
  64. Epithelial-mesenchymal transition-related genes in coronary artery disease
  65. The effect evaluation of traditional vaginal surgery and transvaginal mesh surgery for severe pelvic organ prolapse: 5 years follow-up
  66. Repeated partial splenic artery embolization for hypersplenism improves platelet count
  67. Low expression of miR-27b in serum exosomes of non-small cell lung cancer facilitates its progression by affecting EGFR
  68. Exosomal hsa_circ_0000519 modulates the NSCLC cell growth and metastasis via miR-1258/RHOV axis
  69. miR-455-5p enhances 5-fluorouracil sensitivity in colorectal cancer cells by targeting PIK3R1 and DEPDC1
  70. The effect of tranexamic acid on the reduction of intraoperative and postoperative blood loss and thromboembolic risk in patients with hip fracture
  71. Isocitrate dehydrogenase 1 mutation in cholangiocarcinoma impairs tumor progression by sensitizing cells to ferroptosis
  72. Artemisinin protects against cerebral ischemia and reperfusion injury via inhibiting the NF-κB pathway
  73. A 16-gene signature associated with homologous recombination deficiency for prognosis prediction in patients with triple-negative breast cancer
  74. Lidocaine ameliorates chronic constriction injury-induced neuropathic pain through regulating M1/M2 microglia polarization
  75. MicroRNA 322-5p reduced neuronal inflammation via the TLR4/TRAF6/NF-κB axis in a rat epilepsy model
  76. miR-1273h-5p suppresses CXCL12 expression and inhibits gastric cancer cell invasion and metastasis
  77. Clinical characteristics of pneumonia patients of long course of illness infected with SARS-CoV-2
  78. circRNF20 aggravates the malignancy of retinoblastoma depending on the regulation of miR-132-3p/PAX6 axis
  79. Linezolid for resistant Gram-positive bacterial infections in children under 12 years: A meta-analysis
  80. Rack1 regulates pro-inflammatory cytokines by NF-κB in diabetic nephropathy
  81. Comprehensive analysis of molecular mechanism and a novel prognostic signature based on small nuclear RNA biomarkers in gastric cancer patients
  82. Smog and risk of maternal and fetal birth outcomes: A retrospective study in Baoding, China
  83. Let-7i-3p inhibits the cell cycle, proliferation, invasion, and migration of colorectal cancer cells via downregulating CCND1
  84. β2-Adrenergic receptor expression in subchondral bone of patients with varus knee osteoarthritis
  85. Possible impact of COVID-19 pandemic and lockdown on suicide behavior among patients in Southeast Serbia
  86. In vitro antimicrobial activity of ozonated oil in liposome eyedrop against multidrug-resistant bacteria
  87. Potential biomarkers for inflammatory response in acute lung injury
  88. A low serum uric acid concentration predicts a poor prognosis in adult patients with candidemia
  89. Antitumor activity of recombinant oncolytic vaccinia virus with human IL2
  90. ALKBH5 inhibits TNF-α-induced apoptosis of HUVECs through Bcl-2 pathway
  91. Risk prediction of cardiovascular disease using machine learning classifiers
  92. Value of ultrasonography parameters in diagnosing polycystic ovary syndrome
  93. Bioinformatics analysis reveals three key genes and four survival genes associated with youth-onset NSCLC
  94. Identification of autophagy-related biomarkers in patients with pulmonary arterial hypertension based on bioinformatics analysis
  95. Protective effects of glaucocalyxin A on the airway of asthmatic mice
  96. Overexpression of miR-100-5p inhibits papillary thyroid cancer progression via targeting FZD8
  97. Bioinformatics-based analysis of SUMOylation-related genes in hepatocellular carcinoma reveals a role of upregulated SAE1 in promoting cell proliferation
  98. Effectiveness and clinical benefits of new anti-diabetic drugs: A real life experience
  99. Identification of osteoporosis based on gene biomarkers using support vector machine
  100. Tanshinone IIA reverses oxaliplatin resistance in colorectal cancer through microRNA-30b-5p/AVEN axis
  101. miR-212-5p inhibits nasopharyngeal carcinoma progression by targeting METTL3
  102. Association of ST-T changes with all-cause mortality among patients with peripheral T-cell lymphomas
  103. LINC00665/miRNAs axis-mediated collagen type XI alpha 1 correlates with immune infiltration and malignant phenotypes in lung adenocarcinoma
  104. The perinatal factors that influence the excretion of fecal calprotectin in premature-born children
  105. Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study
  106. Does the use of 3D-printed cones give a chance to postpone the use of megaprostheses in patients with large bone defects in the knee joint?
  107. lncRNA HAGLR modulates myocardial ischemia–reperfusion injury in mice through regulating miR-133a-3p/MAPK1 axis
  108. Protective effect of ghrelin on intestinal I/R injury in rats
  109. In vivo knee kinematics of an innovative prosthesis design
  110. Relationship between the height of fibular head and the incidence and severity of knee osteoarthritis
  111. lncRNA WT1-AS attenuates hypoxia/ischemia-induced neuronal injury during cerebral ischemic stroke via miR-186-5p/XIAP axis
  112. Correlation of cardiac troponin T and APACHE III score with all-cause in-hospital mortality in critically ill patients with acute pulmonary embolism
  113. LncRNA LINC01857 reduces metastasis and angiogenesis in breast cancer cells via regulating miR-2052/CENPQ axis
  114. Endothelial cell-specific molecule 1 (ESM1) promoted by transcription factor SPI1 acts as an oncogene to modulate the malignant phenotype of endometrial cancer
  115. SELENBP1 inhibits progression of colorectal cancer by suppressing epithelial–mesenchymal transition
  116. Visfatin is negatively associated with coronary artery lesions in subjects with impaired fasting glucose
  117. Treatment and outcomes of mechanical complications of acute myocardial infarction during the Covid-19 era: A comparison with the pre-Covid-19 period. A systematic review and meta-analysis
  118. Neonatal stroke surveillance study protocol in the United Kingdom and Republic of Ireland
  119. Oncogenic role of TWF2 in human tumors: A pan-cancer analysis
  120. Mean corpuscular hemoglobin predicts the length of hospital stay independent of severity classification in patients with acute pancreatitis
  121. Association of gallstone and polymorphisms of UGT1A1*27 and UGT1A1*28 in patients with hepatitis B virus-related liver failure
  122. TGF-β1 upregulates Sar1a expression and induces procollagen-I secretion in hypertrophic scarring fibroblasts
  123. Antisense lncRNA PCNA-AS1 promotes esophageal squamous cell carcinoma progression through the miR-2467-3p/PCNA axis
  124. NK-cell dysfunction of acute myeloid leukemia in relation to the renin–angiotensin system and neurotransmitter genes
  125. The effect of dilution with glucose and prolonged injection time on dexamethasone-induced perineal irritation – A randomized controlled trial
  126. miR-146-5p restrains calcification of vascular smooth muscle cells by suppressing TRAF6
  127. Role of lncRNA MIAT/miR-361-3p/CCAR2 in prostate cancer cells
  128. lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2
  129. Noninvasive diagnosis of AIH/PBC overlap syndrome based on prediction models
  130. lncRNA FAM230B is highly expressed in colorectal cancer and suppresses the maturation of miR-1182 to increase cell proliferation
  131. circ-LIMK1 regulates cisplatin resistance in lung adenocarcinoma by targeting miR-512-5p/HMGA1 axis
  132. LncRNA SNHG3 promoted cell proliferation, migration, and metastasis of esophageal squamous cell carcinoma via regulating miR-151a-3p/PFN2 axis
  133. Risk perception and affective state on work exhaustion in obstetrics during the COVID-19 pandemic
  134. lncRNA-AC130710/miR-129-5p/mGluR1 axis promote migration and invasion by activating PKCα-MAPK signal pathway in melanoma
  135. SNRPB promotes cell cycle progression in thyroid carcinoma via inhibiting p53
  136. Xylooligosaccharides and aerobic training regulate metabolism and behavior in rats with streptozotocin-induced type 1 diabetes
  137. Serpin family A member 1 is an oncogene in glioma and its translation is enhanced by NAD(P)H quinone dehydrogenase 1 through RNA-binding activity
  138. Silencing of CPSF7 inhibits the proliferation, migration, and invasion of lung adenocarcinoma cells by blocking the AKT/mTOR signaling pathway
  139. Ultrasound-guided lumbar plexus block versus transversus abdominis plane block for analgesia in children with hip dislocation: A double-blind, randomized trial
  140. Relationship of plasma MBP and 8-oxo-dG with brain damage in preterm
  141. Identification of a novel necroptosis-associated miRNA signature for predicting the prognosis in head and neck squamous cell carcinoma
  142. Delayed femoral vein ligation reduces operative time and blood loss during hip disarticulation in patients with extremity tumors
  143. The expression of ASAP3 and NOTCH3 and the clinicopathological characteristics of adult glioma patients
  144. Longitudinal analysis of factors related to Helicobacter pylori infection in Chinese adults
  145. HOXA10 enhances cell proliferation and suppresses apoptosis in esophageal cancer via activating p38/ERK signaling pathway
  146. Meta-analysis of early-life antibiotic use and allergic rhinitis
  147. Marital status and its correlation with age, race, and gender in prognosis of tonsil squamous cell carcinomas
  148. HPV16 E6E7 up-regulates KIF2A expression by activating JNK/c-Jun signal, is beneficial to migration and invasion of cervical cancer cells
  149. Amino acid profiles in the tissue and serum of patients with liver cancer
  150. Pain in critically ill COVID-19 patients: An Italian retrospective study
  151. Immunohistochemical distribution of Bcl-2 and p53 apoptotic markers in acetamiprid-induced nephrotoxicity
  152. Estradiol pretreatment in GnRH antagonist protocol for IVF/ICSI treatment
  153. Long non-coding RNAs LINC00689 inhibits the apoptosis of human nucleus pulposus cells via miR-3127-5p/ATG7 axis-mediated autophagy
  154. The relationship between oxygen therapy, drug therapy, and COVID-19 mortality
  155. Monitoring hypertensive disorders in pregnancy to prevent preeclampsia in pregnant women of advanced maternal age: Trial mimicking with retrospective data
  156. SETD1A promotes the proliferation and glycolysis of nasopharyngeal carcinoma cells by activating the PI3K/Akt pathway
  157. The role of Shunaoxin pills in the treatment of chronic cerebral hypoperfusion and its main pharmacodynamic components
  158. TET3 governs malignant behaviors and unfavorable prognosis of esophageal squamous cell carcinoma by activating the PI3K/AKT/GSK3β/β-catenin pathway
  159. Associations between morphokinetic parameters of temporary-arrest embryos and the clinical prognosis in FET cycles
  160. Long noncoding RNA WT1-AS regulates trophoblast proliferation, migration, and invasion via the microRNA-186-5p/CADM2 axis
  161. The incidence of bronchiectasis in chronic obstructive pulmonary disease
  162. Integrated bioinformatics analysis shows integrin alpha 3 is a prognostic biomarker for pancreatic cancer
  163. Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway
  164. Comparison of hospitalized patients with severe pneumonia caused by COVID-19 and influenza A (H7N9 and H1N1): A retrospective study from a designated hospital
  165. lncRNA ZFAS1 promotes intervertebral disc degeneration by upregulating AAK1
  166. Pathological characteristics of liver injury induced by N,N-dimethylformamide: From humans to animal models
  167. lncRNA ELFN1-AS1 enhances the progression of colon cancer by targeting miR-4270 to upregulate AURKB
  168. DARS-AS1 modulates cell proliferation and migration of gastric cancer cells by regulating miR-330-3p/NAT10 axis
  169. Dezocine inhibits cell proliferation, migration, and invasion by targeting CRABP2 in ovarian cancer
  170. MGST1 alleviates the oxidative stress of trophoblast cells induced by hypoxia/reoxygenation and promotes cell proliferation, migration, and invasion by activating the PI3K/AKT/mTOR pathway
  171. Bifidobacterium lactis Probio-M8 ameliorated the symptoms of type 2 diabetes mellitus mice by changing ileum FXR-CYP7A1
  172. circRNA DENND1B inhibits tumorigenicity of clear cell renal cell carcinoma via miR-122-5p/TIMP2 axis
  173. EphA3 targeted by miR-3666 contributes to melanoma malignancy via activating ERK1/2 and p38 MAPK pathways
  174. Pacemakers and methylprednisolone pulse therapy in immune-related myocarditis concomitant with complete heart block
  175. miRNA-130a-3p targets sphingosine-1-phosphate receptor 1 to activate the microglial and astrocytes and to promote neural injury under the high glucose condition
  176. Review Articles
  177. Current management of cancer pain in Italy: Expert opinion paper
  178. Hearing loss and brain disorders: A review of multiple pathologies
  179. The rationale for using low-molecular weight heparin in the therapy of symptomatic COVID-19 patients
  180. Amyotrophic lateral sclerosis and delayed onset muscle soreness in light of the impaired blink and stretch reflexes – watch out for Piezo2
  181. Interleukin-35 in autoimmune dermatoses: Current concepts
  182. Recent discoveries in microbiota dysbiosis, cholangiocytic factors, and models for studying the pathogenesis of primary sclerosing cholangitis
  183. Advantages of ketamine in pediatric anesthesia
  184. Congenital adrenal hyperplasia. Role of dentist in early diagnosis
  185. Migraine management: Non-pharmacological points for patients and health care professionals
  186. Atherogenic index of plasma and coronary artery disease: A systematic review
  187. Physiological and modulatory role of thioredoxins in the cellular function
  188. Case Reports
  189. Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
  190. A case of successful pembrolizumab monotherapy in a patient with advanced lung adenocarcinoma: Use of multiple biomarkers in combination for clinical practice
  191. Unusual neurological manifestations of bilateral medial medullary infarction: A case report
  192. Atypical symptoms of malignant hyperthermia: A rare causative mutation in the RYR1 gene
  193. A case report of dermatomyositis with the missed diagnosis of non-small cell lung cancer and concurrence of pulmonary tuberculosis
  194. A rare case of endometrial polyp complicated with uterine inversion: A case report and clinical management
  195. Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review)
  196. Fungal infection mimicking COVID-19 infection – A case report
  197. Concurrent aspergillosis and cystic pulmonary metastases in a patient with tongue squamous cell carcinoma
  198. Paraganglioma-induced inverted takotsubo-like cardiomyopathy leading to cardiogenic shock successfully treated with extracorporeal membrane oxygenation
  199. Lineage switch from lymphoma to myeloid neoplasms: First case series from a single institution
  200. Trismus during tracheal extubation as a complication of general anaesthesia – A case report
  201. Simultaneous treatment of a pubovesical fistula and lymph node metastasis secondary to multimodal treatment for prostate cancer: Case report and review of the literature
  202. Two case reports of skin vasculitis following the COVID-19 immunization
  203. Ureteroiliac fistula after oncological surgery: Case report and review of the literature
  204. Synchronous triple primary malignant tumours in the bladder, prostate, and lung harbouring TP53 and MEK1 mutations accompanied with severe cardiovascular diseases: A case report
  205. Huge mucinous cystic neoplasms with adhesion to the left colon: A case report and literature review
  206. Commentary
  207. Commentary on “Clinicopathological features of programmed cell death-ligand 1 expression in patients with oral squamous cell carcinoma”
  208. Rapid Communication
  209. COVID-19 fear, post-traumatic stress, growth, and the role of resilience
  210. Erratum
  211. Erratum to “Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway”
  212. Erratum to “Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study”
  213. Erratum to “lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2”
  214. Retraction
  215. Expression and role of ABIN1 in sepsis: In vitro and in vivo studies
  216. Retraction to “miR-519d downregulates LEP expression to inhibit preeclampsia development”
  217. Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part II
  218. Usefulness of close surveillance for rectal cancer patients after neoadjuvant chemoradiotherapy
Heruntergeladen am 21.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/med-2022-0485/html
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