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      Differential expression of miRNA-146a and miRNA-155 in gastritis induced by Helicobacter pylori infection in paediatric patients, adults, and an animal model

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          Abstract

          Background

          Helicobacter pylori is a major aetiologic agent associated with gastritis. H. pylori infections increase the expression of the Toll-like receptor (TLR), which in turn modulates the expression of microRNA (miRNA)-146a and miRNA-155. The objective of this study was to compare the expression of miRNA-146a and miRNA-155 in gastric lesions of paediatric and adult patients with different pathologies and in Mongolian gerbils ( Meriones unguiculatus) infected with H. pylori 26,695.

          Methods

          Quantification of miRNA expression was performed by quantitative real-time polymerase chain reaction (qRT-PCR) of paraffin-embedded gastric lesions of children with or without an infection ( n = 25), adults with follicular gastritis and metaplasia ( n = 32) and eight-week-old M. unguiculatus males (Hsd:MON) infected with H. pylori 26,695 for 0, 3, 6, 12 and 18 months (n = 25). The genes RNU48 and RNU6 were used as endogenous controls for data normalization. Statistical analyses were performed using Kruskal-Wallis, Mann-Whitney, ANOVA and Student’s t-test.

          Results

          The expression of miRNA-146a and miRNA-155 in infected children increased by 247.6- and 79.4-fold (on average), respectively, compared to that observed in the control group. However, these results were not significant ( p = 0.12 and p = 0.07 respectively). In some children a gradual increase in expression was observed, while in others, expression was very high. Additionally, the expression levels of miRNA-146a and miRNA-155 increased by an average of 21.7- and 62-fold, respectively, in adult patients with follicular gastritis when compared to those of the controls. In M. unguiculatus infected with H. pylori 26,695, the expression of both miRNAs increased as the infection progressed.

          Conclusion

          This is the first report to show differences in the expression of miRNA-146a and miRNA-155 in paediatric and adult patients with gastritis who were infected with H. pylori. In addition, in M. unguiculatus infected with H. pylori, miRNA expression was associated with the progression of infection and the ability of the bacteria to adapt to the host.

          Electronic supplementary material

          The online version of this article (10.1186/s12879-018-3368-2) contains supplementary material, which is available to authorized users.

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          Most cited references27

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          Classification and grading of gastritis. The updated Sydney System. International Workshop on the Histopathology of Gastritis, Houston 1994.

          The Sydney System for the classification of gastritis emphasized the importance of combining topographical, morphological, and etiological information into a schema that would help to generate reproducible and clinically useful diagnoses. To reappraise the Sydney System 4 years after its introduction, a group of gastrointestinal pathologists from various parts of the world met in Houston, Texas, in September 1994. The aims of the workshop were (a) to establish an agreed terminology of gastritis; (b) to identify, define, and attempt to resolve some of the problems associated with the Sydney System. This article introduces the Sydney System as it was revised at the Houston Gastritis Workshop and represents the consensus of the participants. Overall, the principles and grading of the Sydney System were only slightly modified, the grading being aided by the provision of a visual analogue scale. The terminology of the final classification has been improved to emphasize the distinction between the atrophic and nonatrophic stomach; the names used for each entity were selected because they are generally acceptable to both pathologists and gastroenterologists. In addition to the main categories and atrophic and nonatrophic gastritis, the special or distinctive forms are described and their respective diagnostic criteria are provided. The article includes practical guidelines for optimal biopsy sampling of the stomach, for the use of the visual analogue scales for grading the histopathologic features, and for the formulation of a comprehensive standardized diagnosis. A glossary of gastritis-related terms as used in this article is provided.
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            The kinase Akt1 controls macrophage response to lipopolysaccharide by regulating microRNAs.

            MicroRNAs regulated by lipopolysaccharide (LPS) target genes that contribute to the inflammatory phenotype. Here, we showed that the protein kinase Akt1, which is activated by LPS, positively regulated miRNAs let-7e and miR-181c but negatively regulated miR-155 and miR-125b. In silico analyses and transfection studies revealed that let-7e repressed Toll-like receptor 4 (TLR4), whereas miR-155 repressed SOCS1, two proteins critical for LPS-driven TLR signaling, which regulate endotoxin sensitivity and tolerance. As a result, Akt1(-/-) macrophages exhibited increased responsiveness to LPS in culture and Akt1(-/-) mice did not develop endotoxin tolerance in vivo. Overexpression of let-7e and suppression of miR-155 in Akt1(-/-) macrophages restored sensitivity and tolerance to LPS in culture and in animals. These results indicate that Akt1 regulates the response of macrophages to LPS by controlling miRNA expression.
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              MicroRNAs are differentially expressed in ulcerative colitis and alter expression of macrophage inflammatory peptide-2 alpha.

              Chronic inflammatory bowel diseases such as ulcerative colitis (UC) are associated with differential expression of genes involved in inflammation and tissue remodeling. MicroRNAs (miRNAs), which direct mRNA degradation and translational inhibition, influence a number of disease processes. We examined whether miRNAs are differentially expressed in UC tissues and are associated with expression of genes that regulate inflammation. miRNA expression was assessed in patients with active UC, inactive UC, Crohn's disease, irritable bowel syndrome, infectious colitis, and microscopic colitis, as well as in healthy subjects by microarray, quantitative reverse transcription-polymerase chain reaction and in situ hybridization analyses. Colonic epithelial cell (HT29) expression of miRNAs was assessed. Regulation of gene expression by miRNAs was assessed by luciferase reporter construct assays and transfection of specific miRNA mimics. Active UC was associated with the differential expression of 11 miRNAs; 3 were significantly decreased and 8 were significantly increased in UC tissues. In situ hybridization analysis indicated that miR-192, an miRNA with decreased expression in active UC, was predominantly localized to colonic epithelial cells. Macrophage inflammatory peptide (MIP)-2 alpha, a chemokine expressed by epithelial cells, was identified as a target of miR-192. In colon epithelial cells, induction of MIP-2 alpha expression by tumor necrosis factor-alpha was accompanied by a concomitant reduction in miR-192 expression and miR-192 was observed to regulate the expression of MIP-2 alpha. These findings expand the known roles of miRNAs, indicating that tissues from patients with UC, and possibly other chronic inflammatory diseases, have altered miRNA expression patterns. These findings also demonstrate that miRNAs regulate colonic epithelial cell-derived chemokine expression.
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                Author and article information

                Contributors
                yurico_cts@hotmail.com
                smendoza@himfg.edu.mx
                farenashuertero@yahoo.com.mx
                Jimena.Trillo-Tinoco@moffitt.org
                pvalencia@himfg.edu.mx
                draalejandraconsuelo@yahoo.com.mx
                thelostpondjurasicduck@hotmail.com
                ruthavenda_o@yahoo.com.mx
                josehe_3@yahoo.com.mx
                grecinosc@yahoo.com.mx
                metallicaifanes@hotmail.com
                san_rg@yahoo.com.mx
                jcvazul@yahoo.com
                normave@himfg.edu.mx
                Journal
                BMC Infect Dis
                BMC Infect. Dis
                BMC Infectious Diseases
                BioMed Central (London )
                1471-2334
                15 September 2018
                15 September 2018
                2018
                : 18
                : 463
                Affiliations
                [1 ]ISNI 0000 0004 0633 3412, GRID grid.414757.4, Infectology Laboratory, , Hospital Infantil de México Federico Gómez, ; México City, Mexico
                [2 ]ISNI 0000 0001 2165 8782, GRID grid.418275.d, Biomedicine and Molecular Biotechnology, Escuela Nacional de Ciencias Biológicas, , Instituto Politécnico Nacional, ; México City, Mexico
                [3 ]ISNI 0000 0001 2165 8782, GRID grid.418275.d, Molecular Microbiology Laboratory, Microbiology Department, Escuela Nacional de Ciencias Biológicas, , Instituto Politécnico Nacional, ; México City, Mexico
                [4 ]ISNI 0000 0004 0633 3412, GRID grid.414757.4, Laboratory of Research in Experimental Pathology, , Hospital Infantil de México Federico Gómez, ; México City, Mexico
                [5 ]ISNI 0000 0000 9891 5233, GRID grid.468198.a, Department of Immunology, , Moffitt Cancer Center, ; Tampa, FL USA
                [6 ]ISNI 0000 0004 0633 3412, GRID grid.414757.4, Planning Direction, , Hospital Infantil de México Federico Gómez, ; México City, Mexico
                [7 ]ISNI 0000 0004 0633 3412, GRID grid.414757.4, Gastroenterology and Nutrition Department, , Hospital Infantil de México Federico Gómez, ; México City, Mexico
                [8 ]ISNI 0000 0001 2165 8782, GRID grid.418275.d, Health Science, Escuela Superior de Medicina, , Instituto Politécnico Nacional, ; México City, Mexico
                [9 ]Endoscopy Department, Hopital General Dr. Manuel Gea González, México City, Mexico
                [10 ]GRID grid.414754.7, Division of Pathological Anatomy, , Hospital General Dr. Manuel Gea González, ; México City, Mexico
                [11 ]ISNI 0000 0004 0633 3412, GRID grid.414757.4, Center of Economic and Social Studies in Health, , Hospital Infantil de México Federico Gómez, ; México City, Mexico
                Article
                3368
                10.1186/s12879-018-3368-2
                6139157
                30219037
                1b1eee13-2b04-42ee-a449-c0d09c589941
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 19 January 2018
                : 30 August 2018
                Funding
                Funded by: Federal Resources. Ministry of Health and Assistance (SSA), México
                Award ID: HIM/2013/009.SSA 1081
                Funded by: Federal Ministry of Health and Assistance (SSA), México
                Award ID: HIM/2011/080-SSA 1005
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2018

                Infectious disease & Microbiology
                helicobacter pylori,gastritis,mirna-146a,mirna-155,meriones unguiculatus

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