Fibrosis-Related microRNAs in Crohn's Disease with Fibrostenosis and Inflammatory Stenosis

Crohn's disease (CD) is frequently complicated by strictures that can be either inflammatory or fibrostenotic. This distinction is important for deciding the best treatment course, but it can be difficult to determine clinically, sometimes even by advanced imaging techniques. We performed miRNA...

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Veröffentlicht in:International journal of molecular sciences 2024-08, Vol.25 (16), p.8826
Hauptverfasser: Jerala, Miha, Remic, Tinkara, Hauptman, Nina, Zidar, Nina
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Remic, Tinkara
Hauptman, Nina
Zidar, Nina
description Crohn's disease (CD) is frequently complicated by strictures that can be either inflammatory or fibrostenotic. This distinction is important for deciding the best treatment course, but it can be difficult to determine clinically, sometimes even by advanced imaging techniques. We performed miRNA PCR panel screening on pooled samples of ileum with CD fibrostenosis or inflammatory stenosis. Eight miRNAs with profibrotic ( , and ), or fibroprotective ( , , , and ) functions described in the literature were selected for validation on 20 samples each of CD with fibrostenosis or inflammatory stenosis, with a separate sampling of the submucosa and subserosa. The results showed significant differences between the groups in subserosal samples, with upregulation of profibrotic miRNAs and downregulation of fibroprotective miRNAs in fibrostenosis compared to inflammatory stenosis. Only showed a significant difference in the submucosa. There were significant differences in miRNA expression between subserosa and submucosa. Our results provide further evidence that the major differences between fibrostenosis and inflammatory stenosis are located in the subserosa, which is inaccessible to endoscopic sampling, highlighting the need for cross-sectional imaging or serological markers. We identify several miRNAs previously not connected to fibrosis in CD, which could potentially serve as biomarkers of fibrostenosis.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central
subjects Adult
Biopsy
Constriction, Pathologic - genetics
Crohn Disease - genetics
Crohn Disease - metabolism
Crohn Disease - pathology
Crohn's disease
Endoscopy
Female
Fibrosis - genetics
Gene Expression Profiling
Gene Expression Regulation
Humans
Ileum - metabolism
Ileum - pathology
Male
MicroRNAs
MicroRNAs - genetics
Middle Aged
title Fibrosis-Related microRNAs in Crohn's Disease with Fibrostenosis and Inflammatory Stenosis
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