PMID- 37045944 OWN - NLM STAT- MEDLINE DCOM- 20230509 LR - 20230509 IS - 1476-5470 (Electronic) IS - 1466-4879 (Print) IS - 1466-4879 (Linking) VI - 24 IP - 2 DP - 2023 Apr TI - Long non-coding RNA maternally expressed gene 3, miR-125a-5p, CXCL13, and NF-kB in patients with immune thrombocytopenia. PG - 108-115 LID - 10.1038/s41435-023-00200-3 [doi] AB - The main aim of this study was to assess the expression level of circulating long non-coding RNA maternally expressed gene 3 (lncRNA-MEG3), microRNA (miR-125a-5P), the chemokine C-X-C motif ligand13 (CXCL13), and the nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kB) in immune thrombocytopenia (ITP) cases and to study its relation to the disease severity and treatment response. This case-control study included 45 patients newly diagnosed as ITP and 45 healthy subjects. We assessed complete blood count, antinuclear antibodies, hepatitis B and C virus serology, lncRNA-MEG3, miR-125a-5P, and CXCL13 expression in serum by real-time PCR and NF-kb protein by ELISA. In ITP patients compared to control, lncRNA-MEG3 was significantly increased, and miRNA-125a-5P was decreased, and this was associated with higher CXCL13 and NF-kB levels (P < 0.001, for all).There was a significant negative correlation between platelet count and lncRNA-MEG3, CXCL13, and NF-kb, while a positive correlation with miR-125a-5p in ITP patients. Patients who responded to steroids had significantly higher miR-125a-5p (P = 0.016) and significantly lower lncRNA-MEG3 (P < 0.001), CXCL13 (P = 0.005), and NF-kb (p = 0.002). Based on the ROC curves, lncRNA-MEG3 displayed the highest area under the curve (AUC) in the identification of organ bleeding (AUC = 0.805), the response to steroids (AUC = 0.853), and the need for splenectomy (AUC = 0.75). CI - (c) 2023. The Author(s). FAU - Naguib, Mervat AU - Naguib M AUID- ORCID: 0000-0002-9345-1542 AD - Internal Medicine Department, Faculty of Medicine Kasr Al-Ainy Hospital, Cairo University, Cairo, Egypt. mervat.naguib@cu.edu.eg. FAU - El Sawy, Shereen AU - El Sawy S AD - Internal Medicine Department, Faculty of Medicine Kasr Al-Ainy Hospital, Cairo University, Cairo, Egypt. FAU - Rashed, Laila AU - Rashed L AD - Medical Biochemistry and Molecular Biology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. FAU - AlHelf, Maha AU - AlHelf M AD - Medical Biochemistry and Molecular Biology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. AD - Biotechnology School, Nile University, Giza, Egypt. FAU - Abdelgwad, Marwa AU - Abdelgwad M AD - Medical Biochemistry and Molecular Biology Department, Faculty of Medicine, Cairo University, Cairo, Egypt. LA - eng PT - Journal Article DEP - 20230412 PL - England TA - Genes Immun JT - Genes and immunity JID - 100953417 RN - 0 (Chemokine CXCL13) RN - 0 (CXCL13 protein, human) RN - 0 (MicroRNAs) RN - 0 (NF-kappa B) RN - 0 (RNA, Long Noncoding) RN - 0 (MEG3 non-coding RNA, human) RN - 0 (MIRN125 microRNA, human) SB - IM MH - Humans MH - Case-Control Studies MH - *Chemokine CXCL13/genetics MH - *MicroRNAs/genetics/metabolism MH - NF-kappa B/genetics MH - *Purpura, Thrombocytopenic, Idiopathic/genetics MH - *RNA, Long Noncoding/genetics PMC - PMC10110462 COIS- The authors declare no competing interests. EDAT- 2023/04/13 06:00 MHDA- 2023/04/19 06:42 PMCR- 2023/04/12 CRDT- 2023/04/12 23:22 PHST- 2022/10/06 00:00 [received] PHST- 2023/02/02 00:00 [accepted] PHST- 2023/01/27 00:00 [revised] PHST- 2023/04/19 06:42 [medline] PHST- 2023/04/13 06:00 [pubmed] PHST- 2023/04/12 23:22 [entrez] PHST- 2023/04/12 00:00 [pmc-release] AID - 10.1038/s41435-023-00200-3 [pii] AID - 200 [pii] AID - 10.1038/s41435-023-00200-3 [doi] PST - ppublish SO - Genes Immun. 2023 Apr;24(2):108-115. doi: 10.1038/s41435-023-00200-3. Epub 2023 Apr 12.