PMID- 37965316 OWN - NLM STAT- MEDLINE DCOM- 20231116 LR - 20240318 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 14 DP - 2023 TI - Novel mediator in anaphylaxis: decreased levels of miR-375-3p in serum and within extracellular vesicles of patients. PG - 1209874 LID - 10.3389/fimmu.2023.1209874 [doi] LID - 1209874 AB - INTRODUCTION: Anaphylaxis is among the most severe manifestations of allergic disorders, but its molecular basis remains largely unknown and reliable diagnostic markers are not currently available. MicroRNAs (miRNAs) regulate several pathophysiological processes and have been proposed as non-invasive biomarkers. Therefore, this study aims to evaluate their involvement in anaphylactic reaction and their value as biomarkers. METHODS: Acute (anaphylaxis) and baseline (control) serum samples from 67 patients with anaphylaxis were studied. Among them, 35 were adults with drug-induced anaphylaxis, 13 adults with food-induced anaphylaxis and 19 children with food-induced anaphylaxis. The circulating serum miRNAs profile was characterized by next-generation sequencing (NGS). For this purpose, acute and baseline samples from 5 adults with drug-induced anaphylaxis were used. RNA was extracted, retrotranscribed, sequenced and the readings obtained were mapped to the human database miRBase_20. In addition, a system biology analysis (SBA) was performed with its target genes and revealed pathways related to anaphylactic mediators signaling. Moreover, functional and molecular endothelial permeability assays were conducted with miR-375-3p-transfected cells in response to cAMP. RESULTS: A total of 334 miRNAs were identified, of which 21 were significant differentially expressed between both phases. Extracellular vesicles (EVs) were characterized by Western blot, electron microscopy and NanoSight. A decrease of miR-375-3p levels was determined by qPCR in both serum and EVs of patients with anaphylaxis (****p<.0001). Precisely, the decrease of miR-375-3p correlated with the increase of two inflammatory cytokines: monocyte chemoattractant protein-1 (MCP-1) and granulocyte macrophage colony-stimulating factor (GM-CSF). On the other hand, functional and molecular data obtained showed that miR-375-3p partially blocked the endothelial barrier maintenance and stabilization by disassembly of cell-cell junctions exhibiting low Rac1-Cdc42 levels. DISCUSSION: These findings demonstrate a differential serum profile of circulating miRNAs in patients with anaphylaxis and exhibit the miR-375-3p modulation in serum and EVs during drug- and food-mediated anaphylactic reactions. Furthermore, the in silico and in vitro studies show a negative role for miR-375-3p/Rac1-Cdc42 in the endothelial barrier stability. CI - Copyright (c) 2023 Nunez-Borque, Fernandez-Bravo, Rodriguez Del Rio, Palacio-Garcia, Di Giannatale, Di Paolo, Galardi, Colletti, Pascucci, Tome-Amat, Cuesta-Herranz, Ibanez-Sandin, Laguna, Benito-Martin and Esteban. FAU - Nunez-Borque, Emilio AU - Nunez-Borque E AD - Department of Allergy and Immunology, IIS-Fundacion Jimenez Diaz, Universidad Autonoma de Madrid (UAM), Madrid, Spain. FAU - Fernandez-Bravo, Sergio AU - Fernandez-Bravo S AD - Department of Allergy and Immunology, IIS-Fundacion Jimenez Diaz, Universidad Autonoma de Madrid (UAM), Madrid, Spain. FAU - Rodriguez Del Rio, Pablo AU - Rodriguez Del Rio P AD - Allergy Department, Hospital Infantil Universitario Nino Jesus, Fundacion Hospital Nino Jesus (HNJ), Instituto de Investigacion del Hospital de La Princesa (IIS-P), Madrid, Spain. FAU - Palacio-Garcia, Lucia AU - Palacio-Garcia L AD - Department of Allergy and Immunology, IIS-Fundacion Jimenez Diaz, Universidad Autonoma de Madrid (UAM), Madrid, Spain. FAU - Di Giannatale, Angela AU - Di Giannatale A AD - Department of Pediatric Onco-Hematology and Cell and Gene Therapy, Bambino Gesu Children's Hospital, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy. FAU - Di Paolo, Virginia AU - Di Paolo V AD - Department of Pediatric Onco-Hematology and Cell and Gene Therapy, Bambino Gesu Children's Hospital, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy. FAU - Galardi, Angela AU - Galardi A AD - Department of Pediatric Onco-Hematology and Cell and Gene Therapy, Bambino Gesu Children's Hospital, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy. FAU - Colletti, Marta AU - Colletti M AD - Department of Pediatric Onco-Hematology and Cell and Gene Therapy, Bambino Gesu Children's Hospital, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy. FAU - Pascucci, Luisa AU - Pascucci L AD - Department of Veterinary Medicine, University of Perugia, Perugia, Italy. FAU - Tome-Amat, Jaime AU - Tome-Amat J AD - Centro de Biotecnologia y Genomica de Plantas, Universidad Politecnica de Madrid-Instituto Nacional de Investigacion y Tecnologia Agraria y Alimentaria (UPM-INIA), Universidad Politecnica de Madrid, Madrid, Spain. FAU - Cuesta-Herranz, Javier AU - Cuesta-Herranz J AD - Department of Allergy. Fundacion Jimenez Diaz University Hospital, Universidad Autonoma de Madrid (UAM), Madrid, Spain. FAU - Ibanez-Sandin, Maria Dolores AU - Ibanez-Sandin MD AD - Allergy Department, Hospital Infantil Universitario Nino Jesus, Fundacion Hospital Nino Jesus (HNJ), Instituto de Investigacion del Hospital de La Princesa (IIS-P), Madrid, Spain. FAU - Laguna, Jose Julio AU - Laguna JJ AD - Allergy Unit, Allergo-Anaesthesia Unit, Cruz Roja Central Hospital, Villanueva de la Canada, Madrid, Spain. AD - Faculty of Medicine and Biomedicine, Universidad Alfonso X el Sabio (UAX), Madrid, Spain. FAU - Benito-Martin, Alberto AU - Benito-Martin A AD - Faculty of Medicine and Biomedicine, Universidad Alfonso X el Sabio (UAX), Madrid, Spain. FAU - Esteban, Vanesa AU - Esteban V AD - Department of Allergy and Immunology, IIS-Fundacion Jimenez Diaz, Universidad Autonoma de Madrid (UAM), Madrid, Spain. AD - Faculty of Medicine and Biomedicine, Universidad Alfonso X el Sabio (UAX), Madrid, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231030 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (MicroRNAs) RN - 0 (Circulating MicroRNA) RN - 0 (Biomarkers) RN - 0 (MIRN375 microRNA, human) SB - IM MH - Adult MH - Child MH - Humans MH - *Anaphylaxis/genetics/metabolism MH - *MicroRNAs/metabolism MH - *Extracellular Vesicles/metabolism MH - *Circulating MicroRNA/metabolism MH - Biomarkers/metabolism PMC - PMC10642912 OTO - NOTNLM OT - anaphylaxis OT - biomarker OT - endothelial permeability OT - extracellular vesicles OT - miRNA COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/11/15 06:43 MHDA- 2023/11/16 06:45 PMCR- 2023/01/01 CRDT- 2023/11/15 04:24 PHST- 2023/06/02 00:00 [received] PHST- 2023/10/13 00:00 [accepted] PHST- 2023/11/16 06:45 [medline] PHST- 2023/11/15 06:43 [pubmed] PHST- 2023/11/15 04:24 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2023.1209874 [doi] PST - epublish SO - Front Immunol. 2023 Oct 30;14:1209874. doi: 10.3389/fimmu.2023.1209874. eCollection 2023.