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Correcting the expression of miRNA-155 represses PP2Ac and enhances the release of IL-2 in PBMCs of juvenile SLE patients.
[familial mediterranean fever]
MicroRNA-
155
is
involved
in
immune
cell
,
differentiation
,
maturation
and
function
.
MiR-
155
showed
variable
dysregulated
expression
in
autoimmune
diseases
such
as
systemic
lupus
erythematosus
(
SLE
)
and
rheumatoid
arthritis
(
RA
)
patients
.
MiR-
155
was
previously
confirmed
to
directly
target
CAMP
response
element
binding
protein
(
CREB
)
,
which
was
previously
identified
as
a
positive
regulator
of
protein
phosphatase
2
A
(
PP
2
A
)
.
PP
2
A
is
a
key
negative
regulator
of
interleukin-
2
,
which
is
an
important
immune
modulator
and
was
previously
shown
to
be
decreased
in
SLE
.
In
this
study
we
aimed
at
investigating
the
regulation
of
PP
2
A
by
miR-
155
and
hence
its
role
in
juvenile
SLE
disease
pathogenesis
.
MiR-
155
showed
significant
downregulation
in
PBMCs
from
juvenile
SLE
and
juvenile
familial
Mediterranean
fever
(
FMF
)
and
significant
upregulation
in
PBMCs
from
juvenile
idiopathic
arthritis
(
JIA
)
patients
.
In
SLE
,
miR-
155
expression
was
negatively
correlated
with
Systemic
Lupus
Erythematosus
Disease
Activity
Index
(
SLEDAI
)
score
and
proteinuria
and
was
positively
correlated
with
white
blood
cell
(
WBC
)
count
.
The
mRNA
of
the
catalytic
subunit
of
PP
2
A
(
PP
2
A
c
)
showed
significant
upregulation
in
PBMCs
from
SLE
and
FMF
but
not
in
JIA
patients
.
Additionally
,
the
relative
expression
of
PP
2
Ac
mRNA
was
positively
correlated
with
SLEDAI
score
.
Forced
expression
of
miR-
155
led
to
decreased
relative
expression
of
PP
2
Ac
mRNA
and
increased
IL
-
2
release
in
cultured-stimulated
PBMCs
.
This
study
suggests
for
the
first
time
the
possible
role
of
an
miR-
155
-
PP
2
Ac
loop
in
regulating
IL
-
2
release
and
identifies
miR-
155
as
a
potential
therapeutic
target
in
juvenile
SLE
disease
through
relieving
IL
-
2
from
the
inhibitory
role
of
PP
2
A
.
Diseases
Validation
Diseases presenting
"arthritis"
symptom
acute rheumatic fever
child syndrome
congenital adrenal hyperplasia
cystinuria
familial hypocalciuric hypercalcemia
familial mediterranean fever
focal myositis
harlequin ichthyosis
homocystinuria without methylmalonic aciduria
inclusion body myositis
lamellar ichthyosis
malignant atrophic papulosis
pyomyositis
sneddon syndrome
trochlear dysplasia
typhoid
wiskott-aldrich syndrome
This symptom has already been validated