<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">ETM-24-4-11552</article-id>
<article-id pub-id-type="doi">10.3892/etm.2022.11552</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>miR-146a-5p negatively regulates the IL-1&#x03B2;-stimulated inflammatory response via downregulation of the IRAK1/TRAF6 signaling pathway in human intestinal epithelial cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Yanli</given-names></name>
<xref rid="af1-ETM-24-4-11552" ref-type="aff">1</xref>
<xref rid="af2-ETM-24-4-11552" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Tan</surname><given-names>Shilian</given-names></name>
<xref rid="af1-ETM-24-4-11552" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Shen</surname><given-names>Yuanying</given-names></name>
<xref rid="af1-ETM-24-4-11552" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Guo</surname><given-names>Le</given-names></name>
<xref rid="af1-ETM-24-4-11552" ref-type="aff">1</xref>
<xref rid="c1-ETM-24-4-11552" ref-type="corresp"/>
</contrib>
</contrib-group>
<aff id="af1-ETM-24-4-11552"><label>1</label>Department of Medical Microbiology and Immunology, College of Basic Medicine, Dali University, Dali, Yunnan 671003, P.R. China</aff>
<aff id="af2-ETM-24-4-11552"><label>2</label>Clinical Laboratory of Zhumadian Traditional Chinese Medicine Hospital, Zhumadian, Henan 463002, P.R. China</aff>
<author-notes>
<corresp id="c1-ETM-24-4-11552"><italic>Correspondence to:</italic> Mr. Le Guo, Department of Medical Microbiology and Immunology, College of Basic Medicine, Dali University, 22 Wanhua Road, Dali Bai, Dali, Yunnan 671003, P.R. China <email>le.guo@dali.edu.cn</email></corresp>
</author-notes>
<pub-date pub-type="collection">
<month>10</month>
<year>2022</year></pub-date>
<pub-date pub-type="epub">
<day>05</day>
<month>08</month>
<year>2022</year></pub-date>
<volume>24</volume>
<issue>4</issue>
<elocation-id>615</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>03</month>
<year>2022</year></date>
<date date-type="accepted">
<day>28</day>
<month>06</month>
<year>2022</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Li et al.</copyright-statement>
<copyright-year>2020</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>The primary pathophysiological alteration caused by inflammatory bowel disease (IBD) is prolonged, excessive inflammatory response to stimulation factors, which leads to intestinal mucosal lesions. microRNA (miR)-146a-5p is broadly activated in the mucosal immune response. At present, the biogenesis, function and role of miR-146a-5p in intestinal epithelial cells (IECs) during the pathogenesis of IBD remain elusive. The human colon cancer epithelial Caco-2 cell line was cultured with 10 ng/ml recombinant human IL-1&#x03B2; for 3 h to establish an <italic>in vitro</italic> IECs inflammatory model. Relative levels of miR-146a-5p and inflammatory factors (IL-6, IL-1&#x03B2;, TNF-&#x03B1; and IP-10) were measured by reverse transcription-quantitative PCR (RT-qPCR) and western blotting. Transfection of miR-146a-5p mimic or inhibitor into Caco-2 cells was performed to identify the influence of miR-146a-5p on Caco-2 cell inflammatory factors expression. The targeting relationship between miR-146a-5p and interleukin 1 receptor associated kinase 1 (IRAK1)/tumor necrosis factor receptor-associated factor 6 (TRAF6) was predicted by TargetScan 8.0. The present study demonstrated that miR-146a-5p and inflammatory factors (IL-6, IL-1&#x03B2;, TNF-&#x03B1; and IP-10) were upregulated in a dose- and time-dependent manner in IL-1&#x03B2;-stimulated Caco-2 cells. Moreover, upregulation of miR-146a-5p negatively regulated the expression of inflammatory factors, but the downregulation of miR-146a-5p increased their expression. The results of the present study demonstrated that miR-146a-5p decreased the expression of the inflammatory factors through targeted downregulation of IRAK1/TRAF6. These results suggest that miR-146a-5p negatively regulates the IL-1&#x03B2;-stimulated inflammatory response via downregulation of the IRAK1/TRAF6 signaling pathway in human IECs. Therefore, miR-146a-5p may act as an important diagnostic biomarker and treatment target of IBD.</p>
</abstract>
<kwd-group>
<kwd>miR-146a-5p</kwd>
<kwd>IL-1&#x03B2;</kwd>
<kwd>interleukin 1 receptor associated kinase 1/tumor necrosis factor receptor-associated factor 6</kwd>
<kwd>inflammatory response</kwd>
<kwd>intestinal epithelial cells</kwd>
</kwd-group>
<funding-group>
<funding-statement><bold>Funding:</bold> The present study was supported by the National Natural Science Foundation of China (grant no. 81960371) and the Yunnan Province Science and Technology Department Youth Funding Program (grant no. 202001AU070014).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Inflammatory bowel disease (IBD) is a globally prevalent disease with increasing incidence in every continent, primarily in newly industrialized countries in Asia, South America and the Middle East (<xref rid="b1-ETM-24-4-11552" ref-type="bibr">1</xref>). A number of potential risk factors, including environmental factors, imbalance of intestinal flora and immunological abnormalityintestinal infectious agents, have been linked to an increase in prevalence and incidence of IBD (<xref rid="b2-ETM-24-4-11552 b3-ETM-24-4-11552 b4-ETM-24-4-11552" ref-type="bibr">2-4</xref>). IBD is associated with chronic relapsing inflammatory disorder of the gastrointestinal tract and is divided into two phenotypes: Ulcerative colitis (UC) and Crohn&#x0027;s disease (CD) (<xref rid="b3-ETM-24-4-11552" ref-type="bibr">3</xref>). The etiology and pathogenesis of IBD are not fully understood. Intestinal mucosal barrier malfunction and immune response disorder in the intestinal mucosa are primary determinants in the activation of immunological and inflammation-associated signaling pathways in the gastrointestinal tract, which underpins the development of IBD (<xref rid="b4-ETM-24-4-11552 b5-ETM-24-4-11552 b6-ETM-24-4-11552 b7-ETM-24-4-11552" ref-type="bibr">4-7</xref>).</p>
<p>In comparison with underlying cells, IECs lining the gastrointestinal tract serve as a physical barrier to pathogen incursion, therefore IECs are highly exposed to pathogens. IECs express multiple pattern-recognition receptors on their surface, which contribute to the intestinal inflammatory response by communicating with surrounding cells via synthesis and secretion of soluble, biologically active mediators (<xref rid="b7-ETM-24-4-11552" ref-type="bibr">7</xref>,<xref rid="b8-ETM-24-4-11552" ref-type="bibr">8</xref>). Among inflammatory mediators that serve a key role in the inflammatory response in the intestine, the proinflammatory mediator IL-1&#x03B2;, which is released by activated and infiltrating leucocytes, stimulates expression of a wide range of proinflammatory genes in IECs, including IL-6, IL-8 and TNF-&#x03B1; (<xref rid="b9-ETM-24-4-11552" ref-type="bibr">9</xref>,<xref rid="b10-ETM-24-4-11552" ref-type="bibr">10</xref>). These work with IL-1&#x03B2; to cause inflammation in patients with IBD (<xref rid="b11-ETM-24-4-11552" ref-type="bibr">11</xref>) and high IL-1&#x03B2; levels are linked to higher disease severity (<xref rid="b12-ETM-24-4-11552" ref-type="bibr">12</xref>). IL-1&#x03B2; causes tight junction dysfunction, which leads to impaired epithelial cell barrier function and increased immune activity, which in turn leads to the increase of inflammatory stimuli and further barrier dysfunction (<xref rid="b7-ETM-24-4-11552" ref-type="bibr">7</xref>). The impaired intestinal barrier function of patients with IBD is closely related to the occurrence and development of intestinal inflammatory response. A large number of symbiotic bacteria in the intestinal gut enter lamina propria through the damaged intestinal mucosal barrier and activate a large number of pro-inflammatory cells, thus aggravating the intestinal mucosal inflammatory response. Inflammation leads to intestinal epithelial barrier injury, and the intestinal epithelial barrier injury further aggravates the inflammatory response, and the two are mutually causal, forming a closed loop interaction, ultimately leading to intestinal lesions. Recurrent attacks or long time treatment is not cured.</p>
<p>Several microRNAs (miRNAs or miRs) have been found to have a key role in modulating mucosal barrier function and mucosal inflammatory response (<xref rid="b13-ETM-24-4-11552" ref-type="bibr">13</xref>). miRs are a family of endogenous non-coding RNAs that form the RNA-induced silencing complex with the Argonaute protein family and regulate various eukaryotic cellular activity by targeting the 3&#x0027;-untranslated region of mRNAs for destruction or translational downregulation (<xref rid="b14-ETM-24-4-11552" ref-type="bibr">14</xref>). As a result, miRs serve key regulatory roles in a variety of pathways and biological processes, including immune cellular differentiation, proliferation, apoptosis, cancer, autoimmunity and inflammation, as well as immunological homeostasis (<xref rid="b15-ETM-24-4-11552 b16-ETM-24-4-11552 b17-ETM-24-4-11552" ref-type="bibr">15-17</xref>). Post-transcriptional regulation is an essential control mechanism for the expression of genes involved in inflammation, such as cytokines and chemokine-expressing genes (<xref rid="b18-ETM-24-4-11552" ref-type="bibr">18</xref>,<xref rid="b19-ETM-24-4-11552" ref-type="bibr">19</xref>). Several studies have found that miRs serve a key role in the pathological progression of IBD, particularly in maintaining homeostasis of the intracellular environment in the intestinal epithelium (<xref rid="b20-ETM-24-4-11552 b21-ETM-24-4-11552 b22-ETM-24-4-11552" ref-type="bibr">20-22</xref>). For example, miR-19b alleviates intestinal inflammation by targeting downregulation of suppressor of cytokine signaling (SOCS)3 expression in patients with CD (<xref rid="b20-ETM-24-4-11552" ref-type="bibr">20</xref>), whereas miR-29a promotes apoptosis of intestinal epithelial inflammatory cells in patients with UC by downregulating the expression of the induced myeloid leukemia cell differentiation protein (<xref rid="b21-ETM-24-4-11552" ref-type="bibr">21</xref>). miR-155 targets SOCS1 gene and positively regulates the inflammatory phenotype of intestinal myofibroblasts in patients with UC (<xref rid="b22-ETM-24-4-11552" ref-type="bibr">22</xref>). These miRs are may serve as markers for predicting the course of IBD, as well as therapeutic targets.</p>
<p>miR-146a-5p has a key regulatory function in inflammatory disorders, such as acute lung injury, chronic gastritis and rheumatoid arthritis (<xref rid="b23-ETM-24-4-11552 b24-ETM-24-4-11552 b25-ETM-24-4-11552" ref-type="bibr">23-25</xref>). Furthermore, studies have demonstrated that miR-146a-5p is highly expressed in the peripheral blood of patients with IBD and is involved in the progression of IBD (<xref rid="b26-ETM-24-4-11552" ref-type="bibr">26</xref>,<xref rid="b27-ETM-24-4-11552" ref-type="bibr">27</xref>). miR-146a-5p, one of the most important anti-inflammatory miRs (<xref rid="b28-ETM-24-4-11552" ref-type="bibr">28</xref>), suppresses Toll-like receptor 4-induced NF-&#x03BA;B-regulated gene expression and serves as a negative feedback regulator of the innate immune response by targeting two adapter proteins, interleukin 1 receptor associated kinase 1 (IRAK1) and tumor necrosis factor receptor-associated factor 6 (TRAF6), which are key molecules downstream of TNF-&#x03B1; and IL-1&#x03B2; signaling (<xref rid="b29-ETM-24-4-11552" ref-type="bibr">29</xref>). To the best of our knowledge, although miR-146a-5p is implicated in the regulation of IBD, there is little information about its expression and the mechanism by which it regulates inflammation-associated signaling in IECs and non-immune cells of the intestinal epithelial layer.</p>
<p>Therefore, the present study aimed to determine the regulatory role and mechanism of miR-146a-5p in IECs. IL-1&#x03B2;-induced IECs was used to construct an <italic>in vitro</italic> intestinal inflammation model, and the role of miR-146a-5p in IL-1&#x03B2; induced <italic>in vitro</italic> intestinal inflammation model and its regulatory mechanism were investigated, providing theoretical basis and experimental basis for the treatment of IBD.</p>
</sec>
<sec sec-type="Materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell line and culture</title>
<p>Human colon cancer epithelial Caco-2 cells (cat. no. CL-0050; Procell Life Science &#x0026; Technology Co., Ltd.) were plated in 48-well plates at 37&#x02DA;C with DMEM (Gibco; cat. no. C11995500BT) supplemented with 1,000 mg/l glucose, 1,000 mg/l Penicillin-Streptomycin and 20&#x0025; FBS (Gibco; cat. no. 10270-106) in a humidified incubator at 37&#x02DA;C with 5&#x0025; CO<sub>2</sub>.</p>
</sec>
<sec>
<title>Establishment of an in vitro inflammatory model in IECs</title>
<p>Recombinant human IL-1&#x03B2; was obtained from Enzo Life Sciences, Inc. (cat. no. ALX-520-001-C010). Cells at 85-90&#x0025; confluence were incubated at 37&#x02DA;C with 10 ng/ml IL-1&#x03B2; for 3 h to establish an <italic>in vitro</italic> inflammatory model in IECs.</p>
</sec>
<sec>
<title>Transfection with miR-146a-5p mimics and inhibitors</title>
<p>miR-146a-5p mimics, inhibitors, mimic negative control (NC) and inhibitor NC were obtained from Sangon Biotech, Co., Ltd. The sequences of miR mimic, inhibitor and NC were as follows: miR-146a-5p mimics, 5&#x0027;-UGAGAACUGAAUUCCAUGGGUU-3&#x0027;; miR-146a-5p inhibitors, 5&#x0027;-AACCCAUGGAAUUCAGUUCUCA-3&#x0027;; miRNA mimic NC, 5&#x0027;-UUGUACUACACAAAAGUACUG-3&#x0027; and miRNA inhibitor NC, 5&#x0027;-CAGUACUUUUGUGUAGUACAA-3&#x0027;. A total of 500,000 Caco-2 cells were plated in 48-well plates with 200 &#x00B5;l/well DMEM supplemented with 1,000 mg/l glucose and 20&#x0025; FBS. One day before transfection. Cells (50-70&#x0025; confluence) were transfected with 10 pmol miR-146a-5p mimics, inhibitors, mimic NC or inhibitor NC using 0.5 &#x00B5;l Lipofectamine<sup>&#x00AE;</sup> 2000 (Invitrogen; cat. no. 11668-019; Thermo Fisher Scientific, Inc.) resuspended in 100 &#x00B5;l DMEM (Gibco; cat. no. C11995500BT). A volume of 200 &#x00B5;l transfection suspension was added to each well and incubated at 37&#x02DA;C for 5 h. Then we replaced the transfection suspension with 20&#x0025; complete medium and continued culture for 24 h before subsequent experiments.</p>
</sec>
<sec>
<title>Quantification of mRNA and miR using reverse transcription-quantitative PCR (RT-qPCR)</title>
<p>A total of 5x10<sup>5</sup> cells/well was planted in 48 well cell culture plate, cultured at 37&#x02DA;C for 24 h, total RNA was extracted from Caco-2 cells (90-95&#x0025;, confluence) according to the manufacturer&#x0027;s instructions using Tri Reagent<sup>&#x00AE;</sup>-RNA/DNA/Protein Isolation Reagent (Molecular Research Center, Inc., Cat. No: TR118). miR and mRNA were transcribed into cDNA with miRcute Plus miR First-Strand cDNA kit (TIANGEN, KR211) and HiScript<sup>&#x00AE;</sup>III 1st Strand cDNA Synthesis kit (+gDNA wiper; Vazyme, R312-02) respectively, according to the manufacturer&#x0027;s protocol. RT-qPCR analysis was performed using the miRcute Plus miRNA qPCR kit (SYBR Green; TIANGEN, FP411-02) and ChamQ Universal SYBR qPCR Master Mix (Vazyme, Q711). The thermocycling conditions were as follows: Pre-denaturation at 95&#x02DA;C for 15 min, followed by 5 cycles of 94&#x02DA;C for 20 sec, 60&#x02DA;C for 30 sec and 72&#x02DA;C for 34 sec, by 45 cycles of 94&#x02DA;C for 20 sec and 60&#x02DA;C for 34 sec. miR-146a-5p expression levels were normalized to U6. While, mRNA expression levels were normalized to GAPDH. Relative expression levels were calculated using the 2<sup>-&#x0394;&#x0394;Cq</sup> method (<xref rid="b30-ETM-24-4-11552" ref-type="bibr">30</xref>). The oligonucleotide primers of target genes were designed and synthesized by TsingKe Biological Technology (<xref rid="tI-ETM-24-4-11552" ref-type="table">Table I</xref>).</p>
</sec>
<sec>
<title>ELISA</title>
<p>Cell-free supernatant was collected the precipitate was removed by centrifugation at 1,500 x g for 10 min at 4&#x02DA;C. Serum samples were stored at -20&#x02DA;C, the concentration of IL-6 (Cat. No. 555220), IL-1&#x03B2; (Cat. No. 557953), TNF-&#x03B1; (Cat. No. 555212) and IP-10 (Cat. No. 5509 26) was evaluated using ELISA kits (BD Pharmingen; BD Biosciences). According to the manufacturer&#x0027; protocals. The optical density of each well was measured at 450 nm using a microplate reader.</p>
</sec>
<sec>
<title>Western blotting</title>
<p>RIPA buffer (Beyotime, P0013C) was used to extract total protein from Caco-2 cells. Enhanced BCA Protein Assay kit (Beyotime, P0010) for determination of protein lysate concentration. Protein lysate (20 &#x00B5;g/lane) was subjected to 10&#x0025; SDS-PAGE and electroblotted onto an Immunobiolon-P membrane. After blocking with 5&#x0025; non-fat dry milk powder at room temperature for 1 h, wash PVDF membranes with PBS three times, 5 min each time, then the membranes were incubated overnight at 4&#x02DA;C with the following primary antibodies: Rabbit anti-TRAF6 (cat. no. 67591S; 1:1,000; Cell Signaling Technology, Inc.), rabbit anti-IRAK1 (cat. no. ab180747; 1:1,000; Abcam,) and rabbit anti-GAPDH (cat. no. 21181; 1,000, Cell Signaling Technology, Inc.). Membranes were wash PVDF membranes with PBS three times, 5 min each time. Subsequently, cells were incubated at room temperature for 1 h with secondary antibody goat anti-rabbit IgG conjugated to HRP (cat. no. 7014; 1:1,000, Cell Signaling Technology, Inc.). GAPDH was used as the loading control. BeyoECL Moon (Beyotime, P0018FS) and chemiluminescence imaging systems (Cytiva, ImageQuant LAS 4000 mini) were used to capture the signal, and analyzed with Image J (version 1.8.0; National Institutes of Health).</p>
</sec>
<sec>
<title>miRNA target protien prediction</title>
<p>The potential association between miR-146a-5p and IRAK1 and TRAF6 was predicted by sequence complementarity according to TargetScan (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://targetscan.org/vert_80/v">targetscan.org/vert_80/v</ext-link>) database.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data are presented as the mean &#x00B1; standard deviation of three experimental replicates. Statistical comparisons were performed using Unpaired Student&#x0027;s t-test and one-way ANOVA for multiple comparisons followed by Tukey&#x0027;s test. All statistical analyses were performed using GraphPad Prism 8.0.2 software (GraphPad Software, Inc.). P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="Results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Expression of inflammatory factors in IL-1&#x03B2;-treated inflammatory model model</title>
<p>Caco-2 cells were incubated with 10 ng/ml IL-1&#x03B2; for 0.0, 1.5, 3.0, 6.0, 12.0 and 24.0 h to test if IL-1&#x03B2; induces expression of intracellular inflammatory cytokines and chemokines (<xref rid="f1-ETM-24-4-11552" ref-type="fig">Fig. 1A-H</xref>). ELISA was used to detect protein expression levels of inflammatory cytokines and chemokines. It was found that 10 ng/ml IL-1&#x03B2; promoted high expression levels of IL-6, IL-1&#x03B2;, TNF-&#x03B1; and IP-10. The expression of IL-6, TNF-&#x03B1; and IP-10 increased from 1.5 h, while the expression of IL-1&#x03B2; increased from 6 h (<xref rid="f1-ETM-24-4-11552" ref-type="fig">Fig. 1A-D</xref>). Moreover, the expression of IL-6, TNF-&#x03B1; and IP-10 were increased from 1.5 h (<xref rid="f1-ETM-24-4-11552" ref-type="fig">Fig. 1A</xref>, <xref rid="f1-ETM-24-4-11552" ref-type="fig">C</xref> and <xref rid="f1-ETM-24-4-11552" ref-type="fig">D</xref>), while the expression of IL-1&#x03B2; was increased from 6 h (<xref rid="f1-ETM-24-4-11552" ref-type="fig">Fig. 1B</xref>). As exogenous IL-1&#x03B2; is added into cell medium, it is difficult to detect exact endogenous IL-1&#x03B2; produced by cells. 10 ng/ml IL-1&#x03B2; was added to Caco-2 cells for different duration of time (1.5-24 h) except for the group of 0 h. In <xref rid="f1-ETM-24-4-11552" ref-type="fig">Fig. 1B</xref>, the concentration of IL-1&#x03B2; in the group of 1.5 and 3 h was much higher than the group of 0 h. This could be attributed to the exogenous IL-1&#x03B2; added into the medium of 1.5-h group. Caco-2 cells increased significantly with the concentration of IL-1&#x03B2; (<xref rid="f1-ETM-24-4-11552" ref-type="fig">Fig. 1E-H</xref>). The expression of IL-6 and IL-1&#x03B2; were increased from 0.01 ng/ml (<xref rid="f1-ETM-24-4-11552" ref-type="fig">Fig. 1E</xref> and <xref rid="f1-ETM-24-4-11552" ref-type="fig">F</xref>), while the expression of TNF-&#x03B1; and IP-10 were increased from 0.10 ng/ml (<xref rid="f1-ETM-24-4-11552" ref-type="fig">Fig. 1G</xref> and <xref rid="f1-ETM-24-4-11552" ref-type="fig">H</xref>). When IL-1&#x03B2; was 10 ng/ml, the expression levels of IL-6, IL-1&#x03B2;, TNF-&#x03B1; and IP-10 were relatively high. Therefore, the optimal modeling condition was determined to be 10 ng/ml IL-1&#x03B2; treatment for 3.0 h.</p>
</sec>
<sec>
<title>Expression of miR-146a-5p in IL-1&#x03B2;-treated intestinal epithelial mucositis model</title>
<p>RT-qPCR was performed to measure miR levels in Caco-2 cells following incubation with IL-1&#x03B2;. Following incubation with 10 ng/ml IL-1&#x03B2; for 3 h, the expression of miR-146a-5p increased over time (<xref rid="f2-ETM-24-4-11552" ref-type="fig">Fig. 2A</xref>) and with increasing IL-1&#x03B2; concentration compared with 0.00 or 0.01 ng/ml IL-1&#x03B2; (<xref rid="f2-ETM-24-4-11552" ref-type="fig">Fig. 2B</xref>).</p>
</sec>
<sec>
<title>miR-146a-5p negatively regulates inflammatory factors</title>
<p>RT-qPCR analysis of Caco-2 cells showed stable miR-146a-5p upregulation following transfection with miR-146a-5p mimics and downregulation after transfection with miR-146a-5p inhibitors (<xref rid="f3-ETM-24-4-11552" ref-type="fig">Fig. 3A</xref> and <xref rid="f3-ETM-24-4-11552" ref-type="fig">B</xref>). Following transfection, the cells were treated with 10 ng/ml IL-1&#x03B2; for 3 h and collected for RT-qPCR (<xref rid="f3-ETM-24-4-11552" ref-type="fig">Fig. 3C</xref>, <xref rid="f3-ETM-24-4-11552" ref-type="fig">E</xref>, <xref rid="f3-ETM-24-4-11552" ref-type="fig">G</xref>, <xref rid="f3-ETM-24-4-11552" ref-type="fig">I</xref>) and ELISA (<xref rid="f3-ETM-24-4-11552" ref-type="fig">Fig. 3D</xref>, <xref rid="f3-ETM-24-4-11552" ref-type="fig">F</xref>, <xref rid="f3-ETM-24-4-11552" ref-type="fig">H</xref>, <xref rid="f3-ETM-24-4-11552" ref-type="fig">J</xref>) analysis to assess the IL-6, TNF-&#x03B1;, IL-1&#x03B2; and IP-10 expression compared with untreated transfected control cells. miR-146a-5p mimics significantly inhibited transcription and translation of IL-1&#x03B2;-induced inflammatory cytokines (IL-6, IL-1&#x03B2; and TNF-&#x03B1;) and chemokine IP-10 in intestinal epithelial cells, however, miR-146a-5p inhibitors significantly promoted the expression of IL-1&#x03B2;-induced inflammatory cytokines (IL-6, IL-1&#x03B2; and TNF-&#x03B1;) and chemokine IP-10 (<xref rid="f3-ETM-24-4-11552" ref-type="fig">Fig. 3C-J</xref>). miR-146a-5p negatively regulated expression of inflammatory factors expression in IL-1&#x03B2;-treated Caco-2 cells at the transcript and protein level.</p>
</sec>
<sec>
<title>IRAK1 and TRAF6 are involved in expresion of miR-146a-5p-suppressed inflammatory factors</title>
<p>TargetScan (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://targetscan.org/vert_80/v">targetscan.org/vert_80/v</ext-link>) database was used to predict targets of miR-146a-5p; IRAK1 and TRAF6 were identified (<xref rid="f4-ETM-24-4-11552" ref-type="fig">Fig. 4A</xref> and <xref rid="f4-ETM-24-4-11552" ref-type="fig">B</xref>). Furthermore, as aforementioned, IRAK1 and TRAF6 participated in the regulatory mechanism of miR-146a-5p in the inflammatory response. The protein expression of IRAK1 and TRAF6 in miR-146a mimics + IL-1&#x03B2; and miR-146a-5p inhibitor + IL-1&#x03B2; groups were compared with the corresponding NC. According to western blot analysis, upregulation of miR-146a-5p inhibited expression of both IRAK1 and TRAF6, whereas miR-146a-5p downregulation increased expression of these target proteins (<xref rid="f4-ETM-24-4-11552" ref-type="fig">Fig. 4C-H</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="Discussion">
<title>Discussion</title>
<p>The precise etiology and pathogenesis of IBD is unknown. The primary pathophysiological hallmark of IBD is idiopathic disorder caused by chronic and excessive inflammation of the gastrointestinal tract; this is also involved in the pathogenesis of IBD (<xref rid="b29-ETM-24-4-11552" ref-type="bibr">29</xref>,<xref rid="b31-ETM-24-4-11552" ref-type="bibr">31</xref>). The intestinal mucosa is actively involved in the intestinal inflammatory response. IECs serve a key role in physical isolation of intestinal pathogens and control of intestinal mucosa inflammation due to their location and are surrounded by immune cells (<xref rid="b32-ETM-24-4-11552" ref-type="bibr">32</xref>,<xref rid="b33-ETM-24-4-11552" ref-type="bibr">33</xref>). The pathological alteration of IECs in the inflammation microenvironment needs to be investigated.</p>
<p>Due to the ability to produce and release multiple inflammatory cytokines, Caco-2 cells are routinely utilized as <italic>in vitro</italic> intestinal epithelial mucositis model of human intestinal inflammation following stimulation with proinflammatory factors, such as IL-1&#x03B2; (<xref rid="b7-ETM-24-4-11552" ref-type="bibr">7</xref>). Intestinal inflammation is exacerbated by IL-1&#x03B2;, which increases granulocyte recruitment and formation and activation of innate lymphoid cells (<xref rid="b12-ETM-24-4-11552" ref-type="bibr">12</xref>).</p>
<p>Aberrant miR expression in inflammatory intestinal mucosal tissue of patients with IBD is associated with intestinal inflammation, intestinal mucosal immune dysfunction and intestinal epithelial cell barrier degradation (<xref rid="b34-ETM-24-4-11552" ref-type="bibr">34</xref>). miR-146a-5p has a strong regulatory function during the inflammatory response, which negatively regulates release of IL-5 and IL-13 from regulatory T cells by blockade of the NF-&#x03BA;B signal pathway (<xref rid="b35-ETM-24-4-11552" ref-type="bibr">35</xref>). The upregulation of miR-146a-5p effectively improves symptoms of allergic conjunctivitis in a mouse model (<xref rid="b36-ETM-24-4-11552" ref-type="bibr">36</xref>). miR-146a-5p inhibits expression of IL-1&#x03B2;-induced inflammatory cytokines IL-6 and L-1&#x03B2; in a cementoblast-like cell line (OCCM-30) via the IRAK1/TRAF6 pathway in the innate immune response (<xref rid="b37-ETM-24-4-11552" ref-type="bibr">37</xref>). Upregulation of miR-146a-5p expression is observed in both active CD and UC mucosa compared with control mucosa (<xref rid="b34-ETM-24-4-11552" ref-type="bibr">34</xref>). miR-146a-5p inhibits expression of IL-1&#x03B2;-induced inflammatory cytokines IL-6 and L-1&#x03B2; and alleviates periodontal inflammation (<xref rid="b37-ETM-24-4-11552" ref-type="bibr">37</xref>).</p>
<p>In the present study, expression of miR-146a-5p was increased in the IL-1&#x03B2;-induced <italic>in vitro</italic> inflammation model. The increased expression of miR-146a is in agreement with an earlier study in IL-1&#x03B2;-stimulated human lung alveolar epithelial cells (<xref rid="b36-ETM-24-4-11552" ref-type="bibr">36</xref>). Moreover, upregulating miR-146a-5p decreased transcription and release of inflammatory factors, while downregulating miR-146a-5p enhanced inflammatory mediator expression in IL-1&#x03B2;-stimulated Caco-2 cells. The aforementioned results suggested that miR-146a-5p may serve a protective role in colonic inflammation. The dose- and time-dependent responses induced in Caco-2 cells due to exposure to exogenous IL-1&#x03B2; suggested that miR-146a-5p may be involved in regulation of inflammatory factor release (<xref rid="b38-ETM-24-4-11552" ref-type="bibr">38</xref>). IL-1&#x03B2; induces IL-6, IL-8, TNF-&#x03B1; and IL-1&#x03B2; gene transcription in differentiated Caco-2 cells (<xref rid="b39-ETM-24-4-11552" ref-type="bibr">39</xref>). In the present study, a 3-fold increase was observed in expression of miR-146a-5p in IL-1&#x03B2;-induced Caco-2 cells. Consistent with this observation, 24-fold miR-146a-5p increase has been reported in IL-1&#x03B2;-induced A549 cells (<xref rid="b38-ETM-24-4-11552" ref-type="bibr">38</xref>). The present data indicated that secretion of inflammatory cytokines in IL-1&#x03B2;-induced Caco-2 cells was associated with the production of miR-146a-5p.</p>
<p>Dysregulated epithelial barrier function is associated with abnormal immunological response (<xref rid="b40-ETM-24-4-11552" ref-type="bibr">40</xref>). IECs respond to IL-1&#x03B2; via their receptors and thus amplify the effects of IL-1&#x03B2; during the inflammatory response (<xref rid="b41-ETM-24-4-11552" ref-type="bibr">41</xref>). IL-1&#x03B2; and TNF-&#x03B1; serve a key role in both the initial and expansion stages of intestinal injury by damaging tight junctions between Caco-2 cells, affecting the stability of tight junctions between cells, increasing permeability and promoting the occurrence and development of inflammation (<xref rid="b11-ETM-24-4-11552" ref-type="bibr">11</xref>,<xref rid="b42-ETM-24-4-11552" ref-type="bibr">42</xref>). In addition, TNF-&#x03B1; inhibits the expression of Na-H exchanger in the intestinal epithelium of patients with IBD and reduces its activity, which leads to dysfunctional secretion of inflammatory factors from IECs and diarrhea (<xref rid="b43-ETM-24-4-11552" ref-type="bibr">43</xref>). Another key regulator of the inflammatory response, IL-6, is a central cytokine in IBD, the level of IL-6 in serum from patients with IBD is associated with disease activity and histological severity (<xref rid="b44-ETM-24-4-11552" ref-type="bibr">44</xref>).</p>
<p>The protein levels of IL-1&#x03B2;, TNF-&#x03B1; and IL-6 were upregulated. T lymphocytes, macrophages, neutrophils and plasma cells penetrate the intestine of patients with IBD. These immune cells release chemokines that serve a role in inflammatory processes, such as IP-10, which recruits leukocytes in addition to acting as a chemokine, IP-10 is a T helper 1 pro-inflammatory chemokine that is generated by IFN-&#x03B3; and interacts with C-X-C motif chemokine receptor 3. IP-10 recruits leukocytes to inflammatory sites (<xref rid="b3-ETM-24-4-11552" ref-type="bibr">3</xref>). The vital proinflammatory role in immune-mediated signaling is at the core of intestinal inflammation (<xref rid="b45-ETM-24-4-11552" ref-type="bibr">45</xref>). More specifically, miR-146a-5p decreased IL-1&#x03B2;-induced transcription and release of inflammatory factors (IL-6, IL-1&#x03B2;, TNF-&#x03B1; and IP-10). These findings suggest that the aforementioned inflammatory factors may govern immune cells in patients with IBD, affecting local intestinal inflammation and tissue damage; inhibiting these inflammatory mediators may ameliorate symptoms in patients with IBD. Similar effects have been reported in lung alveolar (<xref rid="b36-ETM-24-4-11552" ref-type="bibr">36</xref>), human retinal (<xref rid="b46-ETM-24-4-11552" ref-type="bibr">46</xref>), gastric mucosa (<xref rid="b47-ETM-24-4-11552" ref-type="bibr">47</xref>) and human nasal epithelial cells (<xref rid="b40-ETM-24-4-11552" ref-type="bibr">40</xref>) and are associated with resistance to IL-1&#x03B2;-induced epithelial cell inflammation. The anti-inflammatory effect of miR-146a-5p in epithelial cells is also supported by the results of the present study. High miR-146a-5p expression inhibited the inflammatory response and decreased production of inflammatory factors by IL-1&#x03B2;. By contrast, decreased miR-146a-5p increased production of inflammatory factors induced by IL-1&#x03B2;, suggesting that miR-146a-5p inhibited the inflammatory response in IL-1&#x03B2;-induced Caco-2 cells. IRAK1 and TRAF6, were identified using TargetScan Human database (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://targetscan.org/vert_80/">targetscan.org/vert_80/</ext-link>) as involved in IL-1&#x03B2; signaling. miR-146a-5p directly targets TRAF6 and IRAK1 genes to decrease NF-&#x03BA;B activation and inflammation in human umbilical vein endothelial (<xref rid="b48-ETM-24-4-11552" ref-type="bibr">48</xref>) and bronchial (BEAS-2B) (<xref rid="b49-ETM-24-4-11552" ref-type="bibr">49</xref>) and primary lung epithelial cells (<xref rid="b50-ETM-24-4-11552" ref-type="bibr">50</xref>). In the present study, expression of IRAK1 and TRAF6 was downregulated following incubation with IL-1&#x03B2;. Upregulation of miR-146a-5p further downregulated expression of IRAK1 and TRAF6. According to a prior study, decreased IRAK1 levels may be associated with proteasomal destruction following phosphorylation and subsequent ubiquitination (<xref rid="b51-ETM-24-4-11552" ref-type="bibr">51</xref>). However, other studies have shown that miR-146a-5p regulates protein expression of IRAK1 and TRAF6 via post-transcriptional mechisms and does not affect protein expression by regulating the stability of these proteins (<xref rid="b37-ETM-24-4-11552" ref-type="bibr">37</xref>). The adverse effect of miR-146a-5p in the inflammatory response may be associated with the IRAK1/TRAF6 pathway.</p>
<p>In addition to regulation of miR-146a-5p in the inflammation of IECs, its regulation mechanism in IECs barrier function dysfunction is also worthy of exploration. The anti-inflammatory mechanism in IL-1&#x03B2;-stimulated Caco-2 cells has been linked to miR-146a-5p. The mechanism may involve regulation of IRAK1 and TRAF6. Therefore, altered miR-146a-5p expression in IECs may serve as a novel monitoring indicator for the prevention of IBD. High expression of miR-146a-5p inhibits overactivation of IECs inflammation and inappropriate production of pro-inflammatory cytokines, which leads to irreversible intestinal tissue damage. Future studies are key for developing miR-146a-5p-based interventions to control the occurrence and development of IBD.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>LG, YL and YS conceived and designed the study. YL and ST performed the experiments. YL performed data analysis and wrote the article. LG and YS reviewed and edited the manuscript. All authors have read and approved the final manuscript. LG and YS confirm the authenticity of all the raw data.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<sec>
<title>Authors&#x0027; information</title>
<p>ORCID ID Le Guo, <ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://orcid.org/0000-0001-9031-1328">orcid.org/0000-0001-9031-1328</ext-link>.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="b1-ETM-24-4-11552"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kaplan</surname><given-names>GG</given-names></name></person-group><article-title>The global burden of IBD: From 2015 to 2025</article-title><source>Nat Rev Gastroenterol Hepatol</source><volume>12</volume><fpage>720</fpage><lpage>727</lpage><year>2015</year><pub-id pub-id-type="pmid">26323879</pub-id><pub-id pub-id-type="doi">10.1038/nrgastro.2015.150</pub-id></element-citation></ref>
<ref id="b2-ETM-24-4-11552"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schreiner</surname><given-names>P</given-names></name><name><surname>Martinho-Grueber</surname><given-names>M</given-names></name><name><surname>Studerus</surname><given-names>D</given-names></name><name><surname>Vavricka</surname><given-names>SR</given-names></name><name><surname>Tilg</surname><given-names>H</given-names></name><name><surname>Biedermann</surname><given-names>L</given-names></name></person-group><comment>on behalf of Swiss IBDnet, an official working group of the Swiss Society of Gastroenterology</comment><article-title>Nutrition in inflammatory bowel disease</article-title><source>Digestion</source><volume>101 (Suppl 1)</volume><fpage>S120</fpage><lpage>S135</lpage><year>2020</year><pub-id pub-id-type="pmid">31927540</pub-id><pub-id pub-id-type="doi">10.1159/000505368</pub-id></element-citation></ref>
<ref id="b3-ETM-24-4-11552"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guan</surname><given-names>Q</given-names></name></person-group><article-title>A comprehensive review and update on the pathogenesis of inflammatory bowel disease</article-title><source>J Immunol Res</source><volume>2019</volume><issue>7247238</issue><year>2019</year><pub-id pub-id-type="pmid">31886308</pub-id><pub-id pub-id-type="doi">10.1155/2019/7247238</pub-id></element-citation></ref>
<ref id="b4-ETM-24-4-11552"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ananthakrishnan</surname><given-names>AN</given-names></name><name><surname>Bernstein</surname><given-names>CN</given-names></name><name><surname>Iliopoulos</surname><given-names>D</given-names></name><name><surname>Macpherson</surname><given-names>A</given-names></name><name><surname>Neurath</surname><given-names>MF</given-names></name><name><surname>Ali</surname><given-names>RAR</given-names></name><name><surname>Vavricka</surname><given-names>SR</given-names></name><name><surname>Fiocchi</surname><given-names>C</given-names></name></person-group><article-title>Environmental triggers in IBD: A review of progress and evidence</article-title><source>Nat Rev Gastroenterol Hepatol</source><volume>15</volume><fpage>39</fpage><lpage>49</lpage><year>2018</year><pub-id pub-id-type="pmid">29018271</pub-id><pub-id pub-id-type="doi">10.1038/nrgastro.2017.136</pub-id></element-citation></ref>
<ref id="b5-ETM-24-4-11552"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Forbes</surname><given-names>JD</given-names></name><name><surname>Bernstein</surname><given-names>CN</given-names></name><name><surname>Tremlett</surname><given-names>H</given-names></name><name><surname>Van Domselaar</surname><given-names>G</given-names></name><name><surname>Knox</surname><given-names>NC</given-names></name></person-group><article-title>A fungal world: Could the gut mycobiome Be involved in neurological disease?</article-title><source>Front Microbiol</source><volume>9</volume><issue>3249</issue><year>2019</year><pub-id pub-id-type="pmid">30687254</pub-id><pub-id pub-id-type="doi">10.3389/fmicb.2018.03249</pub-id></element-citation></ref>
<ref id="b6-ETM-24-4-11552"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>H</given-names></name><name><surname>Gu</surname><given-names>J</given-names></name><name><surname>Hou</surname><given-names>X</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Yang</surname><given-names>N</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>G</given-names></name><name><surname>Du</surname><given-names>M</given-names></name><name><surname>Qiu</surname><given-names>H</given-names></name><name><surname>Luo</surname><given-names>Y</given-names></name><etal/></person-group><article-title>Anti-inflammatory effect of miltirone on inflammatory bowel disease via TLR4/NF-&#x03BA;B/IQGAP2 signaling pathway</article-title><source>Biomed Pharmacother</source><volume>85</volume><fpage>531</fpage><lpage>540</lpage><year>2017</year><pub-id pub-id-type="pmid">27903427</pub-id><pub-id pub-id-type="doi">10.1016/j.biopha.2016.11.061</pub-id></element-citation></ref>
<ref id="b7-ETM-24-4-11552"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Van De Walle</surname><given-names>J</given-names></name><name><surname>Hendrickx</surname><given-names>A</given-names></name><name><surname>Romier</surname><given-names>B</given-names></name><name><surname>Larondelle</surname><given-names>Y</given-names></name><name><surname>Schneider</surname><given-names>YJ</given-names></name></person-group><article-title>Inflammatory parameters in Caco-2 cells: Effect of stimuli nature, concentration, combination and cell differentiation</article-title><source>Toxicol In Vitro</source><volume>24</volume><fpage>1441</fpage><lpage>1449</lpage><year>2010</year><pub-id pub-id-type="pmid">20406675</pub-id><pub-id pub-id-type="doi">10.1016/j.tiv.2010.04.002</pub-id></element-citation></ref>
<ref id="b8-ETM-24-4-11552"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>B&#x00F6;cker</surname><given-names>U</given-names></name><name><surname>Yezerskyy</surname><given-names>O</given-names></name><name><surname>Feick</surname><given-names>P</given-names></name><name><surname>Manigold</surname><given-names>T</given-names></name><name><surname>Panja</surname><given-names>A</given-names></name><name><surname>Kalina</surname><given-names>U</given-names></name><name><surname>Herweck</surname><given-names>F</given-names></name><name><surname>Rossol</surname><given-names>S</given-names></name><name><surname>Singer</surname><given-names>MV</given-names></name></person-group><article-title>Responsiveness of intestinal epithelial cell lines to lipopolysaccharide is correlated with Toll-like receptor 4 but not Toll-like receptor 2 or CD14 expression</article-title><source>Int J Colorectal Dis</source><volume>18</volume><fpage>25</fpage><lpage>32</lpage><year>2003</year><pub-id pub-id-type="pmid">12458377</pub-id><pub-id pub-id-type="doi">10.1007/s00384-002-0415-6</pub-id></element-citation></ref>
<ref id="b9-ETM-24-4-11552"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reinecker</surname><given-names>HC</given-names></name><name><surname>Steffen</surname><given-names>M</given-names></name><name><surname>Witthoeft</surname><given-names>T</given-names></name><name><surname>Pflueger</surname><given-names>I</given-names></name><name><surname>Schreiber</surname><given-names>S</given-names></name><name><surname>MacDermott</surname><given-names>RP</given-names></name><name><surname>Raedler</surname><given-names>A</given-names></name></person-group><article-title>Enhanced secretion of tumour necrosis factor-alpha, IL-6, and IL-1 beta by isolated lamina propria mononuclear cells from patients with ulcerative colitis and Crohn&#x0027;s disease</article-title><source>Clin Exp Immunol</source><volume>94</volume><fpage>174</fpage><lpage>181</lpage><year>1993</year><pub-id pub-id-type="pmid">8403503</pub-id><pub-id pub-id-type="doi">10.1111/j.1365-2249.1993.tb05997.x</pub-id></element-citation></ref>
<ref id="b10-ETM-24-4-11552"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ghorpade</surname><given-names>DS</given-names></name><name><surname>Sinha</surname><given-names>AY</given-names></name><name><surname>Holla</surname><given-names>S</given-names></name><name><surname>Singh</surname><given-names>V</given-names></name><name><surname>Balaji</surname><given-names>KN</given-names></name></person-group><article-title>NOD2-nitric oxide-responsive microRNA-146a activates Sonic hedgehog signaling to orchestrate inflammatory responses in murine model of inflammatory bowel disease</article-title><source>J Biol Chem</source><volume>288</volume><fpage>33037</fpage><lpage>33048</lpage><year>2013</year><pub-id pub-id-type="pmid">24092752</pub-id><pub-id pub-id-type="doi">10.1074/jbc.M113.492496</pub-id></element-citation></ref>
<ref id="b11-ETM-24-4-11552"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mao</surname><given-names>L</given-names></name><name><surname>Kitani</surname><given-names>A</given-names></name><name><surname>Strober</surname><given-names>W</given-names></name><name><surname>Fuss</surname><given-names>IJ</given-names></name></person-group><article-title>The role of NLRP3 and IL-1&#x03B2; in the pathogenesis of inflammatory bowel disease</article-title><source>Front Immunol</source><volume>9</volume><issue>2566</issue><year>2018</year><pub-id pub-id-type="pmid">30455704</pub-id><pub-id pub-id-type="doi">10.3389/fimmu.2018.02566</pub-id></element-citation></ref>
<ref id="b12-ETM-24-4-11552"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Coccia</surname><given-names>M</given-names></name><name><surname>Harrison</surname><given-names>OJ</given-names></name><name><surname>Schiering</surname><given-names>C</given-names></name><name><surname>Asquith</surname><given-names>MJ</given-names></name><name><surname>Becher</surname><given-names>B</given-names></name><name><surname>Powrie</surname><given-names>F</given-names></name><name><surname>Maloy</surname><given-names>KJ</given-names></name></person-group><article-title>IL-1&#x03B2; mediates chronic intestinal inflammation by promoting the accumulation of IL-17A secreting innate lymphoid cells and CD4(+) Th17 cells</article-title><source>J Exp Med</source><volume>209</volume><fpage>1595</fpage><lpage>1609</lpage><year>2012</year><pub-id pub-id-type="pmid">22891275</pub-id><pub-id pub-id-type="doi">10.1084/jem.20111453</pub-id></element-citation></ref>
<ref id="b13-ETM-24-4-11552"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname><given-names>W</given-names></name><name><surname>Xu</surname><given-names>B</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Kou</surname><given-names>C</given-names></name><name><surname>Liu</surname><given-names>J</given-names></name><name><surname>Wang</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>R</given-names></name></person-group><article-title>Exosomal miR-146a-5p from Treponema pallidum-stimulated macrophages reduces endothelial cells permeability and monocyte transendothelial migration by targeting JAM-C</article-title><source>Exp Cell Res</source><volume>388</volume><issue>111823</issue><year>2020</year><pub-id pub-id-type="pmid">31926946</pub-id><pub-id pub-id-type="doi">10.1016/j.yexcr.2020.111823</pub-id></element-citation></ref>
<ref id="b14-ETM-24-4-11552"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jonas</surname><given-names>S</given-names></name><name><surname>Izaurralde</surname><given-names>E</given-names></name></person-group><article-title>Towards a molecular understanding of microRNA-mediated gene silencing</article-title><source>Nat Rev Genet</source><volume>16</volume><fpage>421</fpage><lpage>433</lpage><year>2015</year><pub-id pub-id-type="pmid">26077373</pub-id><pub-id pub-id-type="doi">10.1038/nrg3965</pub-id></element-citation></ref>
<ref id="b15-ETM-24-4-11552"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sayed</surname><given-names>D</given-names></name><name><surname>Abdellatif</surname><given-names>M</given-names></name></person-group><article-title>MicroRNAs in development and disease</article-title><source>Physiol Rev</source><volume>91</volume><fpage>827</fpage><lpage>887</lpage><year>2011</year><pub-id pub-id-type="pmid">21742789</pub-id><pub-id pub-id-type="doi">10.1152/physrev.00006.2010</pub-id></element-citation></ref>
<ref id="b16-ETM-24-4-11552"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>O&#x0027;Connell</surname><given-names>RM</given-names></name><name><surname>Rao</surname><given-names>DS</given-names></name><name><surname>Chaudhuri</surname><given-names>AA</given-names></name><name><surname>Baltimore</surname><given-names>D</given-names></name></person-group><article-title>Physiological and pathological roles for microRNAs in the immune system</article-title><source>Nat Rev Immunol</source><volume>10</volume><fpage>111</fpage><lpage>122</lpage><year>2010</year><pub-id pub-id-type="pmid">20098459</pub-id><pub-id pub-id-type="doi">10.1038/nri2708</pub-id></element-citation></ref>
<ref id="b17-ETM-24-4-11552"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Singh</surname><given-names>RP</given-names></name><name><surname>Massachi</surname><given-names>I</given-names></name><name><surname>Manickavel</surname><given-names>S</given-names></name><name><surname>Singh</surname><given-names>S</given-names></name><name><surname>Rao</surname><given-names>NP</given-names></name><name><surname>Hasan</surname><given-names>S</given-names></name><name><surname>Mc Curdy</surname><given-names>DK</given-names></name><name><surname>Sharma</surname><given-names>S</given-names></name><name><surname>Wong</surname><given-names>D</given-names></name><name><surname>Hahn</surname><given-names>BH</given-names></name><name><surname>Rehimi</surname><given-names>H</given-names></name></person-group><article-title>The role of miR in inflammation and autoimmunity</article-title><source>Autoimmun Rev</source><volume>12</volume><fpage>1160</fpage><lpage>1165</lpage><year>2013</year><pub-id pub-id-type="pmid">23860189</pub-id><pub-id pub-id-type="doi">10.1016/j.autrev.2013.07.003</pub-id></element-citation></ref>
<ref id="b18-ETM-24-4-11552"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ishmael</surname><given-names>FT</given-names></name><name><surname>Fang</surname><given-names>X</given-names></name><name><surname>Galdiero</surname><given-names>MR</given-names></name><name><surname>Atasoy</surname><given-names>U</given-names></name><name><surname>Rigby</surname><given-names>WF</given-names></name><name><surname>Gorospe</surname><given-names>M</given-names></name><name><surname>Cheadle</surname><given-names>C</given-names></name><name><surname>Stellato</surname><given-names>C</given-names></name></person-group><article-title>Role of the RNA-binding protein tristetraprolin in glucocorticoid-mediated gene regulation</article-title><source>J Immunol</source><volume>180</volume><fpage>8342</fpage><lpage>8353</lpage><year>2008</year><pub-id pub-id-type="pmid">18523301</pub-id><pub-id pub-id-type="doi">10.4049/jimmunol.180.12.8342</pub-id></element-citation></ref>
<ref id="b19-ETM-24-4-11552"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fan</surname><given-names>J</given-names></name><name><surname>Ishmael</surname><given-names>FT</given-names></name><name><surname>Fang</surname><given-names>X</given-names></name><name><surname>Myers</surname><given-names>A</given-names></name><name><surname>Cheadle</surname><given-names>C</given-names></name><name><surname>Huang</surname><given-names>SK</given-names></name><name><surname>Atasoy</surname><given-names>U</given-names></name><name><surname>Gorospe</surname><given-names>M</given-names></name><name><surname>Stellato</surname><given-names>C</given-names></name></person-group><article-title>Chemokine transcripts as targets of the RNA-binding protein HuR in human airway epithelium</article-title><source>J Immunol</source><volume>186</volume><fpage>2482</fpage><lpage>2494</lpage><year>2011</year><pub-id pub-id-type="pmid">21220697</pub-id><pub-id pub-id-type="doi">10.4049/jimmunol.0903634</pub-id></element-citation></ref>
<ref id="b20-ETM-24-4-11552"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cheng</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name><name><surname>Su</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Zhou</surname><given-names>W</given-names></name><name><surname>Zhou</surname><given-names>J</given-names></name><name><surname>Wang</surname><given-names>C</given-names></name><name><surname>Liang</surname><given-names>H</given-names></name><name><surname>Chen</surname><given-names>X</given-names></name><name><surname>Shi</surname><given-names>R</given-names></name><etal/></person-group><article-title>miR-19b downregulates intestinal SOCS3 to reduce intestinal inflammation in Crohn&#x0027;s disease</article-title><source>Sci Rep</source><volume>5</volume><issue>10397</issue><year>2015</year><pub-id pub-id-type="pmid">25997679</pub-id><pub-id pub-id-type="doi">10.1038/srep10397</pub-id></element-citation></ref>
<ref id="b21-ETM-24-4-11552"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lv</surname><given-names>B</given-names></name><name><surname>Liu</surname><given-names>Z</given-names></name><name><surname>Wang</surname><given-names>S</given-names></name><name><surname>Liu</surname><given-names>F</given-names></name><name><surname>Yang</surname><given-names>X</given-names></name><name><surname>Hou</surname><given-names>J</given-names></name><name><surname>Hou</surname><given-names>Z</given-names></name><name><surname>Chen</surname><given-names>B</given-names></name></person-group><article-title>MiR-29a promotes intestinal epithelial apoptosis in ulcerative colitis by down-regulating Mcl-1</article-title><source>Int J Clin Exp Pathol</source><volume>7</volume><fpage>8542</fpage><lpage>8552</lpage><year>2014</year><pub-id pub-id-type="pmid">25674218</pub-id></element-citation></ref>
<ref id="b22-ETM-24-4-11552"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pathak</surname><given-names>S</given-names></name><name><surname>Grillo</surname><given-names>AR</given-names></name><name><surname>Scarpa</surname><given-names>M</given-names></name><name><surname>Brun</surname><given-names>P</given-names></name><name><surname>D&#x0027;Inc&#x00E0;</surname><given-names>R</given-names></name><name><surname>Nai</surname><given-names>L</given-names></name><name><surname>Banerjee</surname><given-names>A</given-names></name><name><surname>Cavallo</surname><given-names>D</given-names></name><name><surname>Barzon</surname><given-names>L</given-names></name><name><surname>Pal&#x00F9;</surname><given-names>G</given-names></name><etal/></person-group><article-title>MiR-155 modulates the inflammatory phenotype of intestinal myofibroblasts by targeting SOCS1 in ulcerative colitis</article-title><source>Exp Mol Med</source><volume>47</volume><issue>e164</issue><year>2015</year><pub-id pub-id-type="pmid">25998827</pub-id><pub-id pub-id-type="doi">10.1038/emm.2015.21</pub-id></element-citation></ref>
<ref id="b23-ETM-24-4-11552"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>Z</given-names></name><name><surname>Wang</surname><given-names>D</given-names></name><name><surname>Hu</surname><given-names>Y</given-names></name><name><surname>Zhou</surname><given-names>G</given-names></name><name><surname>Zhu</surname><given-names>C</given-names></name><name><surname>Yu</surname><given-names>Q</given-names></name><name><surname>Chi</surname><given-names>Y</given-names></name><name><surname>Cao</surname><given-names>Y</given-names></name><name><surname>Jia</surname><given-names>C</given-names></name><name><surname>Zou</surname><given-names>Q</given-names></name></person-group><article-title>MicroRNA-146a negatively regulates PTGS2 expression induced by Helicobacter pylori in human gastric epithelial cells</article-title><source>J Gastroenterol</source><volume>48</volume><fpage>86</fpage><lpage>92</lpage><year>2013</year><pub-id pub-id-type="pmid">22699322</pub-id><pub-id pub-id-type="doi">10.1007/s00535-012-0609-9</pub-id></element-citation></ref>
<ref id="b24-ETM-24-4-11552"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ling</surname><given-names>T</given-names></name><name><surname>Xie</surname><given-names>J</given-names></name><name><surname>Shen</surname><given-names>YS</given-names></name><name><surname>Qiao</surname><given-names>M</given-names></name><name><surname>Yang</surname><given-names>H</given-names></name><name><surname>Sun</surname><given-names>DY</given-names></name><name><surname>Qian</surname><given-names>KJ</given-names></name></person-group><article-title>Trichostatin A exerts anti-inflammation functions in LPS-induced acute lung injury model through inhibiting TNF-&#x03B1; and upregulating micorRNA-146a expression</article-title><source>Eur Rev Med Pharmacol Sci</source><volume>24</volume><fpage>3935</fpage><lpage>3942</lpage><year>2020</year><pub-id pub-id-type="pmid">32329869</pub-id><pub-id pub-id-type="doi">10.26355/eurrev_202004_20861</pub-id></element-citation></ref>
<ref id="b25-ETM-24-4-11552"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>Q</given-names></name><name><surname>Haupt</surname><given-names>S</given-names></name><name><surname>Kreuzer</surname><given-names>JT</given-names></name><name><surname>Hammitzsch</surname><given-names>A</given-names></name><name><surname>Proft</surname><given-names>F</given-names></name><name><surname>Neumann</surname><given-names>C</given-names></name><name><surname>Leipe</surname><given-names>J</given-names></name><name><surname>Witt</surname><given-names>M</given-names></name><name><surname>Schulze-Koops</surname><given-names>H</given-names></name><name><surname>Skapenko</surname><given-names>A</given-names></name></person-group><article-title>Decreased expression of miR-146a and miR-155 contributes to an abnormal Treg phenotype in patients with rheumatoid arthritis</article-title><source>Ann Rheum Dis</source><volume>74</volume><fpage>1265</fpage><lpage>1274</lpage><year>2015</year><pub-id pub-id-type="pmid">24562503</pub-id><pub-id pub-id-type="doi">10.1136/annrheumdis-2013-204377</pub-id></element-citation></ref>
<ref id="b26-ETM-24-4-11552"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>XM</given-names></name><name><surname>Zhang</surname><given-names>HJ</given-names></name></person-group><article-title>miRs as new molecular insights into inflammatory bowel disease: Crucial regulators in autoimmunity and inflammation</article-title><source>World J Gastroenterol</source><volume>22</volume><fpage>2206</fpage><lpage>2218</lpage><year>2016</year><pub-id pub-id-type="pmid">26900285</pub-id><pub-id pub-id-type="doi">10.3748/wjg.v22.i7.2206</pub-id></element-citation></ref>
<ref id="b27-ETM-24-4-11552"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>J</given-names></name><name><surname>Welker</surname><given-names>NC</given-names></name><name><surname>Zhao</surname><given-names>Z</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Reuss</surname><given-names>SA</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name><name><surname>Lee</surname><given-names>H</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Bronner</surname><given-names>MP</given-names></name></person-group><article-title>Novel specific microRNA biomarkers in idiopathic inflammatory bowel disease unrelated to disease activity</article-title><source>Mod Pathol</source><volume>27</volume><fpage>602</fpage><lpage>608</lpage><year>2014</year><pub-id pub-id-type="pmid">24051693</pub-id><pub-id pub-id-type="doi">10.1038/modpathol.2013.152</pub-id></element-citation></ref>
<ref id="b28-ETM-24-4-11552"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Batra</surname><given-names>SK</given-names></name><name><surname>Heier</surname><given-names>CR</given-names></name><name><surname>Diaz-Calderon</surname><given-names>L</given-names></name><name><surname>Tully</surname><given-names>CB</given-names></name><name><surname>Fiorillo</surname><given-names>AA</given-names></name><name><surname>van den Anker</surname><given-names>J</given-names></name><name><surname>Conklin</surname><given-names>LS</given-names></name></person-group><article-title>Serum miRNAs are pharmacodynamic biomarkers associated with therapeutic response in pediatric inflammatory bowel disease</article-title><source>Inflamm Bowel Dis</source><volume>26</volume><fpage>1597</fpage><lpage>1606</lpage><year>2020</year><pub-id pub-id-type="pmid">32793975</pub-id><pub-id pub-id-type="doi">10.1093/ibd/izaa209</pub-id></element-citation></ref>
<ref id="b29-ETM-24-4-11552"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>YZ</given-names></name><name><surname>Li</surname><given-names>YY</given-names></name></person-group><article-title>Inflammatory bowel disease: Pathogenesis</article-title><source>World J Gastroenterol</source><volume>20</volume><fpage>91</fpage><lpage>99</lpage><year>2014</year><pub-id pub-id-type="pmid">24415861</pub-id><pub-id pub-id-type="doi">10.3748/wjg.v20.i1.91</pub-id></element-citation></ref>
<ref id="b30-ETM-24-4-11552"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="pmid">11846609</pub-id><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id></element-citation></ref>
<ref id="b31-ETM-24-4-11552"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>M&#x00F6;ssner</surname><given-names>J</given-names></name></person-group><article-title>Inflammatory bowel disease: pathogenesis and therapy</article-title><source>Dtsch Med Wochenschr</source><volume>113</volume><issue>921</issue><year>2018</year><pub-id pub-id-type="pmid">29972835</pub-id><pub-id pub-id-type="doi">10.1055/a-0601-1750</pub-id><comment>(In German)</comment></element-citation></ref>
<ref id="b32-ETM-24-4-11552"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bouhet</surname><given-names>S</given-names></name><name><surname>Oswald</surname><given-names>IP</given-names></name></person-group><article-title>The effects of mycotoxins, fungal food contaminants, on the intestinal epithelial cell-derived innate immune response</article-title><source>Vet Immunol Immunopathol</source><volume>108</volume><fpage>199</fpage><lpage>209</lpage><year>2005</year><pub-id pub-id-type="pmid">16144716</pub-id><pub-id pub-id-type="doi">10.1016/j.vetimm.2005.08.010</pub-id></element-citation></ref>
<ref id="b33-ETM-24-4-11552"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Peck</surname><given-names>BC</given-names></name><name><surname>Mah</surname><given-names>AT</given-names></name><name><surname>Pitman</surname><given-names>WA</given-names></name><name><surname>Ding</surname><given-names>S</given-names></name><name><surname>Lund</surname><given-names>PK</given-names></name><name><surname>Sethupathy</surname><given-names>P</given-names></name></person-group><article-title>Functional transcriptomics in diverse intestinal epithelial cell types reveals robust MicroRNA sensitivity in intestinal stem cells to microbial status</article-title><source>J Biol Chem</source><volume>292</volume><fpage>2586</fpage><lpage>2600</lpage><year>2017</year><pub-id pub-id-type="pmid">28053090</pub-id><pub-id pub-id-type="doi">10.1074/jbc.M116.770099</pub-id></element-citation></ref>
<ref id="b34-ETM-24-4-11552"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fasseu</surname><given-names>M</given-names></name><name><surname>Tr&#x00E9;ton</surname><given-names>X</given-names></name><name><surname>Guichard</surname><given-names>C</given-names></name><name><surname>Pedruzzi</surname><given-names>E</given-names></name><name><surname>Cazals-Hatem</surname><given-names>D</given-names></name><name><surname>Richard</surname><given-names>C</given-names></name><name><surname>Aparicio</surname><given-names>T</given-names></name><name><surname>Daniel</surname><given-names>F</given-names></name><name><surname>Soul&#x00E9;</surname><given-names>JC</given-names></name><name><surname>Moreau</surname><given-names>R</given-names></name><etal/></person-group><article-title>Identification of restricted subsets of mature microRNA abnormally expressed in inactive colonic mucosa of patients with inflammatory bowel disease</article-title><source>PLoS One</source><volume>5</volume><issue>e13160</issue><year>2010</year><pub-id pub-id-type="pmid">20957151</pub-id><pub-id pub-id-type="doi">10.1371/journal.pone.0013160</pub-id></element-citation></ref>
<ref id="b35-ETM-24-4-11552"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lyu</surname><given-names>B</given-names></name><name><surname>Wei</surname><given-names>Z</given-names></name><name><surname>Jiang</surname><given-names>L</given-names></name><name><surname>Ma</surname><given-names>C</given-names></name><name><surname>Yang</surname><given-names>G</given-names></name><name><surname>Han</surname><given-names>S</given-names></name></person-group><article-title>MicroRNA-146a negatively regulates IL-33 in activated group 2 innate lymphoid cells by inhibiting IRAK1 and TRAF6</article-title><source>Genes Immun</source><volume>21</volume><fpage>37</fpage><lpage>44</lpage><year>2020</year><pub-id pub-id-type="pmid">31435003</pub-id><pub-id pub-id-type="doi">10.1038/s41435-019-0084-x</pub-id></element-citation></ref>
<ref id="b36-ETM-24-4-11552"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>Y</given-names></name><name><surname>Yin</surname><given-names>X</given-names></name><name><surname>Yi</surname><given-names>J</given-names></name><name><surname>Peng</surname><given-names>X</given-names></name></person-group><article-title>miR-146a overexpression effectively improves experimental allergic conjunctivitis through regulating CD4<sup>+</sup>CD25<sup>-</sup>T cells</article-title><source>Biomed Pharmacother</source><volume>94</volume><fpage>937</fpage><lpage>943</lpage><year>2017</year><pub-id pub-id-type="pmid">28810531</pub-id><pub-id pub-id-type="doi">10.1016/j.biopha.2017.07.157</pub-id></element-citation></ref>
<ref id="b37-ETM-24-4-11552"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pan</surname><given-names>J</given-names></name><name><surname>Du</surname><given-names>M</given-names></name><name><surname>Cao</surname><given-names>Z</given-names></name><name><surname>Zhang</surname><given-names>C</given-names></name><name><surname>Hao</surname><given-names>Y</given-names></name><name><surname>Zhu</surname><given-names>J</given-names></name><name><surname>He</surname><given-names>H</given-names></name></person-group><comment>miR-146a-5p attenuates IL-1&#x03B2;-induced IL-6 and IL-1&#x03B2; expression in a cementoblast-derived cell line. Oral Dis: Mar 16, 2020 (Epub ahead of print).</comment></element-citation></ref>
<ref id="b38-ETM-24-4-11552"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Perry</surname><given-names>MM</given-names></name><name><surname>Moschos</surname><given-names>SA</given-names></name><name><surname>Williams</surname><given-names>AE</given-names></name><name><surname>Shepherd</surname><given-names>NJ</given-names></name><name><surname>Larner-Svensson</surname><given-names>HM</given-names></name><name><surname>Lindsay</surname><given-names>MA</given-names></name></person-group><article-title>Rapid changes in microRNA-146a expression negatively regulate the IL-1beta-induced inflammatory response in human lung alveolar epithelial cells</article-title><source>J Immunol</source><volume>180</volume><fpage>5689</fpage><lpage>5698</lpage><year>2008</year><pub-id pub-id-type="pmid">18390754</pub-id><pub-id pub-id-type="doi">10.4049/jimmunol.180.8.5689</pub-id></element-citation></ref>
<ref id="b39-ETM-24-4-11552"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schmutz</surname><given-names>C</given-names></name><name><surname>Cenk</surname><given-names>E</given-names></name><name><surname>Marko</surname><given-names>D</given-names></name></person-group><article-title>The alternaria mycotoxin alternariol triggers the immune response of IL-1&#x03B2;-stimulated, differentiated Caco-2 cells</article-title><source>Mol Nutr Food Res</source><volume>63</volume><issue>e1900341</issue><year>2019</year><pub-id pub-id-type="pmid">31584250</pub-id><pub-id pub-id-type="doi">10.1002/mnfr.201900341</pub-id></element-citation></ref>
<ref id="b40-ETM-24-4-11552"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Miyata</surname><given-names>R</given-names></name><name><surname>Kakuki</surname><given-names>T</given-names></name><name><surname>Nomura</surname><given-names>K</given-names></name><name><surname>Ohkuni</surname><given-names>T</given-names></name><name><surname>Ogasawara</surname><given-names>N</given-names></name><name><surname>Takano</surname><given-names>K</given-names></name><name><surname>Konno</surname><given-names>T</given-names></name><name><surname>Kohno</surname><given-names>T</given-names></name><name><surname>Sawada</surname><given-names>N</given-names></name><name><surname>Himi</surname><given-names>T</given-names></name><name><surname>Kojima</surname><given-names>T</given-names></name></person-group><article-title>Poly(I:C) induced microRNA-146a regulates epithelial barrier and secretion of proinflammatory cytokines in human nasal epithelial cells</article-title><source>Eur J Pharmacol</source><volume>761</volume><fpage>375</fpage><lpage>382</lpage><year>2015</year><pub-id pub-id-type="pmid">25959385</pub-id><pub-id pub-id-type="doi">10.1016/j.ejphar.2015.04.031</pub-id></element-citation></ref>
<ref id="b41-ETM-24-4-11552"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McGee</surname><given-names>DW</given-names></name><name><surname>Vitkus</surname><given-names>SJ</given-names></name><name><surname>Lee</surname><given-names>P</given-names></name></person-group><article-title>The effect of cytokine stimulation on IL-1 receptor mRNA expression by intestinal epithelial cells</article-title><source>Cell Immunol</source><volume>168</volume><fpage>276</fpage><lpage>280</lpage><year>1996</year><pub-id pub-id-type="pmid">8640875</pub-id><pub-id pub-id-type="doi">10.1006/cimm.1996.0076</pub-id></element-citation></ref>
<ref id="b42-ETM-24-4-11552"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Capaldo</surname><given-names>CT</given-names></name><name><surname>Farkas</surname><given-names>AE</given-names></name><name><surname>Hilgarth</surname><given-names>RS</given-names></name><name><surname>Krug</surname><given-names>SM</given-names></name><name><surname>Wolf</surname><given-names>MF</given-names></name><name><surname>Benedik</surname><given-names>JK</given-names></name><name><surname>Fromm</surname><given-names>M</given-names></name><name><surname>Koval</surname><given-names>M</given-names></name><name><surname>Parkos</surname><given-names>C</given-names></name><name><surname>Nusrat</surname><given-names>A</given-names></name></person-group><article-title>Proinflammatory cytokine-induced tight junction remodeling through dynamic self-assembly of claudins</article-title><source>Mol Biol Cell</source><volume>25</volume><fpage>2710</fpage><lpage>2719</lpage><year>2014</year><pub-id pub-id-type="pmid">25031428</pub-id><pub-id pub-id-type="doi">10.1091/mbc.E14-02-0773</pub-id></element-citation></ref>
<ref id="b43-ETM-24-4-11552"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jones</surname><given-names>GW</given-names></name><name><surname>McLoughlin</surname><given-names>RM</given-names></name><name><surname>Hammond</surname><given-names>VJ</given-names></name><name><surname>Parker</surname><given-names>CR</given-names></name><name><surname>Williams</surname><given-names>JD</given-names></name><name><surname>Malhotra</surname><given-names>R</given-names></name><name><surname>Scheller</surname><given-names>J</given-names></name><name><surname>Williams</surname><given-names>AS</given-names></name><name><surname>Rose-John</surname><given-names>S</given-names></name><name><surname>Topley</surname><given-names>N</given-names></name><name><surname>Jones</surname><given-names>SA</given-names></name></person-group><article-title>Loss of CD4+ T cell IL-6R expression during inflammation underlines a role for IL-6 trans signaling in the local maintenance of Th17 cells</article-title><source>J Immunol</source><volume>184</volume><fpage>2130</fpage><lpage>2139</lpage><year>2010</year><pub-id pub-id-type="pmid">20083667</pub-id><pub-id pub-id-type="doi">10.4049/jimmunol.0901528</pub-id></element-citation></ref>
<ref id="b44-ETM-24-4-11552"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Umehara</surname><given-names>Y</given-names></name><name><surname>Kudo</surname><given-names>M</given-names></name><name><surname>Nakaoka</surname><given-names>R</given-names></name><name><surname>Kawasaki</surname><given-names>T</given-names></name><name><surname>Shiomi</surname><given-names>M</given-names></name></person-group><article-title>Serum proinflammatory cytokines and adhesion molecules in ulcerative colitis</article-title><source>Hepatogastroenterology</source><volume>53</volume><fpage>879</fpage><lpage>882</lpage><year>2006</year><pub-id pub-id-type="pmid">17153445</pub-id></element-citation></ref>
<ref id="b45-ETM-24-4-11552"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thapa</surname><given-names>M</given-names></name><name><surname>Carr</surname><given-names>DJ</given-names></name></person-group><article-title>Chemokines and chemokine receptors critical to host resistance following genital herpes simplex virus type 2 (HSV-2) infection</article-title><source>Open Immunol J</source><volume>1</volume><fpage>33</fpage><lpage>41</lpage><year>2008</year><pub-id pub-id-type="pmid">19043604</pub-id><pub-id pub-id-type="doi">10.2174/1874226200801010033</pub-id></element-citation></ref>
<ref id="b46-ETM-24-4-11552"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kutty</surname><given-names>RK</given-names></name><name><surname>Nagineni</surname><given-names>CN</given-names></name><name><surname>Samuel</surname><given-names>W</given-names></name><name><surname>Vijayasarathy</surname><given-names>C</given-names></name><name><surname>Jaworski</surname><given-names>C</given-names></name><name><surname>Duncan</surname><given-names>T</given-names></name><name><surname>Cameron</surname><given-names>JE</given-names></name><name><surname>Flemington</surname><given-names>EK</given-names></name><name><surname>Hooks</surname><given-names>JJ</given-names></name><name><surname>Redmond</surname><given-names>TM</given-names></name></person-group><article-title>Differential regulation of microRNA-146a and microRNA-146b-5p in human retinal pigment epithelial cells by interleukin-1&#x03B2;, tumor necrosis factor-&#x03B1; and interferon-&#x03B3;</article-title><source>Mol Vis</source><volume>19</volume><fpage>737</fpage><lpage>750</lpage><year>2013</year><pub-id pub-id-type="pmid">23592910</pub-id></element-citation></ref>
<ref id="b47-ETM-24-4-11552"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>Z</given-names></name><name><surname>Xiao</surname><given-names>B</given-names></name><name><surname>Tang</surname><given-names>B</given-names></name><name><surname>Li</surname><given-names>B</given-names></name><name><surname>Li</surname><given-names>N</given-names></name><name><surname>Zhu</surname><given-names>E</given-names></name><name><surname>Guo</surname><given-names>G</given-names></name><name><surname>Gu</surname><given-names>J</given-names></name><name><surname>Zhuang</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><etal/></person-group><article-title>Up-regulated microRNA-146a negatively modulate Helicobacter pylori-induced inflammatory response in human gastric epithelial cells</article-title><source>Microbes Infect</source><volume>12</volume><fpage>854</fpage><lpage>863</lpage><year>2010</year><pub-id pub-id-type="pmid">20542134</pub-id><pub-id pub-id-type="doi">10.1016/j.micinf.2010.06.002</pub-id></element-citation></ref>
<ref id="b48-ETM-24-4-11552"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hou</surname><given-names>J</given-names></name><name><surname>Deng</surname><given-names>Q</given-names></name><name><surname>Deng</surname><given-names>X</given-names></name><name><surname>Zhong</surname><given-names>W</given-names></name><name><surname>Liu</surname><given-names>S</given-names></name><name><surname>Zhong</surname><given-names>Z</given-names></name></person-group><article-title>MicroRNA-146a-5p alleviates lipopolysaccharide-induced NLRP3 inflammasome injury and pro-inflammatory cytokine production via the regulation of TRAF6 and IRAK1 in human umbilical vein endothelial cells (HUVECs)</article-title><source>Ann Transl Med</source><volume>9</volume><issue>1433</issue><year>2021</year><pub-id pub-id-type="pmid">34733985</pub-id><pub-id pub-id-type="doi">10.21037/atm-21-3903</pub-id></element-citation></ref>
<ref id="b49-ETM-24-4-11552"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>LM</given-names></name><name><surname>Wan</surname><given-names>C</given-names></name><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Guan</surname><given-names>L</given-names></name><name><surname>Tian</surname><given-names>G</given-names></name><name><surname>Zhang</surname><given-names>F</given-names></name><name><surname>Ding</surname><given-names>W</given-names></name></person-group><article-title>MiR-146a regulates PM<sub>1</sub>-induced inflammation via NF-&#x03BA;B signaling pathway in BEAS-2B cells</article-title><source>Environ Toxicol</source><volume>33</volume><fpage>742</fpage><lpage>751</lpage><year>2018</year><pub-id pub-id-type="pmid">29667303</pub-id><pub-id pub-id-type="doi">10.1002/tox.22561</pub-id></element-citation></ref>
<ref id="b50-ETM-24-4-11552"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>Y</given-names></name><name><surname>Crawford</surname><given-names>M</given-names></name><name><surname>Higuita-Castro</surname><given-names>N</given-names></name><name><surname>Nana-Sinkam</surname><given-names>P</given-names></name><name><surname>Ghadiali</surname><given-names>SN</given-names></name></person-group><article-title>miR-146a regulates mechanotransduction and pressure-induced inflammation in small airway epithelium</article-title><source>FASEBJ</source><volume>26</volume><fpage>3351</fpage><lpage>3364</lpage><year>2012</year><pub-id pub-id-type="pmid">22593544</pub-id><pub-id pub-id-type="doi">10.1096/fj.11-199240</pub-id></element-citation></ref>
<ref id="b51-ETM-24-4-11552"><label>51</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yamin</surname><given-names>TT</given-names></name><name><surname>Miller</surname><given-names>DK</given-names></name></person-group><article-title>The interleukin-1 receptor-associated kinase is degraded by proteasomes following its phosphorylation</article-title><source>J Biol Chem</source><volume>272</volume><fpage>21540</fpage><lpage>21547</lpage><year>1997</year><pub-id pub-id-type="pmid">9261174</pub-id><pub-id pub-id-type="doi">10.1074/jbc.272.34.21540</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-ETM-24-4-11552" position="float">
<label>Figure 1</label>
<caption><p>Time- and dose-dependent expression of inflammatory factors in Caco-2 cells induced by IL-1&#x03B2;. ELISA was used to detect protein expression levels of supernatant inflammatory cytokines (A) IL-6, (B) IL-1&#x03B2;, (C) TNF-&#x03B1; and chemokines (D) IP-10 in Caco-2 cells incubated with 10 ng/ml IL-1&#x03B2; for different time. The protein expression of (E) IL-6, (F) IL-1&#x03B2;, (G) TNF-&#x03B1; and (H) IP-10 in Caco-2 cells incubated with different concentration IL-1&#x03B2; for 3 h via ELISA. <sup>&#x002A;</sup>&#x03A1;&#x003C;0.05, <sup>&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.01, <sup>&#x002A;&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.001, <sup>&#x002A;&#x002A;&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.0001 vs. 0 h or 0 ng/ml.</p></caption>
<graphic xlink:href="etm-24-04-11552-g00.tif" />
</fig>
<fig id="f2-ETM-24-4-11552" position="float">
<label>Figure 2</label>
<caption><p>Expression of miR-146a-5p is elevated in IL-1&#x03B2;-stimulated Caco-2 cells. Caco-2 cells were incubated with (A) 10 ng/ml IL-1&#x03B2; or (B) IL-1&#x03B2; for 3 h at the indicated concentrations and relative expression of miR-146a-5p was determined by reverse transcription-quantitative PCR. <sup>&#x002A;</sup>&#x03A1;&#x003C;0.05, <sup>&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.01, <sup>&#x002A;&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.001, <sup>&#x002A;&#x002A;&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.0001 vs. 0 h or 0 ng/ml. miR, microRNA.</p></caption>
<graphic xlink:href="etm-24-04-11552-g01.tif" />
</fig>
<fig id="f3-ETM-24-4-11552" position="float">
<label>Figure 3</label>
<caption><p>miR-146a-5p negatively regulates inflammatory factor expression. Caco-2 cells were transiently transfected with 10 pmol miR-146a-5p (A) mimic or (B) inhibitor or corresponding NC. IL-6 mRNA expression via (C) RT-qPCR and (D) ELISA. IL-1&#x03B2; mRNA expression level was measured using (E) RT-qPCR, and (F) ELISA. TNF-&#x03B1; mRNA expression level was measured using (G) RT-qPCR, and (H) ELISA. IP-10 mRNA expression level was measured using (I) RT-qPCR, and (J) ELISA. <sup>&#x002A;</sup>&#x03A1;&#x003C;0.05, <sup>&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.01, <sup>&#x002A;&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.001, <sup>&#x002A;&#x002A;&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.0001. Reverse transcription-quantitative; miR, microRNA; IP-10, interferon &#x03B3;-induced protein 10; NC, negative control.</p></caption>
<graphic xlink:href="etm-24-04-11552-g02.tif" />
</fig>
<fig id="f4-ETM-24-4-11552" position="float">
<label>Figure 4</label>
<caption><p>IRAK1 and TRAF6 are involved in expression of miR-146a-5p-suppressed inflammatory factors. TargetScan Human predicted (A) IRAK1 and (B) TRAF6 as target proteins of miR-146a-5p. Following transfection with miR-146a-5p mimics or inhibitor, Caco-2 cells were incubated with 10 ng/ml IL-1&#x03B2; for 24 h and collected. IRAK1 and TRAF6 protein was extracted, separated and analyzed by western blotting. (C) Relative protein expression of (D) IRAK1 and (E) TRAF6 in control, IL-1&#x03B2;, mimic NC, mimic NC + IL-1&#x03B2;, miR-146a-5p mimic and miR-146a-5p mimic + IL-1&#x03B2; groups were analyzed with Image J. (F) Relative protein expression of (G) IRAK1 and (H) TRAF6 in control, IL-1&#x03B2;, inhibitor NC, inhibitor NC + IL-1&#x03B2;, miR-146a-5p inhibitor and miR-146a-5p inhibitor + IL-1&#x03B2; groups were analyzed with Image J. <sup>&#x002A;</sup>&#x03A1;&#x003C;0.05, <sup>&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.01, <sup>&#x002A;&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.001 and <sup>&#x002A;&#x002A;&#x002A;&#x002A;</sup>&#x03A1;&#x003C;0.0001. IRAK1, interleukin 1 receptor associated kinase 1; TRAF6, tumor necrosis factor receptor-associated factor 6; UTR, untranslated region; miR, microRNA; NC, negative control.</p></caption>
<graphic xlink:href="etm-24-04-11552-g03.tif" />
</fig>
<table-wrap id="tI-ETM-24-4-11552" position="float">
<label>Table I</label>
<caption><p>Primer sequences.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Gene</th>
<th align="center" valign="middle">Forward (5&#x0027;-3&#x0027;)</th>
<th align="center" valign="middle">Reverse (5&#x0027;-3&#x0027;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">U6</td>
<td align="left" valign="middle">CGCTTCGGCAGCACATATAC</td>
<td align="left" valign="middle">CAGGGGCCATGCTAATCTT</td>
</tr>
<tr>
<td align="left" valign="middle">miR-146a-5p</td>
<td align="left" valign="middle">UGAGAACUGAAUUCCAUGGGUU</td>
<td align="left" valign="middle">CCCAUGGAAUUCAGUUCUCAUU</td>
</tr>
<tr>
<td align="left" valign="middle">GAPDH</td>
<td align="left" valign="middle">GGTGGTCTCCTCTGACTTCAACA</td>
<td align="left" valign="middle">GTTGCTGTAGCCAAATTCGTTGT</td>
</tr>
<tr>
<td align="left" valign="middle">TRAF6</td>
<td align="left" valign="middle">TTTGCTCTTATGGATTGTCCCC</td>
<td align="left" valign="middle">CATTGATGCAGCACAGTTGTC</td>
</tr>
<tr>
<td align="left" valign="middle">IRAKI</td>
<td align="left" valign="middle">TGAGGAACACGGTGTATGCTG</td>
<td align="left" valign="middle">GTTTGGGTGACGAAACCTGGA</td>
</tr>
<tr>
<td align="left" valign="middle">IL-6</td>
<td align="left" valign="middle">TGGCTGAAAAAGATGGATGCT</td>
<td align="left" valign="middle">TCTGCACAGCTCTGGCTTGT</td>
</tr>
<tr>
<td align="left" valign="middle">IL-1&#x03B2;</td>
<td align="left" valign="middle">AAGCTGATGGCCCTAAACAG</td>
<td align="left" valign="middle">AGGTGCATCGTGCACATAAG</td>
</tr>
<tr>
<td align="left" valign="middle">TNF-&#x03B1;</td>
<td align="left" valign="middle">TGTAGCCCATGTTGTAGCAAACC</td>
<td align="left" valign="middle">GAGGACCTGGGAGTAGATGAGGTA</td>
</tr>
<tr>
<td align="left" valign="middle">IP-10</td>
<td align="left" valign="middle">GTGGCATTCAAGGAGTACCTC</td>
<td align="left" valign="middle">TGATGGCCTTCGATTCTGGATT</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>IP-10, interferon &#x03B3;-induced protein 10; miR, microRNA; IRAK1, interleukin 1 receptor associated kinase 1; TRAF6, tumor necrosis factor receptor-associated factor 6.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
