Journal of International Reproductive Health/Family Planning ›› 2021, Vol. 40 ›› Issue (4): 286-293.doi: 10.12280/gjszjk.20200669

• Original Article • Previous Articles     Next Articles

Expression of MiR-146a-5p in Decidual Tissue of Unexplained Recurrent Spontaneous Abortion

FENG Yu-ting, LUO Shu-hong, LI Lan, SU Qin, CHENG Jing-qiu, YE Hong-xia()   

  1. Department of Reproductive Immunology, Chengdu Xi′nan Gynaecology Hospital, Chengdu 610011, China (FENG Yu-ting, LUO Shu-hong, SU Qin, YE Hong-xia); Key Laboratory of Transplant Engineering and Immunology, Regenerative Medicine Research Center, West China Hospital, Sichuan University, Chengdu 610041, China (LI Lan, CHENG Jing-qiu, YE Hong-xia)
  • Received:2020-11-30 Published:2021-07-15 Online:2021-07-27
  • Contact: YE Hong-xia E-mail:yhxcdxn@163.com

Abstract:

Objective: To study the expression of miR-146a-5p in the decidual tissue of unexplained recurrent miscarriage (URSA), and analyze the possible mechanism of action. Methods: From January to December 2019, ten patients who underwent uterine evacuation due to URSA (URSA group) and ten normal pregnant patients who underwent induced abortion due to no childbirth planning (control group) in Chengdu Xi′nan Gynaecology Hospital were recruited. The decidual tissues were collected. The levels of miR-146a-5p in the decidual tissues were tested. Bioinformatics methods were used to predict the potential target genes of miR-146a-5p and the molecular mechanisms involved. The levels of key target genes of miR-146a-5p in each group were detected. The correlation between miR-146a-5p and the target genes was analyzed.Results: The level of miR-146a-5p in decidual tissue was lower in the URSA group than in the control group (P<0.001). Thirty-five target genes of miR-146a-5p were predicted in at least three databases, among whichIRAK1, CD80, and TRAF6 in the Toll-like receptor (TLR) signaling pathway; and IRAK1, SORT1, and TRAF6 in the neurotrophin (NT) signaling pathway. The levels of IRAK1, CD80, TRAF6 and SORT1, both mRNAs and proteins, in decidual tissue in the URSA group were higher than those in the control group (all P<0.05), and the level of miR-146a-5p was negatively correlated with the expressions of these four molecules (P<0.05).Conclusions: miR-146a-5p in decidual tissue may participate in the pathogenesis of URSA by regulating TLR and NT signaling pathways, which provids new ideas and potential targets for further studies on URSA prevention and therapy.

Key words: Abortion, habitual, Decidua, MicroRNA-146a-5p, Toll-like receptors, Nerve growth factors, Signal transduction