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Bhardwaj                                                                                                                                                                                       MicroRNAs in atopic dermatitis

           Table 1: MicroRNA expression and functions in atopic dermatitis
           MicroRNA      Expression and functions
           miR-155       One of the most upregulated microRNAs in AD lesions, primarily expressed in infiltrating T H  cells, downregulates CTLA-
                         4, enhances T H  cell proliferation, promotes T H 1 differentiation
           miR-146a      Increased expression in keratinocytes and chronic lesional skin in AD, inhibits expression of proinflammatory factors
                         including IFN-g-inducible genes and AD-associated genes CCL5, CCL8 and UBD, suppresses NF-kB signaling
                         pathway by targeting IRAK1, TRAF6, RELB, CARD10, decreases allergic skin inflammation
           miR-203       Keratinocyte-specific, promotes epidermal differentiation, targets p63 which is a regulator of stem-cell maintenance,
                         increased levels in serum, decreased levels in urine of children with AD
           miR-483-5p    Increased levels in serum of children with AD, associated with rhinitis and/or asthma
           AD: atopic dermatitis; UBD: ubiquitin D; IFN-g: interferon-g; CCL: chemokine ligand; NF-kB: nuclear factor kappa B

           contrary, the expression of miR-125b was decreased   gene expression regulators could potentially be used
           significantly in both psoriasis and AD [26] . Another   as personalized therapeutics in the near future.
           interesting observation in that study was that miR-
           203 was expressed more than 100-fold higher in skin   DECLARATIONS
           compared to other organs, including esophagus and
           cervix that contain squamous epithelium. However,   Authors’ contributions
           mature forms of miR-146a, miR-21 and miR-125b were   N. Bhardwaj contributed solely to the paper.
           detectable in all studied organs. A synopsis of the
           major miRNA players in atopic dermatitis is provided   Financial support and sponsorship
           in Table 1.                                        None.

           Since their discovery in mammalian cells approximately   Conflicts of interest
           10 years ago, the role of miRNAs in immune system   There are no conflicts of interest.
           has been extensively studied. MiRNAs can be
           detected in different cell-free body fluids, such as   Patient consent
           serum, plasma, urine and saliva. This obviously raises   Not applicable.
           the question whether serum miRNAs can be used as
           biomarkers of disease. Numerous studies have shown   Ethics approval
           that miRNAs can be used as diagnostic as well as   Not applicable.
           prognostic markers in various cancers, tissue injury
           and inflammation. The connection between miRNAs
           and allergic inflammatory conditions such as asthma,   REFERENCES
           allergic rhinitis and eosinophilic esophagitis is being
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           simultaneously, hence, may offer an opportunity to    KJ, Wang CQ, Mitsui H, Cardinale I, de Guzman Strong C, Krueger
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            20                                                       Journal of Translational Genetics and Genomics ¦ Volume 1 ¦ November 17, 2017
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