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Bhardwaj. J Transl Genet Genom 2017;1:15-22                      Journal of Translational
           DOI: 10.20517/jtgg.2017.01
                                                                           Genetics and Genomics

                                                                                               www.jtggjournal.com
            Topic: MicroRNAs in Allergic Diseases                                               Open Access

           MicroRNAs in atopic dermatitis: a review




           Neeti Bhardwaj

           Department of Pediatrics, Division of Pediatric Allergy and Immunology, The Pennsylvania State University Milton S. Hershey Medical Center,
           Hershey, PA 17033, USA.

           Correspondence to: Dr. Neeti Bhardwaj, Department of Pediatrics, Division of Pediatric Allergy and Immunology, The Pennsylvania State University
           Milton S. Hershey Medical Center, 500 University Drive, HS83, Hershey, PA 17033, USA. E-mail: nbhardwaj@pennstatehealth.psu.edu

           How to cite this article: Bhardwaj N. MicroRNAs in atopic dermatitis: a review. J Transl Genet Genom 2017;1:15-22.
                                         ABSTRACT
            Article history:              Atopic dermatitis (AD) is a chronic and relapsing inflammatory skin disease, generally the
            Received: 19 Jul 2017         first clinical manifestation of atopy and the start of atopic march. Effective treatment of AD
            First decision: 2 Sep 2017    could potentially interrupt the progression of atopic march. MicroRNAs (miRNAs), a recently
            Revised: 25 Oct 2017          described class of gene expression regulators in inflammatory conditions, affect expression
            Accepted: 7 Nov 2017          of numerous proteins. The role of miRNAs has been investigated in several atopic conditions,
            Published: 17 Nov 2017        including asthma, eosinophilic esophagitis, allergic rhinitis as well as atopic dermatitis.
                                          They have been shown to be involved in the morphogenesis of skin. The therapeutic effects
            Key words:                    of inhibition or overexpression of miRNAs have been demonstrated in murine models.
            Atopic dermatitis,            Considering their role as master switches of complex cellular processes, they could be potential
            microRNA,                     therapeutic targets for inflammatory skin conditions including atopic dermatitis. MiRNAs can
            MiR-155,                      be detected in different cell-free body fluids, such as serum, plasma, urine and saliva, raising
            MiR-146a,                     the obvious question whether they can be used as biomarkers of disease. This review article
            MiR-203                       summarizes what is known so far abut miRNAs and atopic dermatitis.


           INTRODUCTION                                       understanding of the pathogenesis of this condition
                                                              could provide tools for early intervention. The
           Atopic dermatitis (AD) is a chronic and relapsing   pathogenesis of AD is complex, involving genetic
           inflammatory skin disease. It is generally the first   predisposition with a strong influence of innate and
           clinical manifestation of atopy and the start of atopic   adaptive immune responses, as well as environmental
                                                                    [5]
           march [1,2] . Atopic march refers to the phenomenon   factors . Interplay between genetic and environmental
           of progression of atopic dermatitis to asthma and   factors leading to skin barrier dysfunction drives the
                                                                                        [5]
           allergic rhinitis [3,4] . The defective skin barrier in patients   natural history of the disease . Specifically, Th2 and
           with AD might allow allergen exposure through the   Th22 pathways, along with inflammatory cytokines
                                                                                       [6]
           epidermis initiating systemic allergen sensitization   and mediators are implicated .
                                                         [4]
           leading to development of food allergy and asthma .
           Therefore, effective treatment of AD could potentially   Inflammation in atopic dermatitis is biphasic: an initial
           interrupt the progression of atopic march. A deeper   Th2 phase precedes a chronic phase in which Th0

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