RT Journal Article SR Electronic T1 Effect of long-term corticosteroid treatment on microRNA and gene-expression profiles in Chronic Obstructive Pulmonary Disease JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 1801202 DO 10.1183/13993003.01202-2018 A1 Alen Faiz A1 Katrina Steiling A1 Mirjam P. Roffel A1 Dirkje S. Postma A1 Avrum Spira A1 Marc E. Lenburg A1 Malte Borggrewe A1 Tim R. Eijgenraam A1 Marnix R. Jonker A1 Gerard H. Koppelman A1 Simon D. Pouwels A1 Gang Liu A1 Yuriy O. Alekseyev A1 Stephen Lam A1 Pieter S. Hiemstra A1 Peter J. Sterk A1 Wim Timens A1 Corry-Anke Brandsma A1 Irene H. Heijink A1 Maarten van den Berge YR 2019 UL http://erj.ersjournals.com/content/early/2019/01/30/13993003.01202-2018.abstract AB To investigate whether microRNA (miRNA) expression is modulated by inhaled corticosteroid (ICS) treatment, we performed genome-wide miRNA analysis on bronchial biopsies of 69 moderate/severe COPD patients at baseline and after 6- and 30-month treatment with the ICS fluticasone propionate (FP) or placebo. The effect of ICS on miRNA expression was validated in differentiated primary bronchial epithelial cultures, and functional studies were conducted in BEAS-2B cells. MiRNAs affected by ICS and their predicted targets were compared to an independent miRNA dataset of bronchial brushings from COPD patients and healthy controls. Treatment with ICS for both 6- and 30-months significantly altered the expression of 4 miRNAs, including miR-320d, which was increased during ICS treatment compared with placebo. The ICS-induced increase of miR-320d was confirmed in primary airway epithelial cells. MiR-320d negatively correlated targets were enriched for pro-inflammatory genes and were increased in the bronchial brushes of patients with lower lung function in the independent dataset. Overexpression of miR-320d in BEAS-2B cells dampened cigarette smoke extract-induced pro-inflammatory activity via inhibition of nuclear factor (NF)-κB. Collectively, we identified miR-320d as a novel mediator of ICS, regulating the pro-inflammatory response of the airway epithelium.FootnotesThis manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.Conflict of interest: Alen FaizConflict of interest: Dr. Steiling has a patent “Biomarkers of COPD disease activity” pending.Conflict of interest: P. RoffelConflict of interest: S. PostmaConflict of interest: Avrum SpiraConflict of interest: E. LenburgConflict of interest: Malte BorggreweConflict of interest: R. EijgenraamConflict of interest: R. JonkerConflict of interest: H. KoppelmanConflict of interest: D. PouwelsConflict of interest: Gang LiuConflict of interest: Dr. Alekseyev has nothing to disclose.Conflict of interest: Stephen LamConflict of interest: S. HiemstraConflict of interest: Dr. Sterk reports grants from GlaxoSmithKline, grants from Dutch Government, during the conduct of the study.Conflict of interest: Wim TimensConflict of interest: Corry-Anke BrandsmaConflict of interest: H. HeijinkConflict of interest: Maarten van den Berge