BACKGROUND MicroRNAs(miRNAs)regulate gene expression and play a critical role in cancer physiology.However,there is still a limited understanding of the function and regulatory mechanism of miRNAs in gastric cancer(GC...BACKGROUND MicroRNAs(miRNAs)regulate gene expression and play a critical role in cancer physiology.However,there is still a limited understanding of the function and regulatory mechanism of miRNAs in gastric cancer(GC).AIM To investigate the role and molecular mechanism of miRNA-145-5p(miR145-5p)in the progression of GC.METHODS Real-time polymerase chain reaction(RT-PCR)was used to detect miRNA expression in human GC tissues and cells.The ability of cancer cells to migrate and invade was assessed using wound-healing and transwell assays,respectively.Cell proliferation was measured using cell counting kit-8 and colony formation assays,and apoptosis was evaluated using flow cytometry.Expression of the epithelial-mesenchymal transition(EMT)-associated protein was determined by Western blot.Targets of miR-145-5p were predicated using bioinformatics analysis and verified using a dual-luciferase reporter system.Serpin family E member 1(SERPINE1)expression in GC tissues and cells was evaluated using RT-PCR and immunohistochemical staining.The correlation between SERPINE1 expression and overall patient survival was determined using Kaplan-Meier plot analysis.The association between SERPINE1 and GC progression was also tested.A rescue experiment of SERPINE1 overexpression was conducted to verify the relationship between this protein and miR-145-5p.The mechanism by which miR-145-5p influences GC progression was further explored by assessing tumor formation in nude mice.RESULTS GC tissues and cells had reduced miR-145-5p expression and SERPINE1 was identified as a direct target of this miRNA.Overexpression of miR-145-5p was associated with decreased GC cell proliferation,invasion,migration,and EMT,and these effects were reversed by forcing SERPINE1 expression.Kaplan-Meier plot analysis revealed that patients with higher SERPINE1 expression had a shorter survival rate than those with lower SERPINE1 expression.Nude mouse tumorigenesis experiments confirmed that miR-145-5p targets SERPINE1 to regulate extracellular signal-regulated kinase-1/2(ERK1/2).CONCLUSION This study found that miR-145-5p inhibits tumor progression and is expressed in lower amounts in patients with GC.MiR-145-5p was found to affect GC cell proliferation,migration,and invasion by negatively regulating SERPINE1 levels and controlling the ERK1/2 pathway.展开更多
BACKGROUND NLRP3-mediated pyroptosis is recognized as an essential modulator of renal disease pathology.Long noncoding RNAs(lncRNAs)are active participators of diabetic nephropathy(DN).X inactive specific transcript(X...BACKGROUND NLRP3-mediated pyroptosis is recognized as an essential modulator of renal disease pathology.Long noncoding RNAs(lncRNAs)are active participators of diabetic nephropathy(DN).X inactive specific transcript(XIST)expression has been reported to be elevated in the serum of DN patients.AIM To evaluate the mechanism of lncRNA XIST in renal tubular epithelial cell(RTEC)pyroptosis in DN.METHODS A DN rat model was established through streptozotocin injection,and XIST was knocked down by tail vein injection of the lentivirus LV sh-XIST.Renal metabolic and biochemical indices were detected,and pathological changes in the renal tissue were assessed.The expression of indicators related to inflammation and pyroptosis was also detected.High glucose(HG)was used to treat HK2 cells,and cell viability and lactate dehydrogenase(LDH)activity were detected after silencing XIST.The subcellular localization and downstream mechanism of XIST were investigated.Finally,a rescue experiment was carried out to verify that XIST regulates NLR family pyrin domain containing 3(NLRP3)/caspase-1-mediated RTEC pyroptosis through the microRNA-15-5p(miR-15b-5p)/Toll-like receptor 4(TLR4)axis.RESULTS XIST was highly expressed in the DN models.XIST silencing improved renal metabolism and biochemical indices and mitigated renal injury.The expression of inflammation and pyroptosis indicators was significantly increased in DN rats and HG-treated HK2 cells;cell viability was decreased and LDH activity was increased after HGtreatment. Silencing XIST inhibited RTEC pyroptosis by inhibiting NLRP3/caspase-1. Mechanistically,XIST sponged miR-15b-5p to regulate TLR4. Silencing XIST inhibited TLR4 by promotingmiR-15b-5p. miR-15b-5p inhibition or TLR4 overexpression averted the inhibitory effect ofsilencing XIST on HG-induced RTEC pyroptosis.CONCLUSIONSilencing XIST inhibits TLR4 by upregulating miR-15b-5p and ultimately inhibits renal injury inDN by inhibiting NLRP3/caspase-1-mediated RTEC pyroptosis.展开更多
Background:Ovarian cancer(OC)is a leading cause of gynecological cancer-linked deaths worldwide.Exosomal miR-1825 and its target gene C-type lectin domain family 5 member A(CLEC5A)are associated with tumorigenesis in ...Background:Ovarian cancer(OC)is a leading cause of gynecological cancer-linked deaths worldwide.Exosomal miR-1825 and its target gene C-type lectin domain family 5 member A(CLEC5A)are associated with tumorigenesis in cancers that was further probed.Methods:Exosomal miR-1825 expression in exosomes and its impact on overall survival(OS)prediction were determined using Gene Expression Omnibus(GEO)and The Cancer Genome Atlas(TCGA)data.Target genes of miR-1825 were searched in five prediction databases and prognostically significant differentially expressed genes were identified.Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analyses were carried out.The ability of CLEC5A to predict OS was evaluated using univariate and multivariate Cox regression analyses and Kaplan-Meier curves.The CLEC5A expression pattern in OC was validated using immunohistochemistry.The CIBERSORT algorithm was used to compare the immune cell landscape,and the results were validated in a GEO cohort.Finally,the predicted half maximal inhibitory concentration(IC50)values for five commonly used chemotherapy agents were also compared.Results:MiR-1825 level was higher in exosomes derived from OC cells and served as a tumor suppressor.The CLEC5A gene was found to be a target of miR-1825,the upregulation of which was correlated with a poor prognosis.M2 macrophage infiltration was significantly enhanced in the CLEC5A high expression group,while T follicular helper cell infiltration was reduced in it.While the predicted IC50 for cisplatin and doxorubicin was higher in the CLEC5A high expression group,that of docetaxel,gemcitabine,and paclitaxel was lower.Conclusion:MiR-1825,a promising OC biomarker,may promote OC progression by increasing CLEC5A expression via exosome-mediated efflux from tumor cells.展开更多
目的探讨母血microRNA-520α水平对胎儿心脏缺陷的早期诊断价值及其临床意义。方法选取2016年5月~2018年4月怀有心脏缺陷胎儿孕妇23例(心脏缺陷组),同期产检的神经管畸形胎儿孕妇23例(神经管畸形组)和怀有正常胎儿孕妇30例(正常对照组)...目的探讨母血microRNA-520α水平对胎儿心脏缺陷的早期诊断价值及其临床意义。方法选取2016年5月~2018年4月怀有心脏缺陷胎儿孕妇23例(心脏缺陷组),同期产检的神经管畸形胎儿孕妇23例(神经管畸形组)和怀有正常胎儿孕妇30例(正常对照组)作为本文的主要研究对象,检测各组孕妇血液中的microRNA-520α水平,并通过ROC曲线分析评估母血microRNA-520α水平诊断胎儿心脏缺陷关系的价值。结果经分娩/引产证实胎儿心脏缺陷例数为22例,准确率为95.65%,误诊1例,漏诊率为4.35%。心脏畸形组的microRNA-520α水平(1.29±0.75)ng/ml,低于神经管畸形组的(1.81±0.95)ng/ml,显著低于正常对照组的(2.65±1.26)ng/ml,差异有统计学意义(P<0.05)。进一步的ROC曲线分析得出母血microRNA-520α水平诊断胎儿心脏缺陷的曲线下面积(area under curve,AUC)为0.854,在最佳临界值点对应的灵敏度、特异度分别为87%、71.7%,证明microRNA-520α对胎儿心脏缺陷的诊断效能较好。结论母血microRNA-520α水平对胎儿心脏缺陷具有诊断价值,且诊断准确性较好,可为胎儿心脏缺陷早期辅助评估提供客观参考。展开更多
Background:Microribose nucleic acids(miRNAs)are implicated in the progression of lung adenocarcinoma.MicroRNA-345-5p(miR-345-5p)is a recently identified anti-oncogene in some human cancers,but its functional role and ...Background:Microribose nucleic acids(miRNAs)are implicated in the progression of lung adenocarcinoma.MicroRNA-345-5p(miR-345-5p)is a recently identified anti-oncogene in some human cancers,but its functional role and possible molecular mechanism in lung adenocarcinoma remain unknown.This study aimed to identify the biological function and underlying mechanism of miR-345-5p in lung adenocarcinoma cells.Methods:In this study,lung adenocarcinoma tissues and adjacent tissues were collected in the First Affiliated Hospital of Anhui Medical University between April 2016 and February 2017.The expression of miR-345-5p and ras homolog family member A(RhoA)in lung adenocarcinoma tissues and human lung adenocarcinoma cell lines(A549,H1650,PC-9,and H441)was detected by reverse transcription quantitative polymerase chain reaction analysis.Functional assays including colony formation,flow cytometry analysis,wound healing,and transwell assays were performed to assess the proliferation,apoptosis,migration,and invasion of lung adenocarcinoma cells.In addition,RNA pulldown and luciferase reporter assays were conducted to evaluate the relationship between miR-345-5p and RhoA.Difference between the two groups was analyzed with Student’st test,while that among multiple groups was analyzed with one-way analysis of variance.Results:MiR-345-5p expression displayed lower level in lung adenocarcinoma tissues(0.241±0.095vs.1.000±0.233,t=19.247,P<0.001)and cell lines(F=56.992,P<0.001)than control tissues and cells.Functional experiments demonstrated that upregulation of miR-345-5p inhibited the malignant phenotypes of lung adenocarcinoma cells via suppressing cell proliferation,migration,invasion,and facilitating cell apoptosis.Additionally,RhoA was verified to be the downstream target of miR-345-5p.Expression of RhoA was downregulated by overexpression of miR-345-5p in PC-9(0.321±0.047vs.1.000±0.127,t=8.536,P<0.001)and H1650(0.398±0.054vs.1.000±0.156,t=4.429,P=0.011)cells.Rescue assays revealed that overexpression of RhoA rescued the suppressive effects of miR-345-5p upregulation on proliferation,migration,and invasion of lung adenocarcinoma cells.Further,miR-345-5p was found to regulate the Rho/Rho-associated protein kinase(ROCK)signaling pathway by downregulation of RhoA in lung adenocarcinoma cells.Conclusions:MiR-345-5p plays a tumor suppressor role in lung adenocarcinoma cells by downregulating RhoA to inactivate the Rho/ROCK pathway.展开更多
Objective:To investigate the mechanism of moxibustion in the treatment of diarrhea-predominant irritable bowel syndrome(IBS-D),by observing the effects of moxibustion at Tianshu(ST25)and Shangjuxu(ST37)on microRNA-133...Objective:To investigate the mechanism of moxibustion in the treatment of diarrhea-predominant irritable bowel syndrome(IBS-D),by observing the effects of moxibustion at Tianshu(ST25)and Shangjuxu(ST37)on microRNA-133b(miRNA-133b),pituitary homeobox family factor 3(Pitx3)/tyrosine hydroxylase(TH),and neurotransmitters in the brain tissue of IBS-D rats.Methods:Healthy Sprague-Dawley rats were randomly divided into a normal group,a model group,a moxibustion group,and a Western medicine group,with 12 rats in each group.Except for the normal group,the IBS-D rat model was established by mother-offspring separation and acetic acid enema combined with restraint stress stimulation in all the other groups.No intervention was performed in the normal and model groups.Mild moxibustion was applied to both Tianshu(ST25)and Shangjuxu(ST37)in the moxibustion group.Rifaximin was given by gavage in the Western medicine group.The physical status of rats in each group was observed at different periods.After the intervention,hematoxylineosin staining was performed to observe the histopathological morphology of rat colon;enzyme-linked immunosorbent assay was used to measure the levels of dopamine(DA),noradrenaline(NE),and 5-hydroxytryptamine(5-HT)in plasma,colon,and midbrain tissue of rats;the relative expression levels of miRNA-133b,Pitx3 mRNA,and TH mRNA in the midbrain tissue were measured by real-time fluorescence quantitative polymerase chain reaction,and the relative expression levels of Pitx3 and TH proteins in the midbrain tissue were measured by Western blotting and immunofluorescence.Results:The body weights of rats among groups and at different time points were statistically different(P<0.01).The body weight of the normal group was higher than that of the other groups over time(P<0.01).After modeling,the minimum volume threshold of abdominal withdrawal reflex(AWR)was significantly lower(P<0.01)and the loose stool rate was significantly higher(P<0.01)in the model,moxibustion,and Western medicine groups compared with the normal group;the miRNA-133b expression in the midbrain tissue was significantly lower(P<0.01),the expression levels of Pitx3 and TH in the midbrain tissue were significantly higher(P<0.01),and the levels of DA,NE,and 5-HT in plasma,colon and midbrain tissue were significantly higher(P<0.01).After the intervention,the minimum volume threshold of AWR was significantly higher(P<0.01),the loose stool rate was significantly lower(P<0.01),the miRNA-133b expression was significantly increased(P<0.01 or P<0.05)and the expression levels of Pitx3 and TH were significantly decreased(P<0.01)in the midbrain tissue,the levels of DA,NE,and 5-HT in plasma,colon,and midbrain tissue were significantly reduced(P<0.01)in the moxibustion and Western medicine groups compared with the model group;the levels of 5-HT in the colon and midbrain tissue of the moxibustion group were significantly lower than those in the Western medicine group(P<0.05),and there was no statistical difference compared with the remaining groups(P>0.05).Linear correlation analysis showed that miRNA-133b was negatively correlated with Pitx3(r<0,P<0.01);Pitx3 with TH,TH with DA,and NE with 5-HT were positively correlated(r>0,P<0.01).Conclusion:Moxibustion at Tianshu(ST25)and Shangjuxu(ST37)improves diarrhea symptoms and visceral hypersensitivity in IBS-D rats.The mechanism may be related to up-regulating miRNA-133b,inhibiting Pitx3/TH,and reducing neurotransmitter expression levels in the midbrain tissue.展开更多
文摘BACKGROUND MicroRNAs(miRNAs)regulate gene expression and play a critical role in cancer physiology.However,there is still a limited understanding of the function and regulatory mechanism of miRNAs in gastric cancer(GC).AIM To investigate the role and molecular mechanism of miRNA-145-5p(miR145-5p)in the progression of GC.METHODS Real-time polymerase chain reaction(RT-PCR)was used to detect miRNA expression in human GC tissues and cells.The ability of cancer cells to migrate and invade was assessed using wound-healing and transwell assays,respectively.Cell proliferation was measured using cell counting kit-8 and colony formation assays,and apoptosis was evaluated using flow cytometry.Expression of the epithelial-mesenchymal transition(EMT)-associated protein was determined by Western blot.Targets of miR-145-5p were predicated using bioinformatics analysis and verified using a dual-luciferase reporter system.Serpin family E member 1(SERPINE1)expression in GC tissues and cells was evaluated using RT-PCR and immunohistochemical staining.The correlation between SERPINE1 expression and overall patient survival was determined using Kaplan-Meier plot analysis.The association between SERPINE1 and GC progression was also tested.A rescue experiment of SERPINE1 overexpression was conducted to verify the relationship between this protein and miR-145-5p.The mechanism by which miR-145-5p influences GC progression was further explored by assessing tumor formation in nude mice.RESULTS GC tissues and cells had reduced miR-145-5p expression and SERPINE1 was identified as a direct target of this miRNA.Overexpression of miR-145-5p was associated with decreased GC cell proliferation,invasion,migration,and EMT,and these effects were reversed by forcing SERPINE1 expression.Kaplan-Meier plot analysis revealed that patients with higher SERPINE1 expression had a shorter survival rate than those with lower SERPINE1 expression.Nude mouse tumorigenesis experiments confirmed that miR-145-5p targets SERPINE1 to regulate extracellular signal-regulated kinase-1/2(ERK1/2).CONCLUSION This study found that miR-145-5p inhibits tumor progression and is expressed in lower amounts in patients with GC.MiR-145-5p was found to affect GC cell proliferation,migration,and invasion by negatively regulating SERPINE1 levels and controlling the ERK1/2 pathway.
基金Supported by Natural Science Foundation of Shenzhen University General Hospital (SUGH2020QD011)
文摘BACKGROUND NLRP3-mediated pyroptosis is recognized as an essential modulator of renal disease pathology.Long noncoding RNAs(lncRNAs)are active participators of diabetic nephropathy(DN).X inactive specific transcript(XIST)expression has been reported to be elevated in the serum of DN patients.AIM To evaluate the mechanism of lncRNA XIST in renal tubular epithelial cell(RTEC)pyroptosis in DN.METHODS A DN rat model was established through streptozotocin injection,and XIST was knocked down by tail vein injection of the lentivirus LV sh-XIST.Renal metabolic and biochemical indices were detected,and pathological changes in the renal tissue were assessed.The expression of indicators related to inflammation and pyroptosis was also detected.High glucose(HG)was used to treat HK2 cells,and cell viability and lactate dehydrogenase(LDH)activity were detected after silencing XIST.The subcellular localization and downstream mechanism of XIST were investigated.Finally,a rescue experiment was carried out to verify that XIST regulates NLR family pyrin domain containing 3(NLRP3)/caspase-1-mediated RTEC pyroptosis through the microRNA-15-5p(miR-15b-5p)/Toll-like receptor 4(TLR4)axis.RESULTS XIST was highly expressed in the DN models.XIST silencing improved renal metabolism and biochemical indices and mitigated renal injury.The expression of inflammation and pyroptosis indicators was significantly increased in DN rats and HG-treated HK2 cells;cell viability was decreased and LDH activity was increased after HGtreatment. Silencing XIST inhibited RTEC pyroptosis by inhibiting NLRP3/caspase-1. Mechanistically,XIST sponged miR-15b-5p to regulate TLR4. Silencing XIST inhibited TLR4 by promotingmiR-15b-5p. miR-15b-5p inhibition or TLR4 overexpression averted the inhibitory effect ofsilencing XIST on HG-induced RTEC pyroptosis.CONCLUSIONSilencing XIST inhibits TLR4 by upregulating miR-15b-5p and ultimately inhibits renal injury inDN by inhibiting NLRP3/caspase-1-mediated RTEC pyroptosis.
基金funded by a grant from the National Natural Science Foundation of China(81873045)the Natural Science Foundation of Fujian Province of China(2020J011115)+1 种基金the Medicine Innovation Project of Fujian Province of China(2020CXB007)the Joint Funds for the Innovation of Science and Technology(2021Y9209).
文摘Background:Ovarian cancer(OC)is a leading cause of gynecological cancer-linked deaths worldwide.Exosomal miR-1825 and its target gene C-type lectin domain family 5 member A(CLEC5A)are associated with tumorigenesis in cancers that was further probed.Methods:Exosomal miR-1825 expression in exosomes and its impact on overall survival(OS)prediction were determined using Gene Expression Omnibus(GEO)and The Cancer Genome Atlas(TCGA)data.Target genes of miR-1825 were searched in five prediction databases and prognostically significant differentially expressed genes were identified.Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analyses were carried out.The ability of CLEC5A to predict OS was evaluated using univariate and multivariate Cox regression analyses and Kaplan-Meier curves.The CLEC5A expression pattern in OC was validated using immunohistochemistry.The CIBERSORT algorithm was used to compare the immune cell landscape,and the results were validated in a GEO cohort.Finally,the predicted half maximal inhibitory concentration(IC50)values for five commonly used chemotherapy agents were also compared.Results:MiR-1825 level was higher in exosomes derived from OC cells and served as a tumor suppressor.The CLEC5A gene was found to be a target of miR-1825,the upregulation of which was correlated with a poor prognosis.M2 macrophage infiltration was significantly enhanced in the CLEC5A high expression group,while T follicular helper cell infiltration was reduced in it.While the predicted IC50 for cisplatin and doxorubicin was higher in the CLEC5A high expression group,that of docetaxel,gemcitabine,and paclitaxel was lower.Conclusion:MiR-1825,a promising OC biomarker,may promote OC progression by increasing CLEC5A expression via exosome-mediated efflux from tumor cells.
文摘目的探讨母血microRNA-520α水平对胎儿心脏缺陷的早期诊断价值及其临床意义。方法选取2016年5月~2018年4月怀有心脏缺陷胎儿孕妇23例(心脏缺陷组),同期产检的神经管畸形胎儿孕妇23例(神经管畸形组)和怀有正常胎儿孕妇30例(正常对照组)作为本文的主要研究对象,检测各组孕妇血液中的microRNA-520α水平,并通过ROC曲线分析评估母血microRNA-520α水平诊断胎儿心脏缺陷关系的价值。结果经分娩/引产证实胎儿心脏缺陷例数为22例,准确率为95.65%,误诊1例,漏诊率为4.35%。心脏畸形组的microRNA-520α水平(1.29±0.75)ng/ml,低于神经管畸形组的(1.81±0.95)ng/ml,显著低于正常对照组的(2.65±1.26)ng/ml,差异有统计学意义(P<0.05)。进一步的ROC曲线分析得出母血microRNA-520α水平诊断胎儿心脏缺陷的曲线下面积(area under curve,AUC)为0.854,在最佳临界值点对应的灵敏度、特异度分别为87%、71.7%,证明microRNA-520α对胎儿心脏缺陷的诊断效能较好。结论母血microRNA-520α水平对胎儿心脏缺陷具有诊断价值,且诊断准确性较好,可为胎儿心脏缺陷早期辅助评估提供客观参考。
文摘Background:Microribose nucleic acids(miRNAs)are implicated in the progression of lung adenocarcinoma.MicroRNA-345-5p(miR-345-5p)is a recently identified anti-oncogene in some human cancers,but its functional role and possible molecular mechanism in lung adenocarcinoma remain unknown.This study aimed to identify the biological function and underlying mechanism of miR-345-5p in lung adenocarcinoma cells.Methods:In this study,lung adenocarcinoma tissues and adjacent tissues were collected in the First Affiliated Hospital of Anhui Medical University between April 2016 and February 2017.The expression of miR-345-5p and ras homolog family member A(RhoA)in lung adenocarcinoma tissues and human lung adenocarcinoma cell lines(A549,H1650,PC-9,and H441)was detected by reverse transcription quantitative polymerase chain reaction analysis.Functional assays including colony formation,flow cytometry analysis,wound healing,and transwell assays were performed to assess the proliferation,apoptosis,migration,and invasion of lung adenocarcinoma cells.In addition,RNA pulldown and luciferase reporter assays were conducted to evaluate the relationship between miR-345-5p and RhoA.Difference between the two groups was analyzed with Student’st test,while that among multiple groups was analyzed with one-way analysis of variance.Results:MiR-345-5p expression displayed lower level in lung adenocarcinoma tissues(0.241±0.095vs.1.000±0.233,t=19.247,P<0.001)and cell lines(F=56.992,P<0.001)than control tissues and cells.Functional experiments demonstrated that upregulation of miR-345-5p inhibited the malignant phenotypes of lung adenocarcinoma cells via suppressing cell proliferation,migration,invasion,and facilitating cell apoptosis.Additionally,RhoA was verified to be the downstream target of miR-345-5p.Expression of RhoA was downregulated by overexpression of miR-345-5p in PC-9(0.321±0.047vs.1.000±0.127,t=8.536,P<0.001)and H1650(0.398±0.054vs.1.000±0.156,t=4.429,P=0.011)cells.Rescue assays revealed that overexpression of RhoA rescued the suppressive effects of miR-345-5p upregulation on proliferation,migration,and invasion of lung adenocarcinoma cells.Further,miR-345-5p was found to regulate the Rho/Rho-associated protein kinase(ROCK)signaling pathway by downregulation of RhoA in lung adenocarcinoma cells.Conclusions:MiR-345-5p plays a tumor suppressor role in lung adenocarcinoma cells by downregulating RhoA to inactivate the Rho/ROCK pathway.
基金This work was supported by the Project of National Natural Science Foundation of China(国家自然科学基金项目,No.81774399)Construction Project of Famous Senior Doctor of Traditional Chinese Medicine in Anhui Province:CHU Haoran Studio(安徽省名老中医储浩然工作室建设项目).
文摘Objective:To investigate the mechanism of moxibustion in the treatment of diarrhea-predominant irritable bowel syndrome(IBS-D),by observing the effects of moxibustion at Tianshu(ST25)and Shangjuxu(ST37)on microRNA-133b(miRNA-133b),pituitary homeobox family factor 3(Pitx3)/tyrosine hydroxylase(TH),and neurotransmitters in the brain tissue of IBS-D rats.Methods:Healthy Sprague-Dawley rats were randomly divided into a normal group,a model group,a moxibustion group,and a Western medicine group,with 12 rats in each group.Except for the normal group,the IBS-D rat model was established by mother-offspring separation and acetic acid enema combined with restraint stress stimulation in all the other groups.No intervention was performed in the normal and model groups.Mild moxibustion was applied to both Tianshu(ST25)and Shangjuxu(ST37)in the moxibustion group.Rifaximin was given by gavage in the Western medicine group.The physical status of rats in each group was observed at different periods.After the intervention,hematoxylineosin staining was performed to observe the histopathological morphology of rat colon;enzyme-linked immunosorbent assay was used to measure the levels of dopamine(DA),noradrenaline(NE),and 5-hydroxytryptamine(5-HT)in plasma,colon,and midbrain tissue of rats;the relative expression levels of miRNA-133b,Pitx3 mRNA,and TH mRNA in the midbrain tissue were measured by real-time fluorescence quantitative polymerase chain reaction,and the relative expression levels of Pitx3 and TH proteins in the midbrain tissue were measured by Western blotting and immunofluorescence.Results:The body weights of rats among groups and at different time points were statistically different(P<0.01).The body weight of the normal group was higher than that of the other groups over time(P<0.01).After modeling,the minimum volume threshold of abdominal withdrawal reflex(AWR)was significantly lower(P<0.01)and the loose stool rate was significantly higher(P<0.01)in the model,moxibustion,and Western medicine groups compared with the normal group;the miRNA-133b expression in the midbrain tissue was significantly lower(P<0.01),the expression levels of Pitx3 and TH in the midbrain tissue were significantly higher(P<0.01),and the levels of DA,NE,and 5-HT in plasma,colon and midbrain tissue were significantly higher(P<0.01).After the intervention,the minimum volume threshold of AWR was significantly higher(P<0.01),the loose stool rate was significantly lower(P<0.01),the miRNA-133b expression was significantly increased(P<0.01 or P<0.05)and the expression levels of Pitx3 and TH were significantly decreased(P<0.01)in the midbrain tissue,the levels of DA,NE,and 5-HT in plasma,colon,and midbrain tissue were significantly reduced(P<0.01)in the moxibustion and Western medicine groups compared with the model group;the levels of 5-HT in the colon and midbrain tissue of the moxibustion group were significantly lower than those in the Western medicine group(P<0.05),and there was no statistical difference compared with the remaining groups(P>0.05).Linear correlation analysis showed that miRNA-133b was negatively correlated with Pitx3(r<0,P<0.01);Pitx3 with TH,TH with DA,and NE with 5-HT were positively correlated(r>0,P<0.01).Conclusion:Moxibustion at Tianshu(ST25)and Shangjuxu(ST37)improves diarrhea symptoms and visceral hypersensitivity in IBS-D rats.The mechanism may be related to up-regulating miRNA-133b,inhibiting Pitx3/TH,and reducing neurotransmitter expression levels in the midbrain tissue.