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Liu C, Ning B, Liu B, Cheng L, Li H, Ma M. circ_0006168 expression serves as a potential biomarker of acquired middle ear cholesteatoma. Eur Arch Otorhinolaryngol 2025:10.1007/s00405-025-09391-z. [PMID: 40220186 DOI: 10.1007/s00405-025-09391-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2025] [Accepted: 03/31/2025] [Indexed: 04/14/2025]
Abstract
OBJECTIVE Acquired middle ear cholesteatomas (AMECs) is a pathological condition characterized by abnormal epithelial cell proliferation in the middle ear, often resulting from retraction pocket and epithelial migration theories. The aim of this study was to find the abnormal expressed circular RNAs (circ_RNAs) in AMECs and explore their role in the inflammatory response of AMECs. METHODS Thirty-two AMECs patients and 32 healthy volunteers were recruited. Expression levels of circ_RNAs and inflammatory genes were quantified via reverse transcription quantitative polymerase chain reaction. Concentrations of inflammatory cytokines in human AMECs or normal post-auricular skin samples were measured using enzyme-linked immunosorbent assay. RESULTS Results showed that circ_0006168 was higher expressed in AMECs. Receiver operating characteristic (ROC) curve analysis indicated that circ_0006168 might serve as a sensitive biomarker for diagnosing AMECs. Besides, AMECs samples showed increased inflammatory cytokines concentrations. Thirty-two AMECs patients were divided into the High (N = 17) and Low (N = 15) groups according to the expression of circ_0006168. The High group patients had more tinnitus and severe hearing loss than the Low group. CONCLUSION In summary, our findings suggested that circ_0006168 exacerbated inflammatory responses in AMECs, suggesting that circ_0006168 might be a potential biomarker in AMECs.
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Affiliation(s)
- Chen Liu
- Department of Otolaryngology-Hand and Neck Surgery, Xuzhou Central Hospital, Southeast University Affiliated Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical University, No.199, Jiefang South Road, Xuzhou, 221000, China
| | - Bo Ning
- Department of Otolaryngology-Hand and Neck Surgery, Xuzhou Central Hospital, Southeast University Affiliated Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical University, No.199, Jiefang South Road, Xuzhou, 221000, China
| | - Bing Liu
- Department of Otolaryngology-Hand and Neck Surgery, Xuzhou Central Hospital, Southeast University Affiliated Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical University, No.199, Jiefang South Road, Xuzhou, 221000, China
| | - Liangjun Cheng
- Department of Otolaryngology-Hand and Neck Surgery, Xuzhou Central Hospital, Southeast University Affiliated Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical University, No.199, Jiefang South Road, Xuzhou, 221000, China
| | - Huachao Li
- Department of Otolaryngology-Hand and Neck Surgery, Xuzhou Central Hospital, Southeast University Affiliated Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical University, No.199, Jiefang South Road, Xuzhou, 221000, China
| | - Mei Ma
- Department of Otolaryngology-Hand and Neck Surgery, Xuzhou Central Hospital, Southeast University Affiliated Xuzhou Central Hospital, The Xuzhou Clinical College of Xuzhou Medical University, No.199, Jiefang South Road, Xuzhou, 221000, China.
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Zheng H, Wang W, Li S, Han L. The Effect of Zbxz23ir-21 NANO(nanomaterials) Delivery Vector on Apoptosis and PTEN(phosphatase and tensin homolog deleted on chromosome ten)/PI3K(Intracellular phosphatidylinositol kinase)/AKT(related to the A and C kinase) in Children with CHOLESTEATOMA in Middle Ear. Bioengineered 2021; 12:8809-8821. [PMID: 34696703 PMCID: PMC8806951 DOI: 10.1080/21655979.2021.1984718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 09/20/2021] [Indexed: 11/02/2022] Open
Abstract
Cholesteatoma of the middle ear is a kind of cystic disease with clear boundary formed by the abnormal growth of keratosquamous epithelium in temporal bone. Cholesteatoma otitis caused by it is a common disease in otorhinolaryngology. The EPR effect promotes the selective distribution of macromolecular substances in tumor tissues, which can increase drug efficacy. The purpose of this paper is to prepare and deliver the mir34a small molecule regulator, rubine, by nanotechnology, and to deliver it to the cells successfully. It can passively target tumor tissue through EPR effect, and play its regulatory role on miR-34a, thus inhibiting the growth of cholesteatoma cells. The effects of nano delivery on apoptosis and PIEN/P13K/AKt of children with middle ear choledochoma were tested in this paper. The experimental results were conducted on cholesteatoma cells as cell lines and balb/c nude mice as experimental objects. The expression of PTEN/PI3K/AKT in experimental group and control group was detected by immunohistochemistry. Apoptosis was discussed by cell activity detection. The physical and chemical properties, encapsulation efficiency, drug release ability in vitro and antitumor activity of nanoparticles in vitro and in vivo were studied. The results of cell level experiments in vitro showed that free RUBINE caused about 15% apoptosis, which was not different from RC NPs. The results showed that the nanoparticles could improve the expression of miR-34 in the cells, and then regulate the expression of Bcl-2, Cdk6 and CyclinD1, and play the inhibitory effect of miR-34a on the proliferation and migration of tumor cells.
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MESH Headings
- Animals
- Apoptosis
- Biomarkers, Tumor/genetics
- Biomarkers, Tumor/metabolism
- Cell Movement
- Cell Proliferation
- Child
- Cholesteatoma, Middle Ear/drug therapy
- Cholesteatoma, Middle Ear/genetics
- Cholesteatoma, Middle Ear/metabolism
- Cholesteatoma, Middle Ear/pathology
- Female
- Gene Expression Regulation, Neoplastic
- Humans
- Liver Neoplasms/drug therapy
- Liver Neoplasms/metabolism
- Liver Neoplasms/pathology
- Male
- Mice
- Mice, Inbred BALB C
- Mice, Nude
- MicroRNAs/administration & dosage
- MicroRNAs/genetics
- Nanostructures/administration & dosage
- Nanostructures/chemistry
- PTEN Phosphohydrolase/genetics
- PTEN Phosphohydrolase/metabolism
- Phosphatidylinositol 3-Kinases/genetics
- Phosphatidylinositol 3-Kinases/metabolism
- Prognosis
- Proto-Oncogene Proteins c-akt/genetics
- Proto-Oncogene Proteins c-akt/metabolism
- Tumor Cells, Cultured
- Xenograft Model Antitumor Assays
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Affiliation(s)
- Hongwei Zheng
- Department of Otolaryngology, Peking University People’s Hospital, Beijing, China
| | - Wenlun Wang
- Department of Otolaryngology, Peking University People’s Hospital, Beijing, China
| | - Shichang Li
- Department of Otolaryngology, Peking University People’s Hospital, Beijing, China
| | - Lin Han
- Department of Otolaryngology, Peking University People’s Hospital, Beijing, China
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