Cholesteatoma aggressiveness in paediatric vs. adult patients: a comparative analysis of molecular markers with MERI and EAONO/JS staging.

IF 2.2 3区 医学 Q2 OTORHINOLARYNGOLOGY
M Karthikeyan, Vishudh Mohan, Purvi Purohit, Vidhu Sharma, Kapil Soni, Bikram Choudhury, Mithu Banerjee, Poonam Elhence, Amit Goyal
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引用次数: 0

Abstract

Purpose: Cholesteatoma is characterized by the abnormal growth of keratinizing squamous epithelium in the middle ear. Although both pediatric and adult populations are affected, differences in the molecular mechanisms underlying cholesteatoma between these age groups are not fully understood. miRNA-21 and IL-6 have been implicated in various inflammatory and proliferative processes, and their roles in cholesteatoma pathogenesis among different age groups warrant detailed investigation. Research objective -Compare the expression levels of miRNA-21 and IL-6 genes in pediatric versus adult cholesteatoma tissues to elucidate potential age-related molecular differences.

Methods: Tissue samples were collected from 30 patients (15 in Pediatric group and 15 in Adult group) undergoing surgical treatment for cholesteatoma. Preoperative MERI scores and Quantitative real-time PCR (qRT-PCR) was employed to measure the expression levels of miRNA-21 and IL-6. Statistical analyses were conducted to compare the expression profiles between the two groups.

Results: The results revealed a significantly higher expression of miRNA-21 and IL-6 in pediatric cholesteatoma compared to adult cholesteatoma. These findings suggest distinct molecular pathways may be involved in the pathogenesis of cholesteatoma in different age groups.

Conclusion: The differential expression of miRNA-21 and IL-6 between pediatric and adult cholesteatoma underscores the potential for age-specific therapeutic targets. Increased miRNA-21 and IL-6 gene expression in pediatric cases may indicate a more pronounced role in tissue proliferation and inflammation. Further research is necessary to explore the clinical implications and potential for targeted treatments based on these molecular differences.

Level of evidence: 3:

儿科胆脂瘤与成人胆脂瘤的侵袭性:分子标记与 MERI 和 EAONO/JS 分期的比较分析。
目的:胆脂瘤以中耳角化鳞状上皮异常生长为特征。虽然儿童和成人人群都受到影响,但这些年龄组之间胆脂瘤的分子机制差异尚不完全清楚。miRNA-21和IL-6与多种炎症和增殖过程有关,它们在不同年龄组胆脂瘤发病机制中的作用值得详细研究。研究目的:比较儿童和成人胆脂瘤组织中miRNA-21和IL-6基因的表达水平,以阐明潜在的年龄相关分子差异。方法:收集手术治疗胆脂瘤患者30例(小儿组15例,成人组15例)的组织标本。术前MERI评分和qRT-PCR检测miRNA-21和IL-6的表达水平。对两组的表达谱进行统计学分析比较。结果:miRNA-21和IL-6在小儿胆脂瘤中的表达明显高于成人。这些发现提示不同年龄组胆脂瘤的发病机制可能涉及不同的分子途径。结论:miRNA-21和IL-6在儿童和成人胆脂瘤中的差异表达强调了针对年龄的治疗靶点的潜力。在儿童病例中,miRNA-21和IL-6基因表达的增加可能在组织增殖和炎症中起着更明显的作用。需要进一步的研究来探索基于这些分子差异的临床意义和靶向治疗的潜力。证据等级:3;
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.30
自引率
7.70%
发文量
537
审稿时长
2-4 weeks
期刊介绍: Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.
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