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Abnormal expression of NF-κB-related transcripts in blood of patients with inflammatory peripheral nerve disorders

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Abstract

The NF-κB family includes some transcription factors which have important functions in the regulation of immune responses, therefore participating in the pathophysiology of inflammatory conditions such as peripheral neuropathies. We have quantified expression of a number of NF-κB-related transcripts in patients with Guillain-Barré syndrome (GBS) or chronic inflammatory demyelinating polyneuropathy (CIDP) versus healthy subjects. These transcripts have been previously shown to be functionally related with this family of transcription factors. Expressions of ATG5, DICER-AS1, PACER, DILC, NKILA and ADINR have been increased in both CIDP and GBS patients compared with controls. However, expression of ATG5 was not different between female CIDP cases and female controls. Moreover, expression of PACER was not different between male GBS cases and male controls. Expression levels of CHAST and CEBPA were not different between patients and controls. Expression of none of the assessed genes was different between GBS and CIDP cases. Significant correlations have been revealed between expression amounts of NF-κB-related transcripts both among CIDP/ GBS patients and among controls except for NKILA/ATG5, ADINR/ATG5 and PACER/ATG5 and DICER-AS1/ATG5 pairs among controls whose expression levels have not been correlated. In the patient group, CEBPA/PACER, CHAST/PACER and CHAST/DICER-AS1 pairs had the most robust correlations (r = 0.94). Among controls, NKILA/ADINR pair had the most strong correlation (r = 0.78). ADINR and DICER-AS1 levels could differentiate CIDP cases from controls with 100% sensitivity and specificity. In differentiation of GBS cases from controls, these two transcripts had the AUC values of 0.99 and 1. Combination transcript levels of NF-κB-related transcripts similarly detects CIDP and GBS cases from healthy controls with 100% sensitivity and specificity. Therefore, NF-κB-related transcripts are possibly involved in the pathophysiology of inflammatory peripheral nerve disorders and can be used as diagnostic markers for these conditions.

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Data availability

The analyzed data sets generated during the study are available from the corresponding author on reasonable request.

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Acknowledgements

This study was financially supported by Shahid Beheshti University of Medical Sciences (Grant number 26502).

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Authors and Affiliations

  1. Department of Medical Genetics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Tahereh Azimi, Soudeh Ghafouri-Fard, Elham Badrlou, Mir Davood Omrani & Arezou Sayad

  2. Department of Electrical Engineering, Sharif University of Technology, Tehran, Iran

    Naghme Nazer

  3. Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Mohammad Taheri

Authors
  1. Tahereh Azimi
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  2. Soudeh Ghafouri-Fard
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  3. Elham Badrlou
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  4. Mir Davood Omrani
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  5. Naghme Nazer
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  6. Arezou Sayad
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  7. Mohammad Taheri
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Contributions

TA, AS and EB performed the experiment. NN and MT analyzed the data. SGF and MDO designed the study and wrote the draft and revised it. All the authors contribute equally and read the submission.

Corresponding authors

Correspondence to Arezou Sayad or Mohammad Taheri.

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Ethics approval and consent to participate

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent forms were obtained from all study participants. The study protocol was approved by the ethical committee of Shahid Beheshti University of Medical Sciences (IR.SBMU.MSP.REC.1399.310). All methods were performed in accordance with the relevant guidelines and regulations.

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Azimi, T., Ghafouri-Fard, S., Badrlou, E. et al. Abnormal expression of NF-κB-related transcripts in blood of patients with inflammatory peripheral nerve disorders. Metab Brain Dis 36, 2369–2376 (2021). https://doi.org/10.1007/s11011-021-00778-5

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