Study on the Relationship between the Expression of Serum LncRNA TUG1 and miR-29a-3p and the Degree of Lesion,Lung Function and PI3K/Akt/mTOR Signaling Pathway in Patients with Idiopathic Pulmonary Fibrosis
Objective:To investigate the relationship between the expression of serum long non-coding RNA taurine up-regulated gene 1(LncRNA TUG1)and microRNA-29a-3p(miR-29a-3p)and the degree of lesion,lung function and phosphatidylinositol 3 kinase(PI3K)/protein kinase B(Akt)/rapamycin target protein(mTOR)signaling pathway in patients with idiopathic pulmonary fibrosis(IPF).Methods:52 IPF patients(study group)admitted to our hospital from January 2021 to December 2023 were selected,and 50 healthy vol-unteers(control group)who underwent physical examination in our hospital during the same period were selected.The levels of serum LncRNA TUG1,miR-29a-3p,lung function parameters[total lung capacity(TLC),forced expiratory volume in the first second as a per-centage of predicted value(FEV1%pred),forced vital capacity(FVC),carbon monoxide diffusion capacity as a percentage of predicted value(DLCO%pred)],high-resolution computed tomography(HRCT)score and PI3K,Akt and mTOR mRNA expression were com-pared in two groups.The correlation was analyzed by Pearson method.Results:The expression levels of serum LncRNA TUG1,PI3K,Akt and mTOR mRNA in study group were higher than those in control group,and the expression level of miR-29a-3p was lower than that in control group(P<0.05).TLC,FEV1%pred,FVC and DLCO%pred in study group were lower than those in control group,and HRCT score was higher than that in control group(P<0.05).The expression of serum LncRNA TUG1 was positively correlated with HRCT score,PI3K,Akt and mTOR mRNA expression,and negatively correlated with TLC,FEV1%pred,FVC and DLCO%pred(P<0.05).And miR-29a-3p was negatively correlated with HRCT score,PI3K,Akt and mTOR mRNA expression,and positively correlated with TLC,FEV1%pred,FVC and DLCO%pred(P<0.05).Conclusion:Serum LncRNA TUG1 is highly expressed,and miR-29a-3p is lowly expressed in IPF patients,the two are closely related to the degree of lung tissue lesions,the degree of lung function damage and the abnormal activation of PI3K/Akt/mTOR signaling pathway in IPF patients.
LncRNA TUG1miR-29a-3pIdiopathic pulmonary fibrosisDegree of lesionLung functionPI3K/Akt/mTOR signal-ing pathway