Association of microRNA 146 with middle ear hyperplasia in pediatric otitis media.

Academic Article


  • OBJECTIVE: Toll-like receptor signaling activated by bacterial otitis media pathogens in the middle ear has been shown to play a key role in OM susceptibility, pathogenesis and recovery. Recent studies implicate microRNA 146 (miR-146) in regulation of inflammation via negative feedback of toll-like receptor signaling (TLR) in a wide variety of tissues, however its involvement in otitis media is unknown. METHODS: Human middle ear epithelial cells were stimulated with proinflammatory cytokines, interleukin 1 beta or tumor necrosis factor alpha, for two to twenty-four hours. Middle ear biopsies were collected from children with otitis media with effusion (n = 20), recurrent otitis media (n = 9), and control subjects undergoing cochlear implantation (n = 10). miR-146a, miR-146b expression was assayed by quantitative PCR (qPCR). Expression of miR-146 targets involved in TLR signaling, IRAK1 and TRAF6, was assayed by qPCR in middle ear biopsies. Middle ear biopsies were cryosectioned and epithelial thickness measured by a certified pathologist. RESULTS: Proinflammatory cytokines induced expression of miR-146 in middle ear epithelial cells in vitro. Middle ear miR-146a and miR-146b expression was elevated in otitis media patients relative to control subjects and correlated with middle ear epithelial thickness. A trend towards inverse correlation was observed between miR-146 and TRAF6 expression in the clinical population. CONCLUSIONS: This report is the first to assess miRNA expression in a clinical population with OM. Findings herein suggest miR-146 may play a role in OM.
  • Keywords

  • IRAK1, Otitis media, TRAF6, Toll-like receptor, miR-146a, miR-146b, Cells, Cultured, Child, Child, Preschool, Ear, Middle, Epithelial Cells, Female, Humans, Hyperplasia, In Vitro Techniques, Infant, Inflammation, Interleukin-1 Receptor-Associated Kinases, Interleukin-1beta, Male, MicroRNAs, Otitis Media, Otitis Media with Effusion, Signal Transduction, TNF Receptor-Associated Factor 6, Toll-Like Receptors, Tumor Necrosis Factor-alpha
  • Digital Object Identifier (doi)

    Author List

  • Samuels TL; Yan J; Khampang P; MacKinnon A; Hong W; Johnston N; Kerschner JE
  • Start Page

  • 104
  • End Page

  • 108
  • Volume

  • 88