miR-9-5p promotes the invasion and migration of endometrial stromal cells in endometriosis patients through the SIRT1/NF-κB pathway.
miR-9-5p, highly expressed in endometriosis, promotes endometrial stromal cell invasion and migration by inhibiting SIRT1 and activating the NF-κB pathway.
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This study investigated miR-9-5p expression and its effects on invasion and migration of endometrial stromal cells using biopsies from 17 eutopic, 19 ectopic, and 13 normal endometrium patients, with RT-qPCR, western blot, dual luciferase reporter assays, and in vitro migration (scratch) and invasion (Transwell) tests. The authors found miR-9-5p was elevated and SIRT1 was reduced in endometriosis tissues, with miR-9-5p negatively correlated with SIRT1 mRNA, and that miR-9-5p directly targeted SIRT1 expression. Overexpression of miR-9-5p (mimics) increased migration distance and Transwell invasion, while miR-9-5p inhibition decreased these behaviors, alongside corresponding changes in nuclear p65 phosphorylation consistent with activation of the NF-κB pathway; they used resveratrol/EX527 to further modulate SIRT1 and align NF-κB signaling outcomes. The paper does not explicitly discuss limitations such as sample size, in vivo validation, or the extent to which cell line-free primary culture conditions replicate disease biology, but it relies on in vitro assays of endometrial stromal cells. This paper is centrally about endometriosis—specifically, how miR-9-5p promotes endometrial stromal cell invasion and migration via the SIRT1/NF-κB pathway.
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