Unraveling cervical inflammation in HIV-infected women: The regulatory role of miR-204-5p and miR-3691-3p.

Genital inflammation not only increases the risk of HIV acquisition, reduces antiretroviral efficacy, but also poses risks for other STIs, highlighting the need to understand underlying regulatory mechanisms. MicroRNAs/miRNAs are important regulators of various cellular processes, including inflammation; however their role in HIV-driven cervical inflammation remains unclear. Using transcriptome analysis and various bioinformatics tools, we identified key inflammation-associated miRNAs, molecular pathways and regulatory networks in the cervical cells of 24 HIV-infected women vis-a-vis 23 HIV-uninfected women. RNA-sequencing deciphered a dysregulated profile of 8 inflammation-associated miRNAs in cervical cells of HIV-infected women. In line with RNA-sequencing data, RT-PCR confirmed the upregulated expression of hsa-miR-204-5p and hsa-miR-3691-3p along with inflammatory markers (IL-1β, IL-6, TNF-α, NF-kB) in cervical cells of HIV-infected women. KEGG analysis revealed involvement of these miRNAs in inflammatory pathways (MAPK, Wnt, PI3K-AKT) and cancer-related pathways. PPI network identified CTNNB1, BCL2, and GSK3B as key hub genes, where GSK3B showed maximum interactions with transcription factors (TF; n = 31). EZH2 and EED were prominent TFs showing highest interactions with hub genes. Drug prediction further suggested Valproic acid, a known GSK3B inhibitor, as a potential therapeutic based on degree of interaction with hub genes. Conclusively, HIV-infected women displayed cervical inflammation, increased miR-204-5p and miR-3691-3p and deregulated inflammatory pathways. Targeting these miRNAs and/or their intermediates might be one of the useful approaches to alleviate cervical inflammation in HIV-infected women, which needs to be examined further.