Cadden, Caoimhe (2026) Targeting myeloid-restricted microRNAs to induce a pro-reparative macrophage phenotype and mucosal healing in the intestine. PhD thesis, National University of Ireland Maynooth.
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Abstract
Inflammatory bowel diseases (Crohn’s Disease and Ulcerative Colitis) are
characterised by aberrant myeloid immune activation in the intestine, that
damages bowel tissues in genetically susceptible individuals. Globally,
approximately 7 million people are currently living with this disease, yet there are
few efficacious treatment modalities and no cure. Patients who fail to respond to
front-line immunotherapies present with enhanced neutrophil and monocyte
inflammatory gene signatures. As such, a dilemma exists in that we cannot block
this myeloid arm of the immune response due to the critical need for anti-infection
responses and tissue healing. Yet, there are no clear pathways to understand
how IBD therapeutics may limit the excessive, tissue destructive inflammation
and drive healing processes. To address this challenge, this thesis will focus on
understanding myeloid intrinsic control points, namely microRNAs, that have
potential to uncover new disease mechanisms and potential therapeutic
opportunities. MicroRNAs (miRNAs) are emerging as important regulators of immunity and are
differentially expressed in IBD; however, their mechanistic roles in disease
progression remain poorly understood. MiR-223 is a myeloid-restricted miRNA,
and previous research has identified a critical role for miR-223 in models of
infection, colitis and colitis-associated colon cancer. In effect, we propose that
miR-223 can act like a rheostat, shaping the mRNA translator of important
inflammation signalling, however we understand little of how this may shape the
immune landscape of the inflamed intestine and impact mucosal healing.
Functionally, miR-223 expression was reduced during macrophage differentiation
and following activation with inflammatory cytokines or bacterial LPS, coinciding
with decreased expression of RISC components and the myeloid transcription
factors, C/EBPβ and PU.1. In contrast, supplementation with miR-223-3p and
miR-223-5p mimetics suppressed macrophage inflammatory responses to LPS,
reducing expression of pro-inflammatory cytokines and chemokines while
promoting a pro-resolving macrophage phenotype. Using in situ hybridization, the dynamic expression of miR-223 across
experimental colitis and recovery was identified. MiR-223-/y mice exhibited
delayed mucosal healing, increased myeloid infiltration, and disruption of the
epithelial stem cell niche. We further mapped the myeloid and macrophage
immune compartment along the continuum of inflammation and healing following
active colitis, and identified an epithelial stem cell growth differential in MiR-223-
/y mice. To begin to identify the mechanistic links that miR-223 can regulate, we
showed that STAT3, a key regulator of intestinal regeneration, was
hyperactivated in miR-223-/y mice following experimentalcolitis. In vitro studies
using miR-223KD macrophages demonstrated regulation of the IL-6 cytokine
family and downstream STAT3 signalling. Co-culture experiments with colonic
epithelial organoids further revealed that macrophage-derived miR-223
influences epithelial regeneration via STAT3-dependent pathways.
Collectively, this work identifies miR-223 as a critical myeloid-derived regulator of
intestinal inflammation, epithelial repair, and stem cell niche maintenance.
| Item Type: | Thesis (PhD) |
|---|---|
| Keywords: | Targeting; myeloid-restricted microRNAs; pro-reparative; macrophage phenotype; mucosal healing; intestine; |
| Academic Unit: | Faculty of Science & Engineering > Biology |
| Item ID: | 21769 |
| Depositing User: | IR eTheses |
| Date Deposited: | 09 Jul 2026 15:37 |
| Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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