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<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
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<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2025.1620225</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>miR-378a-5p targeting BRAF regulates CD4<sup>+</sup>T cells differentiation to Th1 under r<italic>Eg</italic>.P29 induction</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Zhang</surname>
<given-names>Tingting</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Mu</surname>
<given-names>Hu</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
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<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Chuan</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<contrib contrib-type="author">
<name>
<surname>Qian</surname>
<given-names>Bingshuo</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhu</surname>
<given-names>Mingxing</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>School of Clinical Medicine, Ningxia Medical University</institution>, <addr-line>Yinchuan</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Key Laboratory of Common Infectious Disease Prevention and Control in Ningxia, Ningxia Medical University</institution>, <addr-line>Yinchuan</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>School of Inspection, Ningxia Medical University</institution>, <addr-line>Yinchuan</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>School of Basic Medical Sciences, Ningxia Medical University</institution>, <addr-line>Yinchuan</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>General Hospital of Ningxia Medical University, Ningxia Medical University</institution>, <addr-line>Yinchuan</addr-line>,&#xa0;<country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/396717/overview">Herbert Leonel de Matos Guedes</ext-link>, Federal University of Rio de Janeiro, Brazil</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/512173/overview">Oscar Badillo-Godinez</ext-link>, Uppsala University, Sweden</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1909567/overview">Lisa Kronstad</ext-link>, Midwestern University, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Mingxing Zhu, <email xlink:href="mailto:zhumingxing@nxmu.edu.cn">zhumingxing@nxmu.edu.cn</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>04</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1620225</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>08</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Zhang, Mu, Wang, Qian and Zhu.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Zhang, Mu, Wang, Qian and Zhu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Cystic echinococcosis (CE) is a globally distributed zoonotic disease caused by Echinococcus granulosus (Eg) that often presents with insidious onset and asymptomatic progression. Although several Eg-based recombinant vaccines have been developed for the prevention of CE, our previous study demonstrated that recombinant Eg.P29 (r<italic>E</italic>g.P29) is a potent immunogen that induces a robust Th1 immune response. Furthermore, microarray data from miRNA profiling of CD4<sup>+</sup>T cells isolated from mouse spleens showed that miR-378a-5p was significantly upregulated one week after immunization with r<italic>E</italic>g.P29.</p>
</sec> <sec>
<title>Methods</title>
<p>In this context, bioinformatics predictions and dual-luciferase reporter assays identified BRAF as a direct miR-378a-5p target, with downstream signaling involving the MAPK/ERK pathway.</p>
</sec>  <sec>
<title>Results</title>
<p>Our research demonstrated that r<italic>E</italic>g.P29 immunization increased miR-378a-5p expression in na&#xef;ve CD4<sup>+</sup>T cells, reduced BRAF, MEK1/2, and ERK1/2 expression, and promoted Th1 differentiation while inhibiting Th2 differentiation. Overexpression of miR-378a-5p in na&#xef;ve CD4<sup>+</sup>T cells yielded similar results, whereas knockdown of miR-378a-5p had the opposite effect.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>In summary, our findings reveal that under the induction of r<italic>E</italic>g.P29, miR-378a-5p targeted to BRAF regulation and initiated the differentiation of CD4<sup>+</sup>T cells in mouse spleen to Th1 direction, and MAPK/ERK pathway may be involved in this process, identifying miR-378a-5p as apotential biomarker and immunomodulatory target in CE.</p>
</sec>
</abstract>
<kwd-group>
<kwd>
<italic>Echinococcus granulosus</italic> P29</kwd>
<kwd>miR-378a-5p</kwd>
<kwd>BRAF</kwd>
<kwd>CD4<sup>+</sup>T cells differentiation</kwd>
<kwd>MAPK/ERK pathway</kwd>
</kwd-group>
<contract-sponsor id="cn001">Natural Science Foundation of Ningxia Province<named-content content-type="fundref-id">10.13039/501100004772</named-content>
</contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="63"/>
<page-count count="13"/>
<word-count count="4990"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Parasite Immunology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Cystic echinococcosis (CE) is a zoonotic parasitic disease caused by the larval forms of <italic>Echinococcus</italic> tapeworms. It is common in livestock-raising regions such as Central Asia, North and Central Africa, and southwestern Latin America (<xref ref-type="bibr" rid="B1">1</xref>). In China, it is primarily found in the western regions, including Xinjiang, Qinghai, Gansu, Ningxia, and Tibet (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>). This disease leads to significant health and economic losses for both humans and animals (<xref ref-type="bibr" rid="B4">4</xref>&#x2013;<xref ref-type="bibr" rid="B6">6</xref>).</p>
<p>The life cycle of <italic>Echinococcus</italic> spp. involves two types of mammals. CE often causes no apparent symptoms in its early stages and can remain undetected in the host for extended periods (<xref ref-type="bibr" rid="B7">7</xref>&#x2013;<xref ref-type="bibr" rid="B9">9</xref>). Current clinical diagnoses of cystic CE largely rely on imaging techniques, which hinders early diagnosis, as hydatid cysts in the liver are slow growing (<xref ref-type="bibr" rid="B10">10</xref>). Therapeutic strategies for cystic CE primarily involve surgical intervention and pharmacological treatment; however, complete clinical recovery remains difficult due to the high recurrence rate and potential complications associated with both modalities (<xref ref-type="bibr" rid="B11">11</xref>&#x2013;<xref ref-type="bibr" rid="B13">13</xref>). Therefore, vaccine development is essential for preventing CE. For example, <italic>Eg</italic>95 provides 96%&#x2013;98% protection in sheep (<xref ref-type="bibr" rid="B14">14</xref>), and r<italic>Eg</italic>.P29 shows 96.6% and 94.5% protective rates in mice and sheep, respectively (<xref ref-type="bibr" rid="B15">15</xref>&#x2013;<xref ref-type="bibr" rid="B17">17</xref>). r<italic>Eg</italic>.P29 induces both humoral and cellular immune responses, stimulating high levels of specific antibodies and promoting Th1 differentiation, which produces IFN-&#x3b3; and other cytokines to eliminate pathogens (<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>). However, the precise molecular mechanisms underlying r<italic>Eg</italic>.P29-mediated immunomodulation remain unknown. This study aimed to investigate the molecular mechanisms underlying CD4<sup>+</sup>T cells differentiation and the associated signaling pathways involved in this immunomodulatory process.</p>
<p>When infected by <italic>Echinococcus</italic> larvae, the host mounts a sophisticated immunological response. CD4<sup>+</sup>T cells are crucial in the interaction between <italic>Echinococcus</italic> and its host (<xref ref-type="bibr" rid="B20">20</xref>&#x2013;<xref ref-type="bibr" rid="B23">23</xref>). In response to pathogen invasion, na&#xef;ve CD4<sup>+</sup>T cells develop into Th1 and Th2 cells, with Th cell differentiation and activation having a substantial influence on the outcome of the immune response (<xref ref-type="bibr" rid="B24">24</xref>&#x2013;<xref ref-type="bibr" rid="B26">26</xref>).</p>
<p>MicroRNAs, single-stranded non-coding RNAs approximately 22 nucleotides long, are widely expressed in cells. They mainly bind to the 3&#x2019; untranslated region of target genes to degrade mRNA or inhibit translation, thereby regulating gene expression (<xref ref-type="bibr" rid="B27">27</xref>&#x2013;<xref ref-type="bibr" rid="B31">31</xref>). Recent studies have demonstrated that miRNAs are involved in various diseases (<xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B36">36</xref>), including host responses to parasitic infections, by modulating gene expression to evade immune defenses (<xref ref-type="bibr" rid="B37">37</xref>&#x2013;<xref ref-type="bibr" rid="B40">40</xref>). They also regulate CD4<sup>+</sup>T cells development, proliferation, and differentiation during viral and parasitic infections (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B42">42</xref>).</p>
<p>Previous laboratory studies established both hydatid infection and r<italic>Eg</italic>.P29 immunization models, and next-generation sequencing identified miR-378a-5p as significantly upregulated. To further investigate this, target gene prediction tools such as TargetScan, miRDB, and miRWALK suggested that miR-378a-5p may regulate BRAF. Further exploration using the online STRING platform revealed that BRAF is an upstream molecule in the MAPK/ERK pathway. Based on these findings, this study explores the regulation of the miR-378a-5p/BRAF/MAPK-ERK axis in Th1 differentiation of na&#xef;ve CD4<sup>+</sup>T cells in response to r<italic>Eg</italic>.P29-induced immune reactions and identifies miR-378a-5p as a potential biomarker and immunomodulatory target for CE.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Animals</title>
<p>Female BALB/c mice measuring 18&#x2013;25 g at 6&#x2013;8 weeks of age were acquired from Ningxia Medical University&#x2019;s Experimental Animal Centre. The mice were kept at 22&#xb0;C in a specialized pathogen-free (SPF) environment. All experimental protocols, including euthanasia (Sodium pentobarbital (&#x2265;100 ug/kg IP) combo followed by exsanguination), were strictly carried out in accordance with the Ningxia Medical University&#x2019;s Animal Welfare Guidelines.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Expression, purification, and endotoxin removal of r<italic>Eg</italic>.P29</title>
<p>Our laboratory was able to effectively synthesize and recombine the <italic>Eg</italic>.P29 gene from <italic>Echinococcus granulosus</italic> obtained from <italic>Escherichia coli</italic> (<xref ref-type="bibr" rid="B16">16</xref>). The recombinant strain harboring the <italic>Eg</italic>.P29 gene was initially streaked onto LB agar plates supplemented with kanamycin and incubated overnight at 37&#xb0;C to obtain single colonies. A single colony was inoculated into kanamycin-containing LB broth and cultured at 37&#xb0;C with shaking at 200 rpm for approximately 12 h until visible turbidity was observed. The culture was scaled up until the bacterial cells reached the logarithmic growth phase, as indicated by an OD600 value of 0.6, at which point isopropyl &#x3b2;-D-1-thiogalactopyranoside (IPTG) was added to induce <italic>Eg</italic>.P29 expression. Following induction, the cells were harvested by centrifugation, treated with lysozyme and phenylmethylsulfonyl fluoride (PMSF), and lysed by sonication. A pre-equilibrated resin suspension was combined with the supernatant and incubated overnight at 4 &#xb0;C under mild agitation. The recombinant <italic>Eg</italic>.P29 protein was purified using affinity chromatography. Subsequently, endotoxins were eliminated from purified protein and used in animal immunization experiments.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Establishment of a mouse model immunization of r<italic>Eg</italic>.P29</title>
<p>In the r<italic>Eg</italic>.P29 vaccination experiment, 21 female BALB/c mice (6&#x2013;8 weeks old) were randomly assigned to three groups: phosphate-buffered saline (PBS), Freund&#x2019;s complete adjuvant (FCA), and r<italic>Eg</italic>.P29+FCA. The mice in the PBS group received 100 uL of PBS, the FCA group received 20 &#x3bc;g of FCA diluted with 100 uL of PBS, and the r<italic>Eg</italic>.P29+FCA group received 20 &#x3bc;g r<italic>Eg</italic>.P29 and 20 &#x3bc;g of FCA in 100 uL of PBS. To minimize protein degradation during emulsification, the adjuvant and PBS were pre-emulsified briefly before adding the proteins, and the protocol was conducted on ice. The emulsified mixture was then loaded into a 1 mL syringe for immunization. The immunization protocol consisted of two stages, primary and booster immunizations. For booster immunization, Freund&#x2019;s incomplete adjuvant (FIA) was used instead of FCA. Both primary and booster immunizations were administered via a subcutaneous three-point injection.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Isolation of CD4<sup>+</sup>T cells and naive CD4<sup>+</sup>T cells</title>
<p>Mice were euthanized by cervical dislocation and soaked in 75% alcohol. Sterile spleens were then obtained by removing the epidermis. Lymphocytes were isolated from the spleen using a mouse spleen lymphocyte separation medium kit (Tianjin HaoYang Biological Manufacture Co., Ltd., China). Subsequently, CD4<sup>+</sup>T cells were purified from the lymphocytes using a mouse Cells isolation kit (Miltenyi Biotec, Inc., Cologne, Germany), briefly, lymphocytes (1&#xd7;10<sup>7</sup> cells) were labeled with Biotin-Antibody Cocktail in 40 &#x3bc;L MACS buffer (4&#xb0;C, 5 min), followed by incubation with Anti-Biotin MicroBeads (20 &#x3bc;L in 20 &#x3bc;L buffer; 4&#xb0;C, 10 min). Cells were separated through pre-wetted MS columns mounted on a magnetic stand over ice. After centrifugation (350 &#xd7; g, 10 min, 4&#xb0;C), purified cells were resuspended in complete RPMI-1640 medium for subsequent experiments. Naive CD4<sup>+</sup>T cells were further purified using a mouse naive CD4<sup>+</sup>T cells isolation kit (Miltenyi Biotec, Inc., Cologne, Germany), specifically, lymphocytes (1&#xd7;10<sup>7</sup> cells) were first labeled with Naive CD4<sup>+</sup> T Cell Biotin-Antibody Cocktail in 40 &#x3bc;L MACS buffer (4&#xb0;C, 5 min). Subsequently, 20 &#x3bc;L Anti-Biotin MicroBeads and 10 &#x3bc;L CD44 MicroBeads were added in 20 &#x3bc;L buffer (4&#xb0;C, 12 min). Cells were separated through ice-cooled MS columns pre-rinsed with MACS buffer, with sequential loading of cell suspension interrupted by buffer washes. Target cells were collected by centrifugation (350 &#xd7; g, 10 min, 4&#xb0;C) and resuspended in complete RPMI-1640 medium&#x201d;.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Differentiation of naive CD4<sup>+</sup>T cells</title>
<p>The naive CD4<sup>+</sup>T cells were cultured in 24-well plates with 5 &#xd7; 10<sup>5</sup> cells, (precoated with anti-CD3, 1 &#x3bc;g/ml, Thermo Fisher Scientific Co., Ltd, Xian,USA) and were then transfected with miR-378a-5p mimics (60 nM, Shanghai GenePharma Co.,Ltd) and inhibitor (150 nM, QIAGEN, Shanghai GenePharma Co.,Ltd) using HiPerFect transfection reagent (QIAGEN, USA). After 6 h, soluble anti-CD28 (0.2 &#x3bc;g/ml, Thermo Fisher Scientific Co., Ltd, USA) was added along with cytokines that differentiate naive CD4<sup>+</sup>T cells into different T-cell subtypes. For Th1 cells, IL-2 (20 ng/ml, BioLegend, Inc, California, USA.), IL-12 (50 ng/ml, BioLegend, Inc, California, USA.), and anti-IL-4 antibody (10 ng/ml, BioLegend, Inc, California, USA) were added to the well plates for 48 h. To differentiate the cells into Th2 cells, IL-2 (20 ng/ml, BioLegend, Inc, California, USA), IL-4 (10 ng/ml, BioLegend, Inc, California, USA.), and anti-IL-IFN-&#x3b3; antibody (10 ng/ml, BioLegend, Inc, California, USA.) were added to the well plates for 48 h.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Bioinformatics prediction of target genes</title>
<p>Three miRNA target prediction databases were used, namely miRWALK (version 3.0), miRDB (<ext-link ext-link-type="uri" xlink:href="http://mirdb.org/miRDB/">http://mirdb.org/miRDB/</ext-link>), and TargetScan (version 8.0).The analysis was conducted with the species parameter set to <italic>Mus musculus</italic> (mouse) and the miRNA sequence of interest was used as the query. The predicted target genes from each database were subsequently analyzed for common targets using the Venn diagram approach implemented in the Draw Venn Diagram tool. The overlapping target genes identified by all three prediction platforms were considered high-confidence candidates and visualized using a Venn diagram representation.</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Dual-luciferase reporter assay</title>
<p>293T (Key Laboratory of Common Infectious Disease Prevention and Control in Ningxia) cells were reconstituted and cultivated in full media. Wild-type and mutant BRAF plasmids, in conjunction with miR-378a-5p mimics or negative controls (NC), were prepared for transfection. At 70% cellular confluence, transfection complexes were formulated by combining 10 &#x3bc;L DMEM with 0.3 &#x3bc;L transfection reagent and incubated at room temperature for 5 minutes. Concurrently, 10 &#x3bc;L of DMEM was combined with 0.1 &#x3bc;g of plasmid DNA (either wild-type or mutant BRAF) and miR-378a-5p mimics/negative control, followed by a 5-minute incubation at ambient temperature. The transfection reagent was amalgamated with the DNA solution, gently agitated by tapping the tube, and incubated for 10 minutes at an ambient temperature. The completed transfection complexes were uniformly placed into 293T cell culture plates and incubated in a humidified environment (37&#xb0;C, 5% CO<sub>2</sub>) for 48 hours. After incubation, cells were lysed by the addition of 100 &#x3bc;L of Passive Lysis Buffer (PLB) each well in a 96-well plate. Following careful pipetting, the plates were agitated at an ambient temperature for 15 minutes. Cell lysates were aliquoted into 1.5 mL microcentrifuge tubes and subjected to centrifugation at 13,400 &#xd7;g for 8 minutes at 4 &#xb0;C. Supernatants were obtained for further analysis. To quantify luciferase activity, 100 &#x3bc;L of Luciferase Assay Reagent II was mixed with 20 &#x3bc;L of cell lysate in each well. The activity of firefly luciferase was quantified as an internal reference. Subsequently, 100 &#x3bc;L of Stop &amp; Glo<sup>&#xae;</sup> Reagent was administered to each well for the assessment of Renilla luciferase activity. Relative luciferase activity was determined by the ratio of Renilla luciferase activity to firefly luciferase activity.</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>Prediction of interaction pathways with target gene</title>
<p>Log in to the STRING(<ext-link ext-link-type="uri" xlink:href="https://cn.string-db.org/">https://cn.string-db.org/</ext-link>) online database and enter the target gene and species source to obtain the proteins or signaling pathways interacting with the target gene.</p>
</sec>
<sec id="s2_9">
<label>2.9</label>
<title>qRT-PCR</title>
<p>TRIzol (Thermo Fisher Scientific, USA) was used to extract total RNA from CD4<sup>+</sup>T cells and na&#xef;ve CD4<sup>+</sup>T cells. The First Strand cDNA Synthesis Kit (Thermo Fisher Scientific, USA) was used to synthesis cDNA for mRNA analysis. An ABI 7500 Fast Real-Time PCR System (Thermo Fisher Scientific, USA) was used to conduct quantitative real-time PCR (qPCR). The Bestar<sup>&#xae;</sup> Sybr Green qPCR Master Mix (DBI<sup>&#xae;</sup> Bioscience) was used to assess the levels of mRNA expression. Both mRNA and miRNA were normalized using U6 and GAPDH as endogenous controls. The 2&#x2212;&#x394;&#x394;CT technique was used to determine the relative expression levels of genes. <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref> lists the primer sequences utilized in this investigation.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Sequences of primers involved in qRT-PCR.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left">Gene</th>
<th valign="middle" align="left">Forward (5&#x2019;-3&#x2019;)</th>
<th valign="middle" align="left">Reverse (5&#x2019;-3&#x2019;)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">miR-378a-5p</td>
<td valign="middle" align="left">CAAACCTCCTCCTGACTCCAG</td>
<td valign="middle" align="left">TATGCTTGTTCTCGTCTCTGTGTC</td>
</tr>
<tr>
<td valign="middle" align="left">U6</td>
<td valign="middle" align="left">CAGCACATATACTAAAATTGGAACG</td>
<td valign="middle" align="left">ACGAATTTGCGTGTCATCC</td>
</tr>
<tr>
<td valign="middle" align="left">IFN-&#x3b3;</td>
<td valign="middle" align="left">GCCACGGCACAGTCATTGA</td>
<td valign="middle" align="left">TGCTGATGGCCTGATTGTCTT</td>
</tr>
<tr>
<td valign="middle" align="left">IL-4</td>
<td valign="middle" align="left">ATCATCGGCCATTTTGAACGAGG</td>
<td valign="middle" align="left">TGCAGCTCCATGAGAACACTA</td>
</tr>
<tr>
<td valign="middle" align="left">T-bet</td>
<td valign="middle" align="left">CTTGGATCCTTCGCCTACCC</td>
<td valign="middle" align="left">CTTCCCAGACACCTCCAACC</td>
</tr>
<tr>
<td valign="middle" align="left">GATA-3</td>
<td valign="middle" align="left">TCTCACTCTCGAGGCAGCATGA</td>
<td valign="middle" align="left">GGTACCATCTCGCCGCCACAG</td>
</tr>
<tr>
<td valign="middle" align="left">BRAF</td>
<td valign="middle" align="left">CCACAGATGCATCACGGAAC</td>
<td valign="middle" align="left">CATCTTGCGGGTACCACTGT</td>
</tr>
<tr>
<td valign="middle" align="left">MEK-1</td>
<td valign="middle" align="left">TGCCCAAGAAGAAGCCGAC</td>
<td valign="middle" align="left">CTCGTCAAGCTCCAGCTCC</td>
</tr>
<tr>
<td valign="middle" align="left">MEK-2</td>
<td valign="middle" align="left">CCACCTGATGCCAAGGAACT</td>
<td valign="middle" align="left">GTCCATCCCATGACCACTGA</td>
</tr>
<tr>
<td valign="middle" align="left">ERK-1</td>
<td valign="middle" align="left">CACTGGCTTTCTGACGGAGT</td>
<td valign="middle" align="left">CCGGTTGGAGAGCATCTCAG</td>
</tr>
<tr>
<td valign="middle" align="left">ERK-2</td>
<td valign="middle" align="left">TCCAACCTCCTGCTGAACAC</td>
<td valign="middle" align="left">CCAACGTGTGGCTACGTACT</td>
</tr>
<tr>
<td valign="middle" align="left">GAPDH</td>
<td valign="middle" align="left">GGTTGTCTCCTGCGACTTCA</td>
<td valign="middle" align="left">TGGTCCAGGGTTTCTTACTCC</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_10">
<label>2.10</label>
<title>Western blot</title>
<p>Whole-cell lysis buffer (KeyGen Biotech, Jiangsu, China) was used to extract the total protein from the treated cells. A BCA protein quantification assay (KeyGen Biotech, Jiangsu, China) was used to measure the protein content. Protein samples were denatured for eight minutes at 100&#xb0;C after being combined with 5X SDS-PAGE loading buffer (Shanghai Epizyme Biomedical Technology Co., Ltd). After being separated using 12% SDS-PAGE, the denatured proteins were put onto 0.2 &#x3bc;m PVDF membranes. For two hours at room temperature, the membranes were blocked using 5% skim milk in PBST. The membranes were incubated with primary antibodies against Phospho-B-Raf (Ser445), Phospho-MEK1/2, Phospho-p44/42(Erk1) (Tyr204)/(Erk2) (Tyr187) (D1H6G) Mouse mAb, (Cell Signaling Technology, USA)(1:1000), and &#x3b2;-actin, IFN-&#x3b3;, IL-4 (Bioworld Biotech, Nanjing, China)(1:1000) overnight at 4&#xb0;C. Following PBST washing, membranes were incubated for two hours at room temperature with secondary antibodies conjugated to horseradish peroxidase (HRP) (Cell Signaling Technology, Danvers, MA, USA)(1:10000). The ChemiDoc Touch Imaging System (Bio-Rad Laboratories, Shanghai, China) and an ECL detection kit (KeyGen Biotech, Jiangsu, China) were used to observe protein bands. To normalize the results, &#x3b2;-actin was employed as an internal loading control.</p>
</sec>
<sec id="s2_11">
<label>2.11</label>
<title>Staining and flow cytometry</title>
<p>To evaluate the purity of magnetically isolated naive CD4<sup>+</sup> T cells, surface staining was performed using the following antibodies: FITC-anti-CD4, PE-anti-CD44, APC-anti-CD25, and PerCP-Cy5.5-anti-CD62L antibodies (all from BioLegend, San Diego, CA, USA).</p>
</sec>
<sec id="s2_12">
<label>2.12</label>
<title>Statistical analysis</title>
<p>The data was analyzed using GraphPad Prism software and given as mean &#xb1; SD. Student&#x2019;s <italic>t</italic>-test was used to compare two groups. <italic>P</italic>-values &lt; 0.05 were deemed statistically significant.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>The expression, purification, and identification of r<italic>Eg</italic>.P29, as well as its effects on miR-378a-5p and the BRAF-MAPK/ERK pathway in CD4<sup>+</sup>T cells</title>
<p>A His-tag purification kit was used to purify the r<italic>Eg</italic>.P29 protein, and endotoxins were then eliminated (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). The purified protein solution was sterilized by filtration through a 0.22-&#x3bc;m filter
to meet experimental standards. Spleen lymphocytes were isolated from mice, and CD4<sup>+</sup>T cells. with &gt;95% purity were obtained via magnetic-activated cell sorting (MACS). (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1A</bold>
</xref>). Quantitative reverse transcription PCR (qRT-PCR) quantified miR-378a-5p expression in purified CD4<sup>+</sup>T cells. Comparative analysis revealed that r<italic>Eg</italic>.P29, when administered with FCA or FIA, significantly upregulated miR-378a-5p expression in mouse splenic CD4<sup>+</sup>T cells compared with the PBS and adjuvant-only control groups (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). These results suggest that miR-378a-5p was may involved in the differentiation of CD4+T cells in mouse spleen induced by rEg.P29.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>
<bold>(A)</bold> SDS-PAGE Analysis of r<italic>Eg</italic>.P29 after induction, expression, and purification: line 1. Bacterial culture without IPTG induction; line 2. Bacterial culture after IPTG induction; line 3. Purified and endotoxin-free r<italic>Eg</italic>.P29 protein. <bold>(B)</bold> Expression of miR-378a-5p after r<italic>Eg</italic>.P29 immunization. <bold>(C)</bold> Venn diagram of miR-378a-5p target gene predictions from three databases. <bold>(D, E)</bold> The constructs used in the double luciferase assay were psiCHECK-2 vectors, the binding sites of miR-378a-5p and BRAF were illustrated, and the double luciferase reporter assay was statistically analyzed. <bold>(F)</bold> Protein-protein interaction network of target gene BRAF. <bold>(G)</bold> Effects of r<italic>Eg</italic>.P29 Immunization on the mRNA Expression of Key Molecules in the BRAF and MAPK/ERK Pathway in Mice. <bold>(H)</bold> Effects of r<italic>Eg</italic>.P29 Immunization on the Protein Expression of Key Molecules in the BRAF and MAPK/ERK Pathway in Mice. ****<italic>P</italic>&lt;0.0001, ***<italic>P</italic>&lt;0.001, **<italic>P</italic>&lt;0.01, *<italic>P</italic>&lt;0.05; ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1620225-g001.tif">
<alt-text content-type="machine-generated">Gel electrophoresis (A) shows protein bands of varying molecular weights. Graph (B) depicts miR-378a-5p expression across different treatments, indicating statistical significance. Venn diagram (C) shows overlapping gene targets among databases. Diagram (D) illustrates the SV40 promoter and Braf 3'UTR sequence interaction with miR-378a-5p. Bar chart (E) displays luciferase activity for different constructs. Network (F) visualizes protein interactions. Scatter plots (G) compare mRNA expression levels of BRAF, MEK1/2, and ERK1/2 across treatments. Western blots (H) show protein expression for p-Braf, Braf, p-MEK1/2, MEK1/2, p-ERK1/2, and ERK1/2 with corresponding graphs indicating significant differences.</alt-text>
</graphic>
</fig>
<p>To elucidate the specific mechanism by which r<italic>Eg</italic>.P29-induced miR-378a-5p modulates CD4<sup>+</sup>T cells differentiation into Th1 cells, we used three databases (miRWalk, miRDB, and TargetScan) to predict miR-378a-5p target genes. Intersecting the target genes from these databases identified 108 overlapping genes (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>). Dual luciferase results showed that co-transfection of miR-378a-5p mimics in 293T cells significantly inhibited the luciferase activity of Braf wild-type 3&#x2019;-UTR, validated BRAF as a target gene regulated by miR-378a-5p (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1D, E</bold>
</xref>). Using the STRING online database, we analyzed BRAF-interacting proteins and found a significant association between BRAF and the MAPK pathway (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1F</bold>
</xref>). Extensive research emphasizes BRAF&#x2019;s crucial function in regulating the MAPK/ERK signaling pathway, which is critical for cell division and differentiation in many disorders (<xref ref-type="bibr" rid="B43">43</xref>&#x2013;<xref ref-type="bibr" rid="B50">50</xref>). One week after using rEg.P29 immunized mice, spleen lymphocytes were isolated from mice, and CD4<sup>+</sup>T cells with &gt;95% purity were obtained using magnetic bead sorting. mRNA and protein expression levels of BRAF, MEK1/2, and ERK1/2 in CD4<sup>+</sup>T cells were quantified by qRT-PCR and western blotting, respectively. The results demonstrated that r<italic>Eg</italic>.P29 combined with FCA/FIA significantly downregulated BRAF, MEK1/2, and ERK1/2 expression in mouse splenic CD4<sup>+</sup>T cells compared to the PBS and adjuvant groups (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1G, H</bold>
</xref>). These findings suggest that the BRAF and MAPK/ERK signaling pathways are may involved in miR-378a-5p-mediated regulation of CD4<sup>+</sup>T cells differentiation induced by r<italic>Eg</italic>.P29.</p>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Effect of miR-378a-5p on the differentiation of na&#xef;ve CD4<sup>+</sup>T Cells towards Th1 and Th2 subsets</title>
<p>First, the optimal concentration of miR-378a-5p mimics or miR-378a-5p inhibitors were screened.
(<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1B</bold>
</xref>). Then, Magnetic bead sorting was used to separate na&#xef;ve CD4<sup>+</sup>T cells from mouse splenic lymphocytes, Na&#xef;ve CD4<sup>+</sup>T cells were transfected with miR-378a-5p mimics, miR-mimics negative control (miR-mimics-NC), miR-378a-5p inhibitors, or miR-inhibitor negative control (miR-inhibitor-NC),following transfection, cells were polarized towards either the Th1 or Th2 lineage using lineage-specific cytokine cocktails. After 48 hours of stimulation, total RNA and total protein were extracted for downstream analyses. We found that miR-378a-5p mimics substantially increased Th1-associated cytokine IFN-&#x3b3; and transcription factor T-bet expression compared to the control group, according to qRT-PCR analysis. In contrast, miR-378a-5p inhibitors drastically decreased these indicators. In contrast, miR-378a-5p mimics decreased the production of the Th2-associated cytokine IL-4 and transcription factor GATA-3, whereas miR-378a-5p inhibitors boosted their levels. (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A, B</bold>
</xref>). Western blot analyses confirmed these findings, showing that miR-378a-5p mimics increased IFN-&#x3b3; levels and decreased IL-4 levels, whereas miR-378a-5p inhibition had the opposite effects (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2C, D</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Na&#xef;ve CD4<sup>+</sup>T cells were transfected with miR-378a-5p mimics, miR-mimics negative control (miR-mimics-NC), miR-378a-5p inhibitors, or miR-inhibitor negative control (miR-inhibitor-NC),following transfection, cells were polarized towards either the Th1 or Th2 lineage using lineage-specific cytokine cocktails. <bold>(A)</bold> Following Th1 polarization, mRNA expression levels of IFN-&#x3b3; and T-bet were quantified using RT-qPCR. <bold>(B)</bold> Following Th2 polarization, mRNA expression levels of IL-4 and GATA-3 were quantified using RT-qPCR <bold>(C)</bold> Following Th1 polarization, protein expression levels of IFN-&#x3b3; was analyzed by Western blotting. <bold>(D)</bold> Following Th2 polarization, protein expression levels of IL-4 was analyzed by Western blotting. ****<italic>P</italic>&lt;0.0001, ***<italic>P</italic>&lt;0.001, **<italic>P</italic>&lt;0.01, *<italic>P</italic>&lt;0.05; ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1620225-g002.tif">
<alt-text content-type="machine-generated">Graphs and Western blots display the impact of miR-378a-5p mimics and inhibitors on mRNA and protein expression levels. Panel A shows increased IFN-&#x3b3; and T-bet mRNA with miR-378a-5p mimics and decreased with inhibitors. Panel B illustrates decreased IL-4 and GATA3 mRNA with mimics and increased with inhibitors. Panels C and D feature Western blots and corresponding bar graphs of IFN-&#x3b3; and IL-4 protein expression respectively, showing changes following treatment with mimics and inhibitors. Statistical significance is indicated with asterisks.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Evaluation of miR-378a-5p on BRAF and the MAPK/ERK pathway</title>
<p>To determine the mechanism by which r<italic>Eg</italic>.P29 induces miR-378a-5p to regulate CD4<sup>+</sup>T cells differentiation toward the Th1 phenotype, we examined the expression of key molecules in the BRAF and MAPK/ERK pathways at the mRNA and protein levels using qRT-PCR and Western blot analyses. The results demonstrated that overexpression of miR-378a-5p significantly decreased the mRNA and protein expression levels of BRAF, MEK1/2, and ERK1/2. Conversely, miR-378a-5p inhibition significantly increased the expression of these molecules (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A&#x2013;D</bold>
</xref>). These findings suggest that under the induction of rEg.P29, miR-378a-5p targeted to BRAF regulation and initiated the differentiation of CD4<sup>+</sup>T cells in mouse spleen to Th1 direction, and MAPK/ERK pathway may be involved in this process.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>
<bold>(A)</bold> qRT-PCR was used to analyze BRAF, MEK1/2, and ERK1/2 levels in na&#xef;ve CD4<sup>+</sup>T cells transfected with miR-378a-5p mimics and miR- m-NC (miR- mimics-NC). <bold>(B)</bold> qRT-PCR was used to analyze BRAF, MEK1/2, and ERK1/2 levels in na&#xef;ve CD4<sup>+</sup>T cells transfected with miR-378a-5p inhibitor and miR- i-NC (miR- inhibitor-NC). <bold>(C)</bold> Western blot was used to analyze BRAF, MEK1/2, and ERK1/2 levels in na&#xef;ve CD4<sup>+</sup>T cells transfected with miR-378a-5p mimics and miR- m-NC (miR- mimics-NC). <bold>(D)</bold> Western blot was used to analyze BRAF, MEK1/2, and ERK1/2 levels in na&#xef;ve CD4<sup>+</sup>T cells transfected with miR-378a-5p inhibitor and miR- i-NC (miR- inhibitor-NC). ****P&lt;0.0001, ***P&lt;0.001, **P&lt;0.01, *P&lt;0.05; ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1620225-g003.tif">
<alt-text content-type="machine-generated">Graphs and western blot analysis illustrating the effects of miR-378a-5p mimics and inhibitors on BRAF, ERK1, ERK2, MEK1, and MEK2 expression. Panels A and B show mRNA expression levels, with significant differences indicated by asterisks. Panels C and D display protein expression, with western blots and bar graphs highlighting relative changes in phosphorylation of BRAF, MEK, and ERK proteins under different conditions.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Effect of BRAF on differentiation of na&#xef;ve CD4<sup>+</sup>T cells towards Th1 and Th2</title>
<p>Magnetic bead-based cell sorting was used to extract na&#xef;ve CD4<sup>+</sup>T cells from mouse splenic lymphocytes. To elucidate the regulatory function of BRAF in CD4<sup>+</sup>T cells differentiation, we first Screened of OE-<italic>BRAF</italic> (overexpression - <italic>BRAF</italic>) via Recombinant Lentivirus Packaging (<xref ref-type="supplementary-material" rid="SF2">
<bold>Supplementary Figure&#xa0;2A</bold>
</xref>),.and synthesized siRNA-<italic>BRAF</italic> (siRNA-induced <italic>BRAF</italic> silencing) by GenePharma company, then, determined the optimal transfection about OE-<italic>BRAF</italic> and siRNA-<italic>BRAF.</italic> we performed qRT-PCR to assess the effects of OE-<italic>BRAF</italic> and siRNA-<italic>BRAF</italic>. Our findings revealed that OE-<italic>BRAF</italic> significantly suppressed the expression of Th1-associated cytokine IFN-&#x3b3; and its key transcription factor T-bet relative to control groups. In contrast, siRNA-<italic>BRAF</italic> significantly enhanced the expression of Th1 markers (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A</bold>
</xref>). Conversely, OE-<italic>BRAF</italic> promoted the expression of the Th2-associated cytokine IL-4 and its transcription factor GATA-3, whereas siRNA-<italic>BRAF</italic> significantly attenuated their expression (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4B</bold>
</xref>). These observations were further corroborated by Western blot analysis, which demonstrated that OE-<italic>BRAF</italic> reduced IFN-&#x3b3; production while augmenting IL-4 expression (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4C, D</bold>
</xref>). Taken together, these data indicate that OE-<italic>BRAF</italic> inhibits Th1 differentiation in primary CD4<sup>+</sup>T cells, whereas siRNA-<italic>BRAF</italic> promote Th1 differentiation.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>
<bold>(A)</bold> qRT-PCR was used to analyze IFN-&#x3b3; and T-bet levels in na&#xef;ve CD4<sup>+</sup>T cells transfected with OE-<italic>BRAF</italic> or siRNA-<italic>BRAF</italic>. <bold>(B)</bold> qRT-PCR was used to analyze IL-4 and GATA-3 levels in na&#xef;ve CD4<sup>+</sup>T cells transfected with OE-<italic>BRAF</italic> or siRNA-<italic>BRAF</italic> <bold>(C)</bold> Western blot was used to analyze IFN-&#x3b3; levels in na&#xef;ve CD4<sup>+</sup>T cells transfected with OE-<italic>BRAF</italic> or siRNA-<italic>BRAF</italic>. <bold>(D)</bold> Western blot was used to analyze IL-4 levels in na&#xef;ve CD4<sup>+</sup>T cells transfected with OE-<italic>BRAF</italic> or siRNA-<italic>BRAF</italic>. ****P&lt;0.0001, ***P&lt;0.001, **P&lt;0.01, *P&lt;0.05; ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1620225-g004.tif">
<alt-text content-type="machine-generated">Graphs A and B display mRNA expression levels of IFN-&#x3b3;, T-bet, IL-4, and GATA3 under conditions OE-NC, OE-BRAF, siRNA-NC, and siRNA-BRAF. Bar graphs in C and D show IFN-&#x3b3; and IL-4 protein expression with corresponding Western blots. Significant differences are denoted with asterisks.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Impact of co-transfection with miR-378a-5p and <italic>BRAF</italic> on Th1 and Th2 differentiation</title>
<p>Using qRT-PCR, the impact of co-transfection <italic>BRAF</italic> and miR-378a-5p on Th1/Th2 differentiation was evaluated. Th1-associated cytokine IFN-&#x3b3; and transcription factor T-bet levels in CD4<sup>+</sup>T cells co-transfected with OE-<italic>BRAF</italic> and miR-378a-5p mimics were greater than those in cells transfected with OE-<italic>BRAF</italic> alone, but considerably lower than those in cells transfected with miR-378a-5p mimics alone. Contrastingly, when cells were co-transfected with the miR-378a-5p inhibitor and siRNA-<italic>BRAF</italic>, Th1 cytokineTh1-associated cytokine IFN-&#x3b3; and transcription factor T-bet levels significantly decreased in comparison to cells transfected with siRNA-<italic>BRAF</italic> alone, but they did significantly rise in comparison to cells transfected with the miR-378a-5p inhibitor alone. (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A&#x2013;D</bold>
</xref>). Moreover, Th2-associated cytokine IL-4 and transcription factor GATA-3 levels were considerably increased by co-transfection with miR-378a-5p mimics and OE-<italic>BRAF</italic> in comparison to cells transfected with miR-378a-5p mimics alone but decreased in comparison to cells transfected with OE-<italic>BRAF</italic> alone. Conversely, Th2-associated cytokine IL-4 and transcription factor GATA-3 levels were significantly lower after co-transfection with the miR-378a-5p inhibitor and siRNA-<italic>BRAF</italic>, than after cells transfected with the miR-378a-5p inhibitor alone, but higher after co-transfection with siRNA-<italic>BRAF</italic> (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5E&#x2013;H</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>
<bold>(A&#x2013;D)</bold> qRT-PCR was used to analyze IFN-&#x3b3; and T-bet levels in na&#xef;ve CD4<sup>+</sup>T cells after Co-Transfection with miR-378a-5p and <italic>BRAF</italic>. <bold>(E&#x2013;H)</bold> qRT-PCR was used to analyze IL-4 and GATA-3 levels in na&#xef;ve CD4<sup>+</sup>T cells after Co-Transfection with miR-378a-5p and <italic>BRAF</italic>. ****P&lt;0.0001, ***P&lt;0.001, **P&lt;0.01, *P&lt;0.05; ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1620225-g005.tif">
<alt-text content-type="machine-generated">Eight bar graphs labeled A to H show mRNA expression levels of IFN-&#x3b3;, T-bet, IL-4, and GATA3 under various conditions. Significant differences are marked with asterisks: ns (not significant), *, **, ***, and ****. Conditions include miR-mimic or inhibitor with either OE-BRAF or siRNA-BRAF, and controls. Each graph highlights the expression variation among the experimental setups.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>Recent research has shown that vaccinating intermediate hosts is a viable technique for preventing the spread of CE. Vaccines such as <italic>Eg</italic>95, <italic>Eg</italic>29, and <italic>Eg</italic>N123 have shown promising immune protection (<xref ref-type="bibr" rid="B51">51</xref>&#x2013;<xref ref-type="bibr" rid="B53">53</xref>). However, their high costs hinder their widespread use. Therefore, investigating immunological mechanisms is essential to guide the development of more effective vaccines.</p>
<p>CD4<sup>+</sup>T cells are crucial to immunological responses, and their differentiation is directly influences by <italic>E. granulosus</italic> infection. Th1 immune differentiation is associated with immunological protection, whereas Th2 immunity is linked to parasite growth in later stages of infection (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B54">54</xref>).</p>
<p>Previous investigations have indicated that r<italic>Eg</italic>.P29 provides strong immunological protection in both sheep and mice. Additionally, miRNA microarray analysis of immunized and infected mice suggested upregulation of miR-378a-5p. Although research on the role of the miR-378 family in T cell immune regulation is limited, most studies focus on its involvement in cancer. The miR-378 family is highly expressed in normal tissues and exerts protective effects, including guarding the heart from ischemic injury, inhibiting cardiomyocyte hypertrophy, and preventing liver fibrosis (<xref ref-type="bibr" rid="B55">55</xref>). Mice lacking miR-378 or with a conditional knockout, exhibit impaired maintenance of muscle mass, reduced exercise capacity, autophagy dysfunction, mitochondrial accumulation, and severe apoptosis in skeletal muscle cells. In contrast, miR-378 overexpression promotes autophagy and prevents skeletal muscle cell death (<xref ref-type="bibr" rid="B56">56</xref>&#x2013;<xref ref-type="bibr" rid="B60">60</xref>). In light of these findings, we examined miR-378a-5p expression to explore its potential role in r<italic>Eg</italic>.P29-induced immune regulation. Our findings demonstrated that in na&#xef;ve CD4<sup>+</sup>T cells, miR-378a-5p inhibited Th2 development while promoting Th1 differentiation.</p>
<p>To further understand the molecular mechanism behind miR-378a-5p-mediated CD4<sup>+</sup>T cells differentiation, we utilized miRNA target prediction algorithms, bioinformatics analysis, and literature review to identify BRAF as a potential target. A dual-luciferase reporter gene assay confirmed that BRAF is a direct target of miR-378a-5p. Functional studies showed that miR-378a-5p overexpression significantly reduced BRAF mRNA levels and protein phosphorylation, whereas miR-378a-5p inhibition had the opposite effect. To further investigate this, we generated lentiviral constructs for BRAF overexpression and RNA interference, which were transfected into na&#xef;ve CD4<sup>+</sup>T cells from mouse spleens. These experiments confirmed that miR-378a-5p promotes Th1 differentiation by inhibiting BRAF. Using the STRING database for protein interaction analysis, we found that BRAF is closely linked to the MAPK/ERK signaling pathway. ERK activation in T-cell precursors promotes CD4<sup>+</sup>T cells differentiation (<xref ref-type="bibr" rid="B61">61</xref>), and ERK-mediated regulation of the IL-4 receptor (IL-4R) influences Th2 differentiation by increasing IL-10 production (<xref ref-type="bibr" rid="B62">62</xref>, <xref ref-type="bibr" rid="B63">63</xref>). Our data demonstrated that miR-378a-5p overexpression significantly reduced the mRNA levels and phosphorylation of MEK1/2 and ERK1/2, while miR-378a-5p inhibition produced the opposite effect. These results suggest that miR-378a-5p-mediated Th1 differentiation via BRAF inhibition may involve the MAPK/ERK pathway.</p>
<p>In conclusion, our <italic>in vivo</italic> and <italic>in vitro</italic> experiments demonstrated that r<italic>Eg</italic>.P29 induction leads to miR-378a-5p targeting BRAF, which regulates the differentiation of na&#xef;ve CD4<sup>+</sup>T cells from mouse spleens toward Th1 cells, potentially via the MAPK/ERK pathway. This study offers new insights and a theoretical foundation for the development of anti-<italic>Echinococcosis</italic> vaccines.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by Ethics Committee of Ningxia Medical University. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>TZ: Validation, Software, Writing &#x2013; review &amp; editing, Conceptualization, Formal Analysis, Writing &#x2013; original draft, Methodology, Data curation, Investigation. HM: Investigation, Data curation, Validation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing, Formal Analysis, Software. CW: Data curation, Software, Writing &#x2013; review &amp; editing, Writing &#x2013; original draft. BQ: Software, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing, Data curation. MZ: Writing &#x2013; original draft, Formal Analysis, Software, Conceptualization, Data curation, Resources, Visualization, Project administration, Writing &#x2013; review &amp; editing, Funding acquisition, Investigation, Supervision, Methodology, Validation.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research and/or publication of this article. This study was funded by Ningxia Natural Science Foundation 2025A0790 and Open Research Projects of the Key Laboratory for Prevention and Control of Common Infectious Diseases in Ningxia (2023-KF003, 2024-KF003).</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We thank all those who contributed to this article.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s12" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2025.1620225/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2025.1620225/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Image1.tif" id="SM1" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;1</label>
<caption>
<p>
<bold>(A)</bold> Purity evaluation of first CD4<sup>+</sup>T lymphocytes sorted using magnetic beads. <bold>(B)</bold> Evaluation of various transfection concentrations of miR-378a-5p mimics and inhibitors.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image2.jpeg" id="SF2" mimetype="image/jpeg">
<label>Supplementary Figure&#xa0;2</label>
<caption>
<p>
<bold>(A)</bold> Lentivirus Packaging in 293T cells. OE-NC: Fluorescence image of cells transduced with the empty lentiviral vector showing baseline fluorescence; OE-BRAF: Fluorescence image of cells transduced with the BRAF overexpression lentiviral vector (OE-BRAF) showing enhanced fluorescence. <bold>(B)</bold> BRAF Overexpression Lentivirus: the effect of BRAF overexpression lentivirus on BRAF expression. <bold>(C)</bold> BRAF Interference Fragments: The impact of different BRAF interference fragments on BRAF expression.</p>
</caption>
</supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tamarozzi</surname> <given-names>F</given-names>
</name>
<name>
<surname>Legnardi</surname> <given-names>M</given-names>
</name>
<name>
<surname>Fittipaldo</surname> <given-names>A</given-names>
</name>
<name>
<surname>Drigo</surname> <given-names>M</given-names>
</name>
<name>
<surname>Cassini</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Epidemiological distribution of Echinococcus granulosus s.l. infection in human and domestic animal hosts in European Mediterranean and Balkan countries: A systematic review</article-title>. <source>PloS Negl Trop Dis</source>. (<year>2020</year>) <volume>14</volume>:<fpage>e8519</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pntd.0008519</pub-id>, PMID: <pub-id pub-id-type="pmid">32776936</pub-id></citation></ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Romig</surname> <given-names>T</given-names>
</name>
</person-group>. <article-title>Epidemiology of echinococcosis</article-title>. <source>Langenbecks Arch Surg</source>. (<year>2003</year>) <volume>388</volume>:<page-range>209&#x2013;17</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00423-003-0413-3</pub-id>, PMID: <pub-id pub-id-type="pmid">12937989</pub-id></citation></ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Larrieu</surname> <given-names>E</given-names>
</name>
<name>
<surname>Gavidia</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Lightowlers</surname> <given-names>MW</given-names>
</name>
</person-group>. <article-title>Control of cystic echinococcosis: Background and prospects</article-title>. <source>Zoonoses Public Health</source>. (<year>2019</year>) <volume>66</volume>:<page-range>889&#x2013;99</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/zph.12649</pub-id>, PMID: <pub-id pub-id-type="pmid">31529690</pub-id></citation></ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Woolsey</surname> <given-names>ID</given-names>
</name>
<name>
<surname>Miller</surname> <given-names>AL</given-names>
</name>
</person-group>. <article-title>Echinococcus granulosus sensu lato and Echinococcus multilocularis: A review</article-title>. <source>Res Vet Sci</source>. (<year>2021</year>) <volume>135</volume>:<page-range>517&#x2013;22</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.rvsc.2020.11.010</pub-id>, PMID: <pub-id pub-id-type="pmid">33246571</pub-id></citation></ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Kui</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Xue</surname> <given-names>CZ</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>CJ</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>JS</given-names>
</name>
<etal/>
</person-group>. <article-title>Past, present and future epidemiology of echinococcosis in China based on nationwide surveillance data 2004-2022</article-title>. <source>J Infect</source>. (<year>2025</year>) <volume>90</volume>:<fpage>106445</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jinf.2025.106445</pub-id>, PMID: <pub-id pub-id-type="pmid">39956527</pub-id></citation></ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Quzhen</surname> <given-names>G</given-names>
</name>
<name>
<surname>Qin</surname> <given-names>M</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Pang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Frutos</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>Geographic distribution and prevalence of human echinococcosis at the township level in the Tibet Autonomous Region</article-title>. <source>Infect Dis Poverty</source>. (<year>2022</year>) <volume>11</volume>:<fpage>10</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s40249-022-00933-9</pub-id>, PMID: <pub-id pub-id-type="pmid">35063031</pub-id></citation></ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pourseif</surname> <given-names>MM</given-names>
</name>
<name>
<surname>Moghaddam</surname> <given-names>G</given-names>
</name>
<name>
<surname>Daghighkia</surname> <given-names>H</given-names>
</name>
<name>
<surname>Nematollahi</surname> <given-names>A</given-names>
</name>
<name>
<surname>Omidi</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>A novel B- and helper T-cell epitopes-based prophylactic vaccine against Echinococcus granulosus</article-title>. <source>Bioimpacts</source>. (<year>2018</year>) <volume>8</volume>:<fpage>39</fpage>&#x2013;<lpage>52</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.15171/bi.2018.06</pub-id>, PMID: <pub-id pub-id-type="pmid">29713601</pub-id></citation></ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>McManus</surname> <given-names>DP</given-names>
</name>
<name>
<surname>Gray</surname> <given-names>DJ</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>W</given-names>
</name>
<etal/>
</person-group>. <article-title>Diagnosis, treatment, and management of echinococcosis</article-title>. <source>BMJ</source>. (<year>2012</year>) <volume>344</volume>:<fpage>e3866</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1136/bmj.e3866</pub-id>, PMID: <pub-id pub-id-type="pmid">22689886</pub-id></citation></ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>D&#xed;az</surname> <given-names>&#xc1;</given-names>
</name>
<name>
<surname>Fern&#xe1;ndez</surname> <given-names>C</given-names>
</name>
<name>
<surname>Pittini</surname> <given-names>&#xc1;</given-names>
</name>
<name>
<surname>Seoane</surname> <given-names>PI</given-names>
</name>
<name>
<surname>Allen</surname> <given-names>JE</given-names>
</name>
<name>
<surname>Casaravilla</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>The laminated layer: Recent advances and insights into Echinococcus biology and evolution</article-title>. <source>Exp Parasitol</source>. (<year>2015</year>) <volume>158</volume>:<fpage>23</fpage>&#x2013;<lpage>30</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.exppara.2015.03.019</pub-id>, PMID: <pub-id pub-id-type="pmid">25816974</pub-id></citation></ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brunetti</surname> <given-names>E</given-names>
</name>
<name>
<surname>Kern</surname> <given-names>P</given-names>
</name>
<name>
<surname>Vuitton</surname> <given-names>DA</given-names>
</name>
</person-group>. <article-title>Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans</article-title>. <source>Acta Trop</source>. (<year>2010</year>) <volume>114</volume>:<fpage>1</fpage>&#x2013;<lpage>16</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.actatropica.2009.11.001</pub-id>, PMID: <pub-id pub-id-type="pmid">19931502</pub-id></citation></ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ma</surname> <given-names>J</given-names>
</name>
<name>
<surname>Wei</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>D</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>D</given-names>
</name>
<etal/>
</person-group>. <article-title>Identification of a novel linear B-cell epitope as a vaccine candidate in the N2N3 subdomain of Staphylococcus aureus fibronectin-binding protein A</article-title>. <source>J Med Microbiol</source>. (<year>2018</year>) <volume>67</volume>:<page-range>423&#x2013;31</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1099/jmm.0.000633</pub-id>, PMID: <pub-id pub-id-type="pmid">29458526</pub-id></citation></ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>HQ</given-names>
</name>
<name>
<surname>Wei</surname> <given-names>SS</given-names>
</name>
<name>
<surname>Li</surname> <given-names>B</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Multiple B-cell epitope vaccine induces a Staphylococcus enterotoxin B-specific IgG1 protective response against MRSA infection</article-title>. <source>Sci Rep</source>. (<year>2015</year>) <volume>5</volume>:<fpage>12371</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/srep12371</pub-id>, PMID: <pub-id pub-id-type="pmid">26201558</pub-id></citation></ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baykan</surname> <given-names>AH</given-names>
</name>
<name>
<surname>Aydin</surname> <given-names>E</given-names>
</name>
<name>
<surname>Koc</surname> <given-names>M</given-names>
</name>
<name>
<surname>Sahin</surname> <given-names>H</given-names>
</name>
<name>
<surname>Karul</surname> <given-names>A</given-names>
</name>
<name>
<surname>Baykan</surname> <given-names>ME</given-names>
</name>
<etal/>
</person-group>. <article-title>Hydatid disease: imaging, treatment, and beyond</article-title>. <source>Clin Radiol</source>. (<year>2025</year>) <volume>80</volume>:<fpage>106748</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.crad.2024.106748</pub-id>, PMID: <pub-id pub-id-type="pmid">39631363</pub-id></citation></ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Johnson</surname> <given-names>KS</given-names>
</name>
<name>
<surname>Harrison</surname> <given-names>GB</given-names>
</name>
<name>
<surname>Lightowlers</surname> <given-names>MW</given-names>
</name>
<name>
<surname>O'Hoy</surname> <given-names>KL</given-names>
</name>
<name>
<surname>Cougle</surname> <given-names>WG</given-names>
</name>
<name>
<surname>Dempster</surname> <given-names>RP</given-names>
</name>
<etal/>
</person-group>. <article-title>Vaccination against ovine cysticercosis using a defined recombinant antigen</article-title>. <source>Nature</source>. (<year>1989</year>) <volume>338</volume>:<page-range>585&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/338585a0</pub-id>, PMID: <pub-id pub-id-type="pmid">2648160</pub-id></citation></ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gonz&#xe1;lez</surname> <given-names>G</given-names>
</name>
<name>
<surname>Spinelli</surname> <given-names>P</given-names>
</name>
<name>
<surname>Lorenzo</surname> <given-names>C</given-names>
</name>
<name>
<surname>Hellman</surname> <given-names>U</given-names>
</name>
<name>
<surname>Nieto</surname> <given-names>A</given-names>
</name>
<name>
<surname>Willis</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Molecular characterization of P-29, a metacestode-specific component of Echinococcus granulosus which is immunologically related to, but distinct from, antigen 5</article-title>. <source>Mol Biochem Parasitol</source>. (<year>2000</year>) <volume>105</volume>:<page-range>177&#x2013;84</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S0166-6851(99)00166-8</pub-id>, PMID: <pub-id pub-id-type="pmid">10693741</pub-id></citation></ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shi</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Bo</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Ma</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>Cloning, expression, and protective immunity in mice of a gene encoding the diagnostic antigen P-29 of Echinococcus granulosus</article-title>. <source>Acta Biochim Biophys Sin (Shanghai)</source>. (<year>2009</year>) <volume>41</volume>:<fpage>79</fpage>&#x2013;<lpage>85</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/abbs/gmn009</pub-id>, PMID: <pub-id pub-id-type="pmid">19129953</pub-id></citation></ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>F</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>M</given-names>
</name>
<name>
<surname>He</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Immunoprotection of recombinant <italic>Eg.</italic>P29 against Echinococcus granulosus in sheep</article-title>. <source>Vet Res Commun</source>. (<year>2016</year>) <volume>40</volume>:<page-range>73&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s11259-016-9656-7</pub-id>, PMID: <pub-id pub-id-type="pmid">27094043</pub-id></citation></ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lv</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Li</surname> <given-names>S</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>T</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Tao</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Identification of B-cell dominant epitopes in the recombinant protein P29 from Echinococcus granulosus</article-title>. <source>Immun Inflammation Dis</source>. (<year>2022</year>) <volume>10</volume>:<fpage>e611</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/iid3.611</pub-id>, PMID: <pub-id pub-id-type="pmid">35478448</pub-id></citation></ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Du</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>T</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>C</given-names>
</name>
<name>
<surname>Tao</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>The Recombinant <italic>Eg.</italic>P29-Mediated miR-126a-5p Promotes the Differentiation of Mouse Naive CD4(+) T Cells via DLK1-Mediated Notch1 Signal Pathway</article-title>. <source>Front Immunol</source>. (<year>2022</year>) <volume>13</volume>:<elocation-id>773276</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2022.773276</pub-id>, PMID: <pub-id pub-id-type="pmid">35211114</pub-id></citation></ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baz</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ettlin</surname> <given-names>GM</given-names>
</name>
<name>
<surname>Dematteis</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Complexity and function of cytokine responses in experimental infection by Echinococcus granulosus</article-title>. <source>Immunobiology</source>. (<year>2006</year>) <volume>211</volume>:<fpage>3</fpage>&#x2013;<lpage>9</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.imbio.2005.09.001</pub-id>, PMID: <pub-id pub-id-type="pmid">16446166</pub-id></citation></ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Ross</surname> <given-names>AG</given-names>
</name>
<name>
<surname>McManus</surname> <given-names>DP</given-names>
</name>
</person-group>. <article-title>Mechanisms of immunity in hydatid disease: implications for vaccine development</article-title>. <source>J Immunol</source>. (<year>2008</year>) <volume>181</volume>:<page-range>6679&#x2013;85</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4049/jimmunol.181.10.6679</pub-id>, PMID: <pub-id pub-id-type="pmid">18981082</pub-id></citation></ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pang</surname> <given-names>N</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>F</given-names>
</name>
<name>
<surname>Li</surname> <given-names>S</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>C</given-names>
</name>
<name>
<surname>An</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>TGF-beta/Smad signaling pathway positively up-regulates the differentiation of Interleukin-9-producing CD4(+) T cells in human Echinococcus granulosus infection</article-title>. <source>J Infect</source>. (<year>2018</year>) <volume>76</volume>:<page-range>406&#x2013;16</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jinf.2018.01.005</pub-id>, PMID: <pub-id pub-id-type="pmid">29391143</pub-id></citation></ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Petrone</surname> <given-names>L</given-names>
</name>
<name>
<surname>Vanini</surname> <given-names>V</given-names>
</name>
<name>
<surname>Petruccioli</surname> <given-names>E</given-names>
</name>
<name>
<surname>Ettorre</surname> <given-names>GM</given-names>
</name>
<name>
<surname>Schinin&#xe0;</surname> <given-names>V</given-names>
</name>
<name>
<surname>Busi Rizzi</surname> <given-names>E</given-names>
</name>
<etal/>
</person-group>. <article-title>Polyfunctional specific response to echinococcus granulosus associates to the biological activity of the cysts</article-title>. <source>PloS Negl Trop Dis</source>. (<year>2015</year>) <volume>9</volume>:<fpage>e4209</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pntd.0004209</pub-id>, PMID: <pub-id pub-id-type="pmid">26575186</pub-id></citation></ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rostami-Rad</surname> <given-names>S</given-names>
</name>
<name>
<surname>Jafari</surname> <given-names>R</given-names>
</name>
<name>
<surname>Yousofi</surname> <given-names>DH</given-names>
</name>
</person-group>. <article-title>Th1/Th2-type cytokine profile in C57 black mice inoculated with live Echinococcus granulosus protoscolices</article-title>. <source>J Infect Public Health</source>. (<year>2018</year>) <volume>11</volume>:<page-range>834&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jiph.2018.06.007</pub-id>, PMID: <pub-id pub-id-type="pmid">30033229</pub-id></citation></ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>J</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Mechanism of protective immunity by vaccination with recombinant Echinococcus granulosus glutathione S-transferase (Chinese strain) in mice</article-title>. <source>Exp Ther Med</source>. (<year>2015</year>) <volume>10</volume>:<page-range>1127&#x2013;32</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.3892/etm.2015.2582</pub-id>, PMID: <pub-id pub-id-type="pmid">26622451</pub-id></citation></ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>R</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Li</surname> <given-names>L</given-names>
</name>
<name>
<surname>Gottstein</surname> <given-names>B</given-names>
</name>
<name>
<surname>Blagosklonov</surname> <given-names>O</given-names>
</name>
<etal/>
</person-group>. <article-title>Transcriptional profiles of cytokine/chemokine factors of immune cell-homing to the parasitic lesions: a comprehensive one-year course study in the liver of E. multilocularis-infected mice</article-title>. <source>PloS One</source>. (<year>2014</year>) <volume>9</volume>:<fpage>e91638</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0091638</pub-id>, PMID: <pub-id pub-id-type="pmid">24637903</pub-id></citation></ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ashrafizadeh</surname> <given-names>M</given-names>
</name>
<name>
<surname>Zarrabi</surname> <given-names>A</given-names>
</name>
<name>
<surname>Mostafavi</surname> <given-names>E</given-names>
</name>
<name>
<surname>Aref</surname> <given-names>AR</given-names>
</name>
<name>
<surname>Sethi</surname> <given-names>G</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>L</given-names>
</name>
<etal/>
</person-group>. <article-title>Non-coding RNA-based regulation of inflammation</article-title>. <source>Semin Immunol</source>. (<year>2022</year>) <volume>59</volume>:<fpage>101606</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.smim.2022.101606</pub-id>, PMID: <pub-id pub-id-type="pmid">35691882</pub-id></citation></ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>West</surname> <given-names>KA</given-names>
</name>
<name>
<surname>Lagos</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Long non-coding RNA function in CD4(+) T cells: what we know and what next</article-title>? <source>Noncoding RNA</source>. (<year>2019</year>) <volume>5</volume>:<fpage>43</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ncrna5030043</pub-id>, PMID: <pub-id pub-id-type="pmid">31336952</pub-id></citation></ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huntzinger</surname> <given-names>E</given-names>
</name>
<name>
<surname>Izaurralde</surname> <given-names>E</given-names>
</name>
</person-group>. <article-title>Gene silencing by microRNAs: contributions of translational repression and mRNA decay</article-title>. <source>Nat Rev Genet</source>. (<year>2011</year>) <volume>12</volume>:<fpage>99</fpage>&#x2013;<lpage>110</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nrg2936</pub-id>, PMID: <pub-id pub-id-type="pmid">21245828</pub-id></citation></ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sayed</surname> <given-names>D</given-names>
</name>
<name>
<surname>Abdellatif</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>MicroRNAs in development and disease</article-title>. <source>Physiol Rev</source>. (<year>2011</year>) <volume>91</volume>:<page-range>827&#x2013;87</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1152/physrev.00006.2010</pub-id>, PMID: <pub-id pub-id-type="pmid">21742789</pub-id></citation></ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Friedman</surname> <given-names>RC</given-names>
</name>
<name>
<surname>Farh</surname> <given-names>KK</given-names>
</name>
<name>
<surname>Burge</surname> <given-names>CB</given-names>
</name>
<name>
<surname>Bartel</surname> <given-names>DP</given-names>
</name>
</person-group>. <article-title>Most mammalian mRNAs are conserved targets of microRNAs</article-title>. <source>Genome Res</source>. (<year>2009</year>) <volume>19</volume>:<fpage>92</fpage>&#x2013;<lpage>105</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/gr.082701.108</pub-id>, PMID: <pub-id pub-id-type="pmid">18955434</pub-id></citation></ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Esteller</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Non-coding RNAs in human disease</article-title>. <source>Nat Rev Genet</source>. (<year>2011</year>) <volume>12</volume>:<page-range>861&#x2013;74</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nrg3074</pub-id>, PMID: <pub-id pub-id-type="pmid">22094949</pub-id></citation></ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lin</surname> <given-names>S</given-names>
</name>
<name>
<surname>Gregory</surname> <given-names>RI</given-names>
</name>
</person-group>. <article-title>MicroRNA biogenesis pathways in cancer</article-title>. <source>Nat Rev Cancer</source>. (<year>2015</year>) <volume>15</volume>:<page-range>321&#x2013;33</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nrc3932</pub-id>, PMID: <pub-id pub-id-type="pmid">25998712</pub-id></citation></ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>N</given-names>
</name>
<name>
<surname>Olson</surname> <given-names>EN</given-names>
</name>
</person-group>. <article-title>MicroRNA regulatory networks in cardiovascular development</article-title>. <source>Dev Cell</source>. (<year>2010</year>) <volume>18</volume>:<page-range>510&#x2013;25</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.devcel.2010.03.010</pub-id>, PMID: <pub-id pub-id-type="pmid">20412767</pub-id></citation></ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Olson</surname> <given-names>EN</given-names>
</name>
</person-group>. <article-title>MicroRNAs as therapeutic targets and biomarkers of cardiovascular disease</article-title>. <source>Sci Transl Med</source>. (<year>2014</year>) <volume>6</volume>:<page-range>233p&#x2013;239</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/scitranslmed.3009008</pub-id>, PMID: <pub-id pub-id-type="pmid">24898744</pub-id></citation></ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Issler</surname> <given-names>O</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Determining the role of microRNAs in psychiatric disorders</article-title>. <source>Nat Rev Neurosci</source>. (<year>2015</year>) <volume>16</volume>:<page-range>201&#x2013;12</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nrn3879</pub-id>, PMID: <pub-id pub-id-type="pmid">25790865</pub-id></citation></ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zheng</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Cai</surname> <given-names>X</given-names>
</name>
<name>
<surname>Bradley</surname> <given-names>JE</given-names>
</name>
</person-group>. <article-title>microRNAs in parasites and parasite infection</article-title>. <source>RNA Biol</source>. (<year>2013</year>) <volume>10</volume>:<page-range>371&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4161/rna.23716</pub-id>, PMID: <pub-id pub-id-type="pmid">23392243</pub-id></citation></ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zeng</surname> <given-names>X</given-names>
</name>
<name>
<surname>Shen</surname> <given-names>J</given-names>
</name>
<name>
<surname>Li</surname> <given-names>D</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>S</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Yuan</surname> <given-names>D</given-names>
</name>
<etal/>
</person-group>. <article-title>CEBPalpha/miR-101b-3p promotes meningoencephalitis in mice infected with Angiostrongylus cantonensis by promoting microglial pyroptosis</article-title>. <source>Cell Commun Signal</source>. (<year>2023</year>) <volume>21</volume>:<fpage>31</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12964-023-01038-y</pub-id>, PMID: <pub-id pub-id-type="pmid">36747241</pub-id></citation></ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Geraci</surname> <given-names>NS</given-names>
</name>
<name>
<surname>Tan</surname> <given-names>JC</given-names>
</name>
<name>
<surname>McDowell</surname> <given-names>MA</given-names>
</name>
</person-group>. <article-title>Characterization of microRNA expression profiles in Leishmania-infected human phagocytes</article-title>. <source>Parasite Immunol</source>. (<year>2015</year>) <volume>37</volume>:<fpage>43</fpage>&#x2013;<lpage>51</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/pim.12156</pub-id>, PMID: <pub-id pub-id-type="pmid">25376316</pub-id></citation></ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Alizadeh</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Mahami-Oskouei</surname> <given-names>M</given-names>
</name>
<name>
<surname>Spotin</surname> <given-names>A</given-names>
</name>
<name>
<surname>Kazemi</surname> <given-names>T</given-names>
</name>
<name>
<surname>Ahmadpour</surname> <given-names>E</given-names>
</name>
<name>
<surname>Cai</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>Parasite-derived microRNAs in plasma as novel promising biomarkers for the early detection of hydatid cyst infection and post-surgery follow-up</article-title>. <source>Acta Trop</source>. (<year>2020</year>) <volume>202</volume>:<fpage>105255</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.actatropica.2019.105255</pub-id>, PMID: <pub-id pub-id-type="pmid">31682814</pub-id></citation></ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ferreira</surname> <given-names>LRP</given-names>
</name>
<name>
<surname>Ferreira</surname> <given-names>FM</given-names>
</name>
<name>
<surname>Laugier</surname> <given-names>L</given-names>
</name>
<name>
<surname>Cabantous</surname> <given-names>S</given-names>
</name>
<name>
<surname>Navarro</surname> <given-names>IC</given-names>
</name>
<name>
<surname>da Silva C&#xe2;ndido</surname> <given-names>D</given-names>
</name>
<etal/>
</person-group>. <article-title>Integration of miRNA and gene expression profiles suggest a role for miRNAs in the pathobiological processes of acute Trypanosoma cruzi infection</article-title>. <source>Sci Rep</source>. (<year>2017</year>) <volume>7</volume>:<fpage>17990</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-017-18080-9</pub-id>, PMID: <pub-id pub-id-type="pmid">29269773</pub-id></citation></ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ramaswamy</surname> <given-names>R</given-names>
</name>
<name>
<surname>Maier</surname> <given-names>LM</given-names>
</name>
<name>
<surname>Mueller</surname> <given-names>C</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Korioth-Schmitz</surname> <given-names>B</given-names>
</name>
<name>
<surname>Hedley</surname> <given-names>ML</given-names>
</name>
<etal/>
</person-group>. <article-title>Correction to: Identification of miRNA-mRNA crosstalk in CD4(+) T cells during HIV-1 infection by integrating transcriptome analyses</article-title>. <source>J Transl Med</source>. (<year>2020</year>) <volume>18</volume>:<fpage>312</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12967-020-02479-6</pub-id>, PMID: <pub-id pub-id-type="pmid">32792010</pub-id></citation></ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Moon</surname> <given-names>H</given-names>
</name>
<name>
<surname>Ro</surname> <given-names>SW</given-names>
</name>
</person-group>. <article-title>MAPK/ERK signaling pathway in hepatocellular carcinoma</article-title>. <source>Cancers (Basel)</source>. (<year>2021</year>) <volume>13</volume>(<issue>12</issue>):<elocation-id>3026</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/cancers13123026</pub-id>, PMID: <pub-id pub-id-type="pmid">34204242</pub-id></citation></ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Peng</surname> <given-names>J</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>J</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Ai</surname> <given-names>W</given-names>
</name>
<name>
<surname>He</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Signaling pathway of MAPK/ERK in cell proliferation, differentiation, migration, senescence and apoptosis</article-title>. <source>J Recept Signal Transduct Res</source>. (<year>2015</year>) <volume>35</volume>:<page-range>600&#x2013;4</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.3109/10799893.2015.1030412</pub-id>, PMID: <pub-id pub-id-type="pmid">26096166</pub-id></citation></ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>B</given-names>
</name>
<name>
<surname>Ruan</surname> <given-names>X</given-names>
</name>
<name>
<surname>Hou</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhi</surname> <given-names>J</given-names>
</name>
<name>
<surname>Meng</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Oncoprotein HBXIP promotes tumorigenesis through MAPK/ERK pathway activation in non-small cell lung cancer</article-title>. <source>Cancer Biol Med</source>. (<year>2021</year>) <volume>18</volume>:<page-range>105&#x2013;19</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.20892/j.issn.2095-3941.2020.0098</pub-id>, PMID: <pub-id pub-id-type="pmid">33628588</pub-id></citation></ref>
<ref id="B46">
<label>46</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>El Ridi</surname> <given-names>R</given-names>
</name>
<name>
<surname>Tallima</surname> <given-names>H</given-names>
</name>
<name>
<surname>Salah</surname> <given-names>M</given-names>
</name>
<name>
<surname>Aboueldahab</surname> <given-names>M</given-names>
</name>
<name>
<surname>Fahmy</surname> <given-names>OM</given-names>
</name>
<name>
<surname>Al-Sherbiny</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>MEK inhibitors for the treatment of non-small cell lung cancer</article-title>. <source>J Hematol Oncol</source>. (<year>2021</year>) <volume>14</volume>:<fpage>1</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13045-020-01025-7</pub-id>, PMID: <pub-id pub-id-type="pmid">33402199</pub-id></citation></ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dong</surname> <given-names>C</given-names>
</name>
<name>
<surname>Davis</surname> <given-names>RJ</given-names>
</name>
<name>
<surname>Flavell</surname> <given-names>RA</given-names>
</name>
</person-group>. <article-title>MAP kinases in the immune response</article-title>. <source>Annu Rev Immunol</source>. (<year>2002</year>) <volume>20</volume>:<fpage>55</fpage>&#x2013;<lpage>72</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev.immunol.20.091301.131133</pub-id>, PMID: <pub-id pub-id-type="pmid">11861597</pub-id></citation></ref>
<ref id="B48">
<label>48</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ahmed</surname> <given-names>SA</given-names>
</name>
<name>
<surname>Gad</surname> <given-names>MZ</given-names>
</name>
<name>
<surname>Dessouki</surname> <given-names>O</given-names>
</name>
<name>
<surname>El-Tantawi</surname> <given-names>M</given-names>
</name>
<name>
<surname>Tallima</surname> <given-names>H</given-names>
</name>
<name>
<surname>El Ridi</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>Mitogen-activated protein kinase/extracellular signal-regulated protein kinase activation by oncogenes, serum, and 12-O-tetradecanoylphorbol-13-acetate requires Raf and is necessary for transformation</article-title>. <source>J Biol Chem</source>. (<year>1994</year>) <volume>269</volume>:<page-range>7030&#x2013;5</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S0021-9258(17)37478-1</pub-id>, PMID: <pub-id pub-id-type="pmid">8120067</pub-id></citation></ref>
<ref id="B49">
<label>49</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fang</surname> <given-names>JY</given-names>
</name>
<name>
<surname>Richardson</surname> <given-names>BC</given-names>
</name>
</person-group>. <article-title>The MAPK signalling pathways and colorectal cancer</article-title>. <source>Lancet Oncol</source>. (<year>2005</year>) <volume>6</volume>:<page-range>322&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S1470-2045(05)70168-6</pub-id>, PMID: <pub-id pub-id-type="pmid">15863380</pub-id></citation></ref>
<ref id="B50">
<label>50</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pearce</surname> <given-names>EJ</given-names>
</name>
<name>
<surname>James</surname> <given-names>SL</given-names>
</name>
<name>
<surname>Hieny</surname> <given-names>S</given-names>
</name>
<name>
<surname>Lanar</surname> <given-names>DE</given-names>
</name>
<name>
<surname>Sher</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Raf-1 kinase inhibitor protein: structure, function, regulation of cell signaling, and pivotal role in apoptosis</article-title>. <source>Adv Cancer Res</source>. (<year>2004</year>) <volume>91</volume>:<fpage>169</fpage>&#x2013;<lpage>200</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S0065-230X(04)91005-6</pub-id>, PMID: <pub-id pub-id-type="pmid">15327891</pub-id></citation></ref>
<ref id="B51">
<label>51</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Larrieu</surname> <given-names>E</given-names>
</name>
<name>
<surname>Herrero</surname> <given-names>E</given-names>
</name>
<name>
<surname>Mujica</surname> <given-names>G</given-names>
</name>
<name>
<surname>Labanchi</surname> <given-names>JL</given-names>
</name>
<name>
<surname>Araya</surname> <given-names>D</given-names>
</name>
<name>
<surname>Grizmado</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Pilot field trial of the EG95 vaccine against ovine cystic echinococcosis in Rio Negro, Argentina: early impact and preliminary data</article-title>. <source>Acta Trop</source>. (<year>2013</year>) <volume>127</volume>:<page-range>143&#x2013;51</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.actatropica.2013.04.009</pub-id>, PMID: <pub-id pub-id-type="pmid">23632258</pub-id></citation></ref>
<ref id="B52">
<label>52</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Amarir</surname> <given-names>F</given-names>
</name>
<name>
<surname>Rhalem</surname> <given-names>A</given-names>
</name>
<name>
<surname>Sadak</surname> <given-names>A</given-names>
</name>
<name>
<surname>Raes</surname> <given-names>M</given-names>
</name>
<name>
<surname>Oukessou</surname> <given-names>M</given-names>
</name>
<name>
<surname>Saadi</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Control of cystic echinococcosis in the Middle Atlas, Morocco: Field evaluation of the EG95 vaccine in sheep and cesticide treatment in dogs</article-title>. <source>PloS Negl Trop Dis</source>. (<year>2021</year>) <volume>15</volume>:<fpage>e0009253</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pntd.0009253</pub-id>, PMID: <pub-id pub-id-type="pmid">33684115</pub-id></citation></ref>
<ref id="B53">
<label>53</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>ZZ</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>G</given-names>
</name>
<name>
<surname>Li</surname> <given-names>J</given-names>
</name>
<name>
<surname>Shi</surname> <given-names>BX</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>L</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>BP</given-names>
</name>
<etal/>
</person-group>. <article-title>Dog vaccination with <italic>Eg</italic>M proteins against Echinococcus granulosus</article-title>. <source>Infect Dis Poverty</source>. (<year>2018</year>) <volume>7</volume>:<fpage>61</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s40249-018-0425-4</pub-id>, PMID: <pub-id pub-id-type="pmid">29895318</pub-id></citation></ref>
<ref id="B54">
<label>54</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vuitton</surname> <given-names>DA</given-names>
</name>
</person-group>. <article-title>Echinococcosis and allergy</article-title>. <source>Clin Rev Allergy Immunol</source>. (<year>2004</year>) <volume>26</volume>:<fpage>93</fpage>&#x2013;<lpage>104</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s12016-004-0004-2</pub-id>, PMID: <pub-id pub-id-type="pmid">15146106</pub-id></citation></ref>
<ref id="B55">
<label>55</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Qin</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Liang</surname> <given-names>R</given-names>
</name>
<name>
<surname>Lu</surname> <given-names>P</given-names>
</name>
<name>
<surname>Lai</surname> <given-names>L</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>X</given-names>
</name>
</person-group>. <article-title>Depicting the implication of miR-378a in cancers</article-title>. <source>Technol Cancer Res Treat</source>. (<year>2022</year>) <volume>21</volume>:<fpage>15330338221134385</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/15330338221134385</pub-id>, PMID: <pub-id pub-id-type="pmid">36285472</pub-id></citation></ref>
<ref id="B56">
<label>56</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Eichner</surname> <given-names>LJ</given-names>
</name>
<name>
<surname>Perry</surname> <given-names>MC</given-names>
</name>
<name>
<surname>Dufour</surname> <given-names>CR</given-names>
</name>
<name>
<surname>Bertos</surname> <given-names>N</given-names>
</name>
<name>
<surname>Park</surname> <given-names>M</given-names>
</name>
<name>
<surname>St-Pierre</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>miR-378(&#x2217;) mediates metabolic shift in breast cancer cells via the PGC-1&#x3b2;/ERR&#x3b3; transcriptional pathway</article-title>. <source>Cell Metab</source>. (<year>2010</year>) <volume>12</volume>:<page-range>352&#x2013;61</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cmet.2010.09.002</pub-id>, PMID: <pub-id pub-id-type="pmid">20889127</pub-id></citation></ref>
<ref id="B57">
<label>57</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>DY</given-names>
</name>
<name>
<surname>Deng</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>CH</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>BB</given-names>
</name>
</person-group>. <article-title>MicroRNA-378 promotes cell survival, tumor growth, and angiogenesis by targeting SuFu and Fus-1 expression</article-title>. <source>Proc Natl Acad Sci U.S.A</source>. (<year>2007</year>) <volume>104</volume>:<page-range>20350&#x2013;5</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.0706901104</pub-id>, PMID: <pub-id pub-id-type="pmid">18077375</pub-id></citation></ref>
<ref id="B58">
<label>58</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lightowlers</surname> <given-names>MW</given-names>
</name>
</person-group>. <article-title>Hepatic miR-378 targets p110alpha and controls glucose and lipid homeostasis by modulating hepatic insulin signalling</article-title>. <source>Nat Commun</source>. (<year>2014</year>) <volume>5</volume>:<fpage>5684</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/ncomms6684</pub-id>, PMID: <pub-id pub-id-type="pmid">25471065</pub-id></citation></ref>
<ref id="B59">
<label>59</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gauci</surname> <given-names>CG</given-names>
</name>
<name>
<surname>Jenkins</surname> <given-names>DJ</given-names>
</name>
<name>
<surname>Lightowlers</surname> <given-names>MW</given-names>
</name>
</person-group>. <article-title>miR-378 activates the pyruvate-PEP futile cycle and enhances lipolysis to ameliorate obesity in mice</article-title>. <source>EBioMedicine</source>. (<year>2016</year>) <volume>5</volume>:<fpage>93</fpage>&#x2013;<lpage>104</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ebiom.2016.01.035</pub-id>, PMID: <pub-id pub-id-type="pmid">27077116</pub-id></citation></ref>
<ref id="B60">
<label>60</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>W</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>L</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>microRNA-378 promotes autophagy and inhibits apoptosis in skeletal muscle</article-title>. <source>Proc Natl Acad Sci U.S.A</source>. (<year>2018</year>) <volume>115</volume>:<page-range>E10849&#x2013;58</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.1803377115</pub-id>, PMID: <pub-id pub-id-type="pmid">30373812</pub-id></citation></ref>
<ref id="B61">
<label>61</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sharp</surname> <given-names>LL</given-names>
</name>
<name>
<surname>Schwarz</surname> <given-names>DA</given-names>
</name>
<name>
<surname>Bott</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Marshall</surname> <given-names>CJ</given-names>
</name>
<name>
<surname>Hedrick</surname> <given-names>SM</given-names>
</name>
</person-group>. <article-title>The influence of the MAPK pathway on T cell lineage commitment</article-title>. <source>Immunity</source>. (<year>1997</year>) <volume>7</volume>:<page-range>609&#x2013;18</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S1074-7613(00)80382-9</pub-id>, PMID: <pub-id pub-id-type="pmid">9390685</pub-id></citation></ref>
<ref id="B62">
<label>62</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yamashita</surname> <given-names>M</given-names>
</name>
<name>
<surname>Kimura</surname> <given-names>M</given-names>
</name>
<name>
<surname>Kubo</surname> <given-names>M</given-names>
</name>
<name>
<surname>Shimizu</surname> <given-names>C</given-names>
</name>
<name>
<surname>Tada</surname> <given-names>T</given-names>
</name>
<name>
<surname>Perlmutter</surname> <given-names>RM</given-names>
</name>
<etal/>
</person-group>. <article-title>T cell antigen receptor-mediated activation of the Ras/mitogen-activated protein kinase pathway controls interleukin 4 receptor function and type-2 helper T cell differentiation</article-title>. <source>Proc Natl Acad Sci U.S.A</source>. (<year>1999</year>) <volume>96</volume>:<page-range>1024&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.96.3.1024</pub-id>, PMID: <pub-id pub-id-type="pmid">9927687</pub-id></citation></ref>
<ref id="B63">
<label>63</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Arthur</surname> <given-names>JS</given-names>
</name>
<name>
<surname>Ley</surname> <given-names>SC</given-names>
</name>
</person-group>. <article-title>Mitogen-activated protein kinases in innate immunity</article-title>. <source>Nat Rev Immunol</source>. (<year>2013</year>) <volume>13</volume>:<page-range>679&#x2013;92</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri3495</pub-id>, PMID: <pub-id pub-id-type="pmid">23954936</pub-id></citation></ref>
</ref-list>
</back>
</article>