The invention belongs to the technical field of biological
medicine, and relates to application of miRNA targeted regulation in treatment of
acute respiratory distress syndrome, in particular to application of a miR-144 inhibitor in preparation of a
medicine for improving
glucocorticoid treatment sensitivity of an
ARDS patient. Research on a
lipopolysaccharide-induced
ARDS rat model finds that miR-144 participates in regulation and control of
glucocorticoid receptor beta (GR beta) and NF-kappa B
signal pathways in the
ARDS inflammatory reaction process, the number of neutrophils in
alveolar lavage fluid and the level of
inflammatory factors such as IL-6 and TNF-alpha can be remarkably reduced by using the miR-144 inhibitor and
glucocorticoid for treatment, and the application of the miR-144 inhibitor to treatment of the pulmonary
alveolar lavage fluid in the treatment of the pulmonary
alveolar lavage fluid is broad. The wet-to-dry ratio and
pathological injury
score of
lung tissues are reduced, and GR beta and NF-kappa B expression is inhibited, so that the anti-inflammatory effect of glucocorticoid is remarkably enhanced. The invention provides a
treatment strategy for improving glucocorticoid resistance of ARDS patients by taking miR-144 as a target for the first time, and provides a new
drug target and a technical scheme for accurate treatment of ARDS.