RNA from skin biopsies was extracted with an RNeasy tissue lipid kit (Qiagen, Valencia, CA, USA), as previously described [40 (link)]. miRNA expression levels in skin samples were normalized to housekeeping RNA Z30 expression.
miRNA levels were analysed using the TaqMan quantitative real-time PCR (qRT-PCR) and quantified with the QuantStudio5 real-time PCR (Thermo Fisher Scientific, Massachusetts, United States). Primers for miR-200c, miR-200a, miR-200b, miR-429, miR-141, Z30, and cel-miR-39a and the reagents for reverse transcriptase and qPCR reactions were all obtained from Applied Biosystems. miRNA expression levels in each sample were normalized to cel-miR-39a. Relative expression in fold was calculated using the comparative Ct method (2–ΔΔCt) [41 (link)].
Given the logarithmic nature of the q-PCR CT, a decrease in ΔCT corresponds to an increase in miRNA levels in the analysed samples. Therefore, data were expressed as −ΔCT, in order to obtain a positive correlation between miRNA levels and clinical parameter values.