AbstractBackgroundExosomes are applied as biomarkers in several diseases according to their disease‐specific profiles. However, the exosomes effects in functional dyspepsia (FD) are still fragmentary. Here we examined the role of Eosinophil and mast cell derived‐exosomes in FD progression.MethodsFifty FD subjects and age‐ and sex‐matched healthy controls were included in this retrospective cohort study. Duodenal mucosa and gastric juice were collected to analyze molecular difference. Eosinophil and mast cell were evaluated by immunofluorescence and microarray was subjected to examine the expression levels of NEAT1, miR‐211‐5p, and glial cell line‐derived neurotrophic factor (GDNF), which were subsequently were tested by quantitative reverse transcription PCR (RT‐qPCR) validation cohorts. CCK‐8 assays, and wound healing assays were used to evaluate integrity of intestinal mucosal barrier in vitro. Rats' weights and gastric emptying rates were used as evaluation of FD severity in vivo.ResultsEosinophil and mast cell were enriched and secreted more exosomes in duodenal mucosa of FD patients. We identified differential lncRNAs that were consistently and significantly up regulated in FD cases. Of these, NEAT1 was further validated by RT‐qPCR and had closely relationship with GDNF. MiR‐211‐5p level was found to be reduced in FD and negatively related with NEAT1 and GDNF. Furthermore, NEAT1and GDNF relived FD while miR‐211‐5p made symptoms worse. The NEAT1/miR‐211‐5p/GDNF axis had a good predictive ability for FD.ConclusionsThe NEAT1/miR‐211‐5p/GDNF could be a potential FD biomarker.

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