Fig. 4. miRNA dysregulation affects multiple genes and pathways in women with VBD and VBD+IBS.
miRNA dysregulation in women with VBD and VBD+IBS leads to dysregulation of genes involved in pain-relevant pathways including the TGFβ, MAPK, and Wnt signaling pathways (shown in green). Pathways that do not overlap between women with VBD and VBD+IBS represent separate pathways of vulnerability. Pathways unique to VBD (shown in blue) include the dorso-ventral axis formation, GnRH signaling and gap junction pathways. Pathways unique to VBD+IBS (shown in red) include the ECM, DRPLA and insulin resistance pathways. A considerable amount of interaction and communication is demonstrated between genes and across pathways. See Supplemental Content for abbreviations.