Zhang Rong, Dong De-Li, Yang Bao-Feng
Department of Pharmacology, State-Province Key Laboratories of Biomedicine Pharmaceutics of China, Harbin Medical University, Harbin 150081, China.
Yao Xue Xue Bao. 2011 Jan;46(1):6-11.
Translational medicine is a novel concept about combination of basic research and clinical application. The aim of translational medicine is to realize the translation of basic research into clinical practice. microRNAs (miRNAs) are non-coding single-stranded RNAs with 21-25 nucleotides in length as newly discovered factors in regulating gene expression. Recently, the key regulatory role of miRNA in the cardiovascular system has been elucidated and amount of remarkable results has been achieved, particularly in the regulation of cardiac arrhythmias. A series of studies demonstrate that miRNAs are involved in the regulation of expression of a variety of proteins associated with cardiac electrical activity, and are the potential targets of occurrence of cardiac arrhythmias and anti-arrhythmic drugs. miRNAs as a therapeutic target regulate the stability of mRNAs of target genes or play an inhibitory role in the translation process. Stability of the corresponding miRNA expression levels in the target organ may be a new approach for the disease therapy. Regarding the dysfunction of miRNA, we employed miRNA re-expression strategy and anti-miRNA strategy to correct target protein function and provide a new entry for the therapy of arrhythmia. With the technology of miRNA mimics and antagomirs, miRNAs are expected to treat various cardiovascular diseases and will provide a fresh impetus to achieve transform medicine.
转化医学是一个关于基础研究与临床应用相结合的新概念。转化医学的目标是实现基础研究向临床实践的转化。微小RNA(miRNA)是一类长度为21 - 25个核苷酸的非编码单链RNA,是新发现的基因表达调控因子。近年来,miRNA在心血管系统中的关键调控作用已被阐明,并取得了大量显著成果,尤其是在心律失常的调控方面。一系列研究表明,miRNA参与调控多种与心脏电活动相关蛋白质的表达,是心律失常发生及抗心律失常药物作用的潜在靶点。作为治疗靶点的miRNA可调控靶基因mRNA的稳定性或在翻译过程中发挥抑制作用。靶器官中相应miRNA表达水平的稳定可能是疾病治疗的一种新方法。针对miRNA功能障碍,我们采用miRNA重新表达策略和抗miRNA策略来纠正靶蛋白功能,为心律失常的治疗提供了新途径。借助miRNA模拟物和拮抗剂技术,miRNA有望治疗各种心血管疾病,并将为实现转化医学提供新动力。