Shrivastava Shubham, Mukherjee Anupam, Ray Ratna B
Shubham Shrivastava, Anupam Mukherjee, Ratna B Ray, Department of Pathology, Saint Louis University, St. Louis, MO 63104, United States.
World J Hepatol. 2013 Sep 27;5(9):479-86. doi: 10.4254/wjh.v5.i9.479.
Hepatitis C virus (HCV) is a global health problem with an estimated 170-200 million peoples (approximately 3% of world population) are chronically infected worldwide and new infections are predicted to be on rise in coming years. HCV infection remains categorized as a major risk factor for chronic hepatitis, liver cirrhosis and hepatocellular carcinoma worldwide. There has been considerable improvement in our understanding of virus life cycle since, the discovery of HCV two-decades ago. MicroRNAs (miRNAs) are important players in establishment of HCV infection and their propagation in infected hepatocytes. They target crucial host cellular factors needed for productive HCV replication and augmented cell growth. Very first anti-miRNA oligonucleotides, miravirsen has been tested in clinical trial and shown promising results as therapeutic agent in treatment against chronic HCV infection. Deregulated expression of miRNAs has been linked to the pathogenesis associated with HCV infection by controlling signaling pathways such as, proliferation, apoptosis and migration. Circulating miRNAs emerging as growing field in identification of biomarkers in disease progression and their potential as a means of communication between cells inside the liver is an exciting area of research in future. This review focuses on recent studies enforcing the contribution of miRNAs in HCV life cycle and coordinated regulation in HCV mediated liver disease progression.
丙型肝炎病毒(HCV)是一个全球性的健康问题,据估计全球有1.7亿至2亿人(约占世界人口的3%)受到慢性感染,预计未来几年新感染人数将呈上升趋势。在全球范围内,HCV感染仍然是慢性肝炎、肝硬化和肝细胞癌的主要危险因素。自二十年前发现HCV以来,我们对病毒生命周期的理解有了相当大的进步。微小RNA(miRNA)是HCV感染建立及其在受感染肝细胞中传播的重要参与者。它们靶向HCV有效复制和细胞生长增强所需的关键宿主细胞因子。首个抗miRNA寡核苷酸——米拉韦伦已在临床试验中进行了测试,并显示出作为治疗慢性HCV感染的治疗剂的有前景的结果。miRNA的表达失调通过控制增殖、凋亡和迁移等信号通路与HCV感染相关的发病机制有关。循环miRNA作为疾病进展中生物标志物识别的一个不断发展的领域以及它们作为肝脏内细胞间通讯手段的潜力,是未来一个令人兴奋的研究领域。本综述重点关注近期研究,这些研究强化了miRNA在HCV生命周期中的作用以及在HCV介导的肝病进展中的协同调节作用。