Duan Lian, Xiong Xing-Jiang, Wang Jie
Zhongguo Zhong Yao Za Zhi. 2014 Feb;39(3):397-401.
MicroRNA(miRNA) is involved in virtually all biologic processes, including cellular proliferation, apoptosis, and differentiation. Thus, miRNA deregulation often results in impaired cellular function and disease development, so miRNAs have potential therapeutic relevance. The elucidation of these processes regulated by miRNAs and the identification of novel miRNA targets in the pathogenesis of hypertension is a highly valuable and exciting strategy that may eventually led to the development of novel treatment approaches for hypertension. Several mechanisms have been implicated in the pathogenesis of hypertension: overactivation of therenin-angiotensin-aldosterone system (RAAS), dysfunction of the vascular endothelium, damnification of vascular smooth muscle. To maintain and restore target organ expression of miRNA stable may be a new strategy for treatment of hypertension. The article reviews pathogenesis of miRNA and hypertension, researches of miRNAs as biomarker and therapeutic target, discusses advances in miRNA-based approaches that may be important in treating hypertension.
微小RNA(miRNA)几乎参与了所有生物学过程,包括细胞增殖、凋亡和分化。因此,miRNA失调常常导致细胞功能受损和疾病发展,所以miRNA具有潜在的治疗意义。阐明受miRNA调控的这些过程以及在高血压发病机制中鉴定新的miRNA靶点是一项极具价值且令人兴奋的策略,最终可能会促成高血压新治疗方法的开发。高血压发病机制涉及多种机制:肾素-血管紧张素-醛固酮系统(RAAS)过度激活、血管内皮功能障碍、血管平滑肌损伤。维持和恢复miRNA靶器官表达稳定可能是治疗高血压的新策略。本文综述了miRNA与高血压的发病机制、miRNA作为生物标志物和治疗靶点的研究,并讨论了基于miRNA的方法在治疗高血压方面可能具有重要意义的进展。