Department of Hypertension, Beijing Anzhen Hospital, Capital Medical University, 100029, Beijing, China.
Department of Otolaryngology Head and Neck Surgery, Beijing Anzhen Hospital, Capital Medical University, 100029, Beijing, China.
Hypertens Res. 2018 Sep;41(9):649-661. doi: 10.1038/s41440-018-0071-z. Epub 2018 Jul 4.
Hypertension, a multifactorial disease, is a major risk factor for the development of stroke, coronary artery disease, heart failure, and chronic renal failure. However, its underlying cellular and molecular mechanisms remain largely elusive. Numerous studies have shown that microRNAs (miRNAs) are involved in a variety of cellular processes, including cellular proliferation, apoptosis, differentiation, and the development of diseases. microRNA-21 (miR-21), a conserved single-stranded non-coding RNA that is composed of approximately 22 nucleotides, is one of the most intensively studied miRNAs in recent years, and it can regulate gene expression at the post-transcriptional level. miR-21 is expressed in many kinds of tumors and in the cardiovascular system, and it plays an important role in the occurrence and development of cardiovascular diseases. In recent years, more and more evidence indicates that miR-21 plays an important role in hypertension. This article reviews the source, function, and altered levels of miR-21 in hypertension and the role of miR-21 in the pathogenesis of hypertension and target organ damage (TOD). The potential role of miR-21 as a new target for predicting and treating hypertension is also explored.
高血压是一种多因素疾病,是中风、冠状动脉疾病、心力衰竭和慢性肾衰竭发展的主要危险因素。然而,其潜在的细胞和分子机制在很大程度上仍未被揭示。许多研究表明,microRNAs(miRNAs)参与了多种细胞过程,包括细胞增殖、凋亡、分化和疾病的发展。microRNA-21(miR-21)是一种保守的单链非编码 RNA,由大约 22 个核苷酸组成,是近年来研究最多的 miRNAs 之一,它可以在转录后水平调节基因表达。miR-21在许多肿瘤和心血管系统中表达,在心血管疾病的发生和发展中发挥着重要作用。近年来,越来越多的证据表明 miR-21 在高血压中发挥着重要作用。本文综述了 miR-21 在高血压中的来源、功能和表达水平的改变,以及 miR-21 在高血压发病机制和靶器官损伤(TOD)中的作用。还探讨了 miR-21 作为预测和治疗高血压的新靶点的潜在作用。