Department of Pulmonary, Critical Care and Sleep Medicine, All India Institute of Medical Sciences, New Delhi, India.
Laboratory oncology Unit, Dr. BRA-IRCH, All India Institute of Medical Sciences, New Delhi, India.
Mol Biol Rep. 2022 Dec;49(12):11535-11546. doi: 10.1007/s11033-022-07820-4. Epub 2022 Sep 12.
Pulmonary fibrosis is the key feature of majority of idiopathic interstitial pneumonias (IIPs) as well as many patients with post-COVID-19. The pathogenesis of pulmonary fibrosis is a complex molecular process that involves myriad of cells, proteins, genes, and regulatory elements. The non-coding RNA mainly miRNA, circRNA, and lncRNA are among the key regulators of many protein coding genes and pathways that are involved in pulmonary fibrosis. Identification and molecular mechanisms, by which these non-coding RNA molecules work, are crucial to understand the molecular basis of the disease. Additionally, elucidation of molecular mechanism could also help in deciphering a potential diagnostic/prognostic marker as well as therapeutic targets for IIPs and post-COVID-19 pulmonary fibrosis. In this review, we have provided the latest findings and discussed the role of these regulatory elements in the pathogenesis of pulmonary fibrosis associated with Idiopathic Interstitial Pneumonia and Covid-19.
肺纤维化是大多数特发性间质性肺炎(IIPs)以及许多 COVID-19 后患者的主要特征。肺纤维化的发病机制是一个复杂的分子过程,涉及众多细胞、蛋白质、基因和调节元件。非编码 RNA 主要是 microRNA、circRNA 和 lncRNA,是参与肺纤维化的许多蛋白质编码基因和途径的关键调节因子。识别这些非编码 RNA 分子的作用及其分子机制对于理解疾病的分子基础至关重要。此外,阐明分子机制还有助于破译特发性间质性肺炎和 COVID-19 后肺纤维化的潜在诊断/预后标志物以及治疗靶点。在这篇综述中,我们提供了最新的发现,并讨论了这些调节因子在与特发性间质性肺炎和 COVID-19 相关的肺纤维化发病机制中的作用。