Institute of Medicinal Plant Development, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100193, China.
Beijing Key Laboratory of Innovative Drug Discovery of Traditional Chinese Medicine (Natural Medicine) and Translational Medicine, Beijing 100193, China.
Biomolecules. 2022 Nov 28;12(12):1774. doi: 10.3390/biom12121774.
Diabetic retinopathy (DR) is the most common complication of diabetes. It is also the main cause of blindness caused by multicellular damage involving retinal endothelial cells, ganglial cells, and pigment epithelial cells in adults worldwide. Currently available drugs for DR do not meet the clinical needs; thus, new therapeutic targets are warranted. Noncoding RNAs (ncRNAs), a new type of biomarkers, have attracted increased attention in recent years owing to their crucial role in the occurrence and development of DR. NcRNAs mainly include microRNAs, long noncoding RNAs, and circular RNAs, all of which regulate gene and protein expression, as well as multiple biological processes in DR. NcRNAs, can regulate the damage caused by various retinal cells; abnormal changes in the aqueous humor, exosomes, blood, tears, and the formation of new blood vessels. This study reviews the different sources of the three ncRNAs-microRNAs, long noncoding RNAs, and circular RNAs-involved in the pathogenesis of DR and the related drug development progress. Overall, this review improves our understanding of the role of ncRNAs in various retinal cells and offers therapeutic directions and targets for DR treatment.
糖尿病性视网膜病变(DR)是糖尿病最常见的并发症。它也是全世界成年人因涉及视网膜内皮细胞、节细胞和色素上皮细胞的多细胞损伤而导致失明的主要原因。目前用于 DR 的药物不能满足临床需求;因此,需要新的治疗靶点。非编码 RNA(ncRNA)作为一种新型的生物标志物,近年来由于其在 DR 的发生和发展中的关键作用而引起了越来越多的关注。ncRNA 主要包括 microRNAs、长非编码 RNA 和环状 RNA,它们都可以调节基因和蛋白质的表达以及 DR 中的多种生物学过程。ncRNA 可以调节各种视网膜细胞的损伤;房水、外泌体、血液、眼泪中的异常变化以及新血管的形成。本研究综述了参与 DR 发病机制的三种 ncRNA(microRNAs、长非编码 RNA 和环状 RNA)的不同来源及其相关药物开发进展。总的来说,这篇综述提高了我们对 ncRNA 在各种视网膜细胞中的作用的理解,并为 DR 的治疗提供了治疗方向和靶点。
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