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MicroRNAs 通过个性化医学改善癌症治疗效果。

MicroRNAs Improve Cancer Treatment Outcomes Through Personalized Medicine.

机构信息

Department of Innovation and Industry, Science and Technology Park of Fars, ExirBitanic Co., Shiraz, Iran.

Department of Health and Wellbeing, Sheffield Hallam University, Sheffield, United Kingdom.

出版信息

Microrna. 2023;12(2):92-98. doi: 10.2174/2211536612666230202113415.

Abstract

MicroRNAs (miRNAs) are short non-coding RNAs that repress or degrade mRNA targets to downregulate genes. In cancer occurrence, the expression of miRNAs is altered. Depending on the involvement of a certain miRNA in the pathogenetic growth of a tumor, It may be up or downregulated. The "oncogenic" action of miRNAs corresponds with upregulation, which leads to tumor proliferation and spread meanwhile the miRNAs that have been downregulated bring tumorsuppressive outcomes. Oncogenes and tumor suppressor genes are among the genes whose expression is under their control, demonstrating that classifying them solely as oncogenes or tumor suppressor genes alone is not only hindering but also incorrect. Apart from basic tumors, miRNAs may be found in nearly all human fluids and can be used for cancer diagnosis as well as clinical outcome prognostics and better response to treatment strategies. The overall variance of these tiny noncoding RNAs influences patient-specific pharmacokinetics and pharmacodynamics of anti-cancer medicines, driving a growing demand for personalized medicine. By now, microRNAs from tumor biopsies or blood are being widely investigated as substantial biomarkers for cancer in time diagnosis, prognosis, and, progression. With the rise of COVID-19, this paper also attempts to study recent research on miRNAs involved with deaths in lung cancer COVID patients. With the discovery of single nucleotide polymorphisms, personalized treatment via microRNAs has lately become a reality. The present review article describes the highlights of recent knowledge of miRNAs in various cancers, with a focus on miRNA translational applications as innovative potential diagnostic and prognostic indicators that expand person-to-person therapy options.

摘要

微小 RNA(miRNA)是一种短的非编码 RNA,可以抑制或降解 mRNA 靶标,从而下调基因。在癌症发生过程中,miRNA 的表达发生改变。根据特定 miRNA 是否参与肿瘤的发病生长,它可能被上调或下调。miRNA 的“致癌”作用对应于上调,这导致肿瘤增殖和扩散,而被下调的 miRNA 则带来肿瘤抑制作用。原癌基因和抑癌基因是受其控制的基因之一,这表明仅将它们归类为原癌基因或抑癌基因不仅是阻碍,而且是不正确的。除了基本肿瘤外,miRNA 几乎可以在所有人类体液中找到,可用于癌症诊断以及临床结果预测和更好地响应治疗策略。这些微小非编码 RNA 的总体变化影响患者特定的抗癌药物药代动力学和药效动力学,推动了对个性化药物的需求不断增长。到目前为止,肿瘤活检或血液中的 microRNA 正被广泛研究为癌症的重要生物标志物,用于及时诊断、预后和疾病进展。随着 COVID-19 的出现,本文还试图研究与 COVID 肺癌患者死亡相关的 miRNA 的最新研究。随着单核苷酸多态性的发现,通过 microRNA 进行的个性化治疗最近已成为现实。本综述文章描述了 miRNA 在各种癌症中的最新知识要点,重点介绍了 miRNA 转化应用作为创新的潜在诊断和预后指标,扩大了人与人之间的治疗选择。

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