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肥胖、心血管疾病和非酒精性脂肪性肝病相关的炎症 miRNA。

Inflammation-related miRNAs in obesity, CVD, and NAFLD.

机构信息

Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

Cytokine. 2024 Oct;182:156724. doi: 10.1016/j.cyto.2024.156724. Epub 2024 Aug 5.

Abstract

Obesity, cardiovascular diseases (CVD), and nonalcoholic fatty liver disease (NAFLD) pose significant worldwide health challenges, characterized by complex interplay among inflammatory pathways that underlie their development. In this review, we examine the contribution of inflammation and associated signaling molecules to the pathogenesis of these conditions, while also emphasizing the significant participation of non-coding RNAs (ncRNAs) in modulating inflammatory pathways. In the context of obesity, aberrant expression patterns of inflammatory-associated miRNAs play a contributory role in adipose tissue inflammation and insulin resistance, thereby exacerbating disturbances in metabolic homeostasis. Similarly, in CVD, dysregulated miRNA expression alters inflammatory reactions, disrupts endothelial function, and induces cardiac remodeling, thereby impacting the advancement of the disease. Moreover, in the context of NAFLD, inflammatory-associated miRNAs are implicated in mediating hepatic inflammation, lipid deposition, and fibrosis, underscoring their candidacy as promising therapeutic targets. Additionally, the competing endogenous RNA (ceRNA) network has emerged as a novel regulatory mechanism in the etiology of CVD, obesity, and NAFLD, wherein ncRNAs assume pivotal roles in facilitating communication across diverse molecular pathways. Moreover, in the concluding section, we underscored the potential efficacy of directing interventions towards inflammatory-related miRNAs utilizing herbal remedies and therapies based on exosome delivery systems as a promising strategy for ameliorating pathologies associated with inflammation in obesity, CVD, and NAFLD.

摘要

肥胖症、心血管疾病(CVD)和非酒精性脂肪性肝病(NAFLD)是全球性的健康挑战,其发病机制涉及炎症途径的复杂相互作用。在这篇综述中,我们研究了炎症和相关信号分子对这些疾病发病机制的贡献,同时强调了非编码 RNA(ncRNA)在调节炎症途径方面的重要参与。在肥胖症的背景下,炎症相关 miRNA 的异常表达模式在脂肪组织炎症和胰岛素抵抗中发挥了作用,从而加剧了代谢稳态的紊乱。同样,在 CVD 中,miRNA 的失调表达改变了炎症反应,破坏了内皮功能并诱导心脏重构,从而影响疾病的进展。此外,在 NAFLD 的背景下,炎症相关 miRNA 参与介导肝脏炎症、脂质沉积和纤维化,强调了它们作为有前途的治疗靶点的候选性。此外,竞争性内源性 RNA(ceRNA)网络已成为 CVD、肥胖症和 NAFLD 发病机制中的一种新的调节机制,其中 ncRNA 在促进不同分子途径之间的通讯方面发挥着关键作用。此外,在结论部分,我们强调了针对炎症相关 miRNA 的干预措施的潜在疗效,利用草药疗法和基于外泌体递送系统的疗法,作为改善肥胖症、CVD 和 NAFLD 中与炎症相关的病理学的一种有前途的策略。

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