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基于 miRNA 的白塞病治疗方法:揭示发病机制、诊断策略和治疗应用。

Approaches based on miRNAs in Behçet's Disease: Unveiling pathogenic mechanisms, diagnostic strategies, and therapeutic applications.

机构信息

School of Biotechnology, Badr University in Cairo (BUC), Badr City, Cairo 11829, Egypt.

Pharmacology and Toxicology Department, Faculty of Pharmacy, Badr University in Cairo (BUC), Badr City, Cairo 11829, Egypt.

出版信息

Life Sci. 2024 Oct 1;354:122950. doi: 10.1016/j.lfs.2024.122950. Epub 2024 Aug 9.

Abstract

Behçet's Disease (BD) is an intricate medical puzzle, captivating researchers with its enigmatic pathogenesis. This complex ailment, distinguished by recurrent mouth and genital lesions, eye irritation, and skin injuries, presents a substantial obstacle to therapeutic research. This review explores the complex interaction of microRNAs (miRNAs) with BD, highlighting their crucial involvement in the disease's pathophysiology. miRNAs, recognized for regulatory influence in diverse biological processes, hold a pivotal position in the molecular mechanisms of autoimmune diseases, such as BD. The exploration begins with examining miRNA biogenic pathways and functions, establishing a foundational understanding of their regulatory mechanisms. Shifting to the molecular landscape governing BD, the review highlights miRNA-mediated impacts on critical signaling pathways like Notch, nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB), and protein kinase B (AKT)/mammalian target of rapamycin (mTOR), offering insights into intricate pathophysiological mechanisms. Dissecting the immunological landscape reveals the profound influence of miRNAs on BD, shedding light on the intricate modulation of immune responses and offering novel perspectives on disease etiology and progression. Beyond molecular intricacies, the review explores the clinical relevance of miRNAs in BD, emphasizing their potential as diagnostic and prognostic indicators. The discussion extends to the promising realm of miRNA-based therapeutic interventions, highlighting their potential in alleviating symptoms and altering disease progression. This comprehensive review, serving as a valuable resource for researchers, clinicians, and stakeholders, aims to decipher the intricate molecular tapestry of BD and explore the therapeutic potential of miRNAs.

摘要

贝切特病(BD)是一个复杂的医学难题,其神秘的发病机制吸引着研究人员的关注。这种复杂的疾病以反复发作的口腔和生殖器溃疡、眼部刺激和皮肤损伤为特征,给治疗研究带来了巨大的挑战。本综述探讨了 microRNAs(miRNAs)与 BD 的复杂相互作用,强调了它们在疾病病理生理学中的关键作用。miRNAs 在多种生物学过程中具有调节作用,在自身免疫性疾病(如 BD)的分子机制中起着关键作用。研究从检查 miRNA 的生物发生途径和功能开始,建立了对其调节机制的基本理解。然后转向调控 BD 的分子景观,综述强调了 miRNA 对关键信号通路(如 Notch、核因子 kappa-轻链增强子的 B 细胞(NF-κB)和蛋白激酶 B(AKT)/哺乳动物雷帕霉素靶蛋白(mTOR)的介导影响,深入了解复杂的病理生理学机制。剖析免疫景观揭示了 miRNAs 对 BD 的深远影响,阐明了对免疫反应的复杂调节,并为疾病的病因和进展提供了新的视角。除了分子复杂性,本综述还探讨了 miRNAs 在 BD 中的临床相关性,强调了它们作为诊断和预后指标的潜力。讨论还扩展到了 miRNA 为基础的治疗干预的有前途领域,强调了它们在缓解症状和改变疾病进展方面的潜力。本综述是研究人员、临床医生和利益相关者的宝贵资源,旨在揭示 BD 的复杂分子图谱,并探索 miRNAs 的治疗潜力。

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