Selvakumar Sushmaa Chandralekha, Preethi K Auxzilia, Ross Kehinde, Sekar Durairaj
RNA Biology Lab, Saveetha Dental College & Hospitals, Saveetha Institute of Medical & Technical Sciences (SIMATS), Saveetha University, Chennai 600077, India.
School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, United Kingdom.
Placenta. 2024 Dec;158:38-47. doi: 10.1016/j.placenta.2024.09.018. Epub 2024 Sep 30.
Preeclampsia (PE) is a pregnancy complication that is often diagnosed due to elevated blood pressure and proteinuria. Though current research focuses on the identification of novel biomarkers and therapeutic targets, still, there is a lack of clinical validation for the use of biomarkers and therapeutic targets for early diagnosis and treatment of PE. Several molecules are being studied for their potential role in PE. Among them, microRNAs are studied vastly for their role in the diagnosis, prognosis, and treatment of PE. But only a few studies are focused on the therapeutic efficacy of miRNAs in PE. Thus, the relevant articles were identified and discussed in this review. These studies provide evidence that miRNAs are indeed important molecules in PE that have the role of both therapeutic targets and therapeutic molecules. However, the studies are limited to in vivo an in vitro models, hence further studies are required to validate the complete potential of miRNA therapeutics. Long non-coding RNA (lncRNA) sponges, miRNA mimics, miRNA inhibitors, exosome-associated miRNAs, and several other molecules have been studied as miRNA-based therapeutics in PE. Thus, miRNAs are postulated to be potential therapeutic targets and miRNA-based therapeutics might pave the way for novel therapeutic approaches for PE.
子痫前期(PE)是一种妊娠并发症,通常因血压升高和蛋白尿而被诊断出来。尽管目前的研究集中在新型生物标志物和治疗靶点的识别上,但对于将生物标志物和治疗靶点用于PE的早期诊断和治疗,仍缺乏临床验证。目前正在研究几种分子在PE中的潜在作用。其中,微小RNA(microRNAs)因其在PE的诊断、预后和治疗中的作用而受到广泛研究。但只有少数研究关注miRNA在PE中的治疗效果。因此,本综述对相关文章进行了识别和讨论。这些研究提供了证据,表明miRNAs确实是PE中的重要分子,兼具治疗靶点和治疗分子的作用。然而,这些研究仅限于体内和体外模型,因此需要进一步研究来验证miRNA治疗的全部潜力。长链非编码RNA(lncRNA)海绵、miRNA模拟物、miRNA抑制剂、外泌体相关miRNA以及其他几种分子已作为基于miRNA的治疗方法在PE中进行了研究。因此,miRNAs被认为是潜在的治疗靶点,基于miRNA的治疗方法可能为PE的新型治疗途径铺平道路。