Liao Dongyi, Zhang Yujie, Li Shuangyang, Tang Hongmei, Bai Xue
Department of Neurology, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, China.
Neurol Sci. 2025 Jun;46(6):2393-2399. doi: 10.1007/s10072-025-08051-8. Epub 2025 Feb 19.
miRNAs are critical for different disease development processes, including cell growth, signaling, apoptosis, cancer and neurodegenerative diseases. It has been shown that altered miRNA levels are associated with reactive oxygen species (ROS) formation and mitochondrial dysfunction. While mitochondrial dysfunction and ROS formation occur in many neurodegenerative diseases, such as Alzheimer's disease, Parkinson's disease, and multiple sclerosis, amyotrophic lateral sclerosis, miRNAs have the potential to be diagnostic biomarkers and therapeutic targets with a high degree of specificity, which is highly relevant in neurodegenerative pathologies.This paper gives a general summary of the current expression of miRNAs in neurodegenerative diseases, including miRNAs up-regulated or down-regulated in a variety of diseases, as well as the associated factors of influence. miRNAs are more like a double-edged sword, their multi-targeted role has brought light to many diseases for which there are currently no clear therapeutic options, but at the same time, their low specificity and possible side effects on the whole body should not be ignored, therefore However, at the same time, its low specificity and possible side effects on the whole body should not be ignored, therefore, more attention should be paid to the development of miRNA therapy in terms of its high efficiency, the use of carriers, and the clarification of side effects.
微小RNA(miRNA)对于不同的疾病发展过程至关重要,包括细胞生长、信号传导、细胞凋亡、癌症和神经退行性疾病。研究表明,miRNA水平的改变与活性氧(ROS)的形成以及线粒体功能障碍有关。虽然线粒体功能障碍和ROS形成在许多神经退行性疾病中都会出现,如阿尔茨海默病、帕金森病、多发性硬化症、肌萎缩侧索硬化症,但miRNA有潜力成为具有高度特异性的诊断生物标志物和治疗靶点,这在神经退行性病变中具有高度相关性。本文对miRNA在神经退行性疾病中的当前表达情况进行了总体概述,包括在多种疾病中上调或下调的miRNA,以及相关的影响因素。miRNA更像是一把双刃剑,它们的多靶点作用为许多目前尚无明确治疗选择的疾病带来了曙光,但同时,它们的低特异性以及对全身可能产生的副作用也不容忽视,因此,在miRNA治疗的高效性、载体的使用以及副作用的阐明方面,应给予更多关注。