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Updated: Jun 12, 2026

MicroRNA-based Regulation of Picornavirus Tropism
Published on: February 6, 2017
Impact of microRNAs for pathogenesis and treatment of hepatitis C virus infection
1Architecture et réactivité de l'ARN, université de Strasbourg, institut de biologie moléculaire et cellulaire du CNRS, 15 rue René-Descartes, Strasbourg, France. spfeffer@unistra.fr
Abstract:
The discovery of RNA interference (RNAi), and of all related RNA silencing processes, was one of the major breakthroughs and is currently changing our understanding of liver physiology and pathogenesis of liver disease. Furthermore, recent studies indicate that microRNAs (miRNAs) are a promising therapeutic target. Plant and insect organisms use RNAi as a major antiviral pathway, whereas mammalian viruses interfere with or even usurp the cellular miRNA repertoire. One remarkable example of such usurpation is provided by hepatitis C virus (HCV), which recruits the liver-specific miR-122 to enhance its abundance. In the HCV-infected patient, the impact of miRNAs for pathogenesis is more complex: whereas miR-122 expression shows no correlation with viral load, decreased pretreatment miR-122 levels are associated with nonresponse during IFN therapy. Following-up on these investigations, miRNA-122 has recently been shown to be a target for antiviral intervention. Treatment of chronically HCV-infected chimpanzees with a novel miR-122 antagonist leads to suppression of HCV viremia. The prolonged virological response to miRNA-based treatment holds promise of a new antiviral therapy with a potentially higher barrier to resistance. This review summarizes recent key discoveries of the impact of miRNAs for pathogenesis and treatment of HCV infection.
Insights
MicroRNAs (miRNAs) offer a new therapeutic avenue for liver disease. Targeting miR-122 with antagonists suppressed hepatitis C virus (HCV) in chimpanzees, showing promise for novel antiviral treatments.
Area of Science:
- Molecular Biology
- Virology
- Hepatology
Background:
- RNA interference (RNAi) and microRNAs (miRNAs) are crucial in cellular processes and disease pathogenesis.
- Hepatitis C virus (HCV) manipulates host miRNAs, notably recruiting miR-122 to enhance viral replication.
- miR-122 dysregulation is linked to HCV infection outcomes and therapeutic response.
Purpose of the Study:
- To review the role of miRNAs in the pathogenesis of liver disease, particularly HCV infection.
- To explore the therapeutic potential of targeting miRNAs, specifically miR-122, for HCV treatment.
Main Methods:
- Literature review of recent discoveries on miRNA involvement in HCV pathogenesis and treatment.
- Analysis of studies investigating miR-122's role in HCV replication and its association with treatment response.
- Examination of preclinical data on miR-122 antagonists in HCV-infected animal models.
Main Results:
- miR-122 plays a complex role in HCV pathogenesis, influencing treatment response.
- Antiviral intervention targeting miR-122 in chimpanzees led to suppression of HCV viremia.
- miRNA-based therapy demonstrated a prolonged virological response, suggesting a high barrier to resistance.
Conclusions:
- MicroRNAs, particularly miR-122, represent a significant target for novel antiviral therapies against HCV.
- miRNA-based interventions hold promise for effective and durable treatment of chronic HCV infection.
- Further research into miRNA therapeutics could revolutionize the management of liver diseases.
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