Non-coding RNAs and Exosomes: Their Role in the Pathogenesis of Sepsis

Seyed MohammadReza Hashemian1, Mohammad Hossein Pourhanifeh2, Sara Fadaei3

  • 1Chronic Respiratory Diseases Research Center (CRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran; Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Disease, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Insights

Sepsis, a life-threatening condition, involves uncontrolled infection responses. Exploring microRNAs, non-coding RNAs, and exosomes offers potential for new sepsis diagnostics and treatments.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Genetics

Background:

  • Sepsis is a global health crisis with high mortality and morbidity.
  • Uncontrolled host response to infection defines sepsis.
  • Current diagnostic and therapeutic strategies for sepsis require improvement.

Purpose of the Study:

  • To explore novel epigenetic and molecular mechanisms in sepsis.
  • To identify potential diagnostic biomarkers for sepsis.
  • To investigate the therapeutic potential of RNA-based biomarkers in sepsis.

Main Methods:

  • Review of accumulating data on microRNAs, non-coding RNAs, and exosomes.
  • Analysis of their role in regulating sepsis pathophysiology.
  • Assessment of current clinical reporting of epigenetic modifications in sepsis.

Main Results:

  • MicroRNAs, non-coding RNAs, and exosomes show promise as novel sepsis biomarkers.
  • These biomarkers are implicated in the regulation of sepsis pathophysiology.
  • Epigenetic modifications are not yet widely utilized in clinical sepsis settings.

Conclusions:

  • Epigenetic and molecular discoveries can enhance sepsis diagnostics and therapeutics.
  • RNA-based biomarkers like microRNAs, non-coding RNAs, and exosomes warrant further investigation.
  • More research is needed on tissue-specific epigenetic biomarkers for clinical application in intensive care patients.

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