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Does microRNA Perturbation Control the Mechanisms Linking Obesity and Diabetes? Implications for Cardiovascular Risk
Lucia La Sala1, Maurizio Crestani2, Silvia Garavelli3
1Laboratory of Cardiovascular and Dysmetabolic Disease, IRCCS MultiMedica, 20138 Milan, Italy.
Abstract:
Metabolic disorders such as obesity and type 2 diabetes (T2D) are considered the major risk factors for the development of cardiovascular diseases (CVD). Although the pathological mechanisms underlying the mutual development of obesity and T2D are difficult to define, a better understanding of the molecular aspects is of utmost importance to identify novel therapeutic targets. Recently, a class of non-coding RNAs, called microRNAs (miRNAs), are emerging as key modulators of metabolic abnormalities. There is increasing evidence supporting the role of intra- and extracellular miRNAs as determinants of the crosstalk between adipose tissues, liver, skeletal muscle and other organs, triggering the paracrine communication among different tissues. miRNAs may be considered as risk factors for CVD due to their correlation with cardiovascular events, and in particular, may be related to the most prominent risk factors. In this review, we describe the associations observed between miRNAs expression levels and the most common cardiovascular risk factors. Furthermore, we sought to depict the molecular aspect of the interplay between obesity and diabetes, investigating the role of microRNAs in the interorgan crosstalk. Finally, we discussed the fascinating hypothesis of the loss of protective factors, such as antioxidant defense systems regulated by such miRNAs.
Insights
MicroRNAs (miRNAs) are key regulators in metabolic disorders like obesity and type 2 diabetes (T2D), influencing cardiovascular disease (CVD) risk. This review explores miRNA roles in inter-organ communication and their link to cardiovascular risk factors.
Area of Science:
- Biochemistry
- Molecular Biology
- Genetics
Background:
- Metabolic disorders, including obesity and type 2 diabetes (T2D), are primary drivers of cardiovascular diseases (CVD).
- Understanding the molecular underpinnings of obesity and T2D is crucial for identifying new therapeutic strategies.
- MicroRNAs (miRNAs), a class of non-coding RNAs, are increasingly recognized as critical regulators of metabolic homeostasis.
Purpose of the Study:
- To review the association between miRNA expression levels and major cardiovascular risk factors.
- To elucidate the molecular mechanisms of the interplay between obesity and T2D, focusing on miRNA-mediated inter-organ crosstalk.
- To discuss the potential role of miRNAs in regulating protective mechanisms, such as antioxidant defense systems.
Main Methods:
- Literature review of studies investigating miRNA expression in metabolic disorders and cardiovascular diseases.
- Analysis of current research on miRNA's role in inter-organ communication (adipose tissue, liver, skeletal muscle).
- Exploration of the link between miRNAs, metabolic risk factors, and cardiovascular events.
Main Results:
- Evidence suggests a strong correlation between altered miRNA expression and the development of obesity, T2D, and CVD.
- miRNAs play a significant role in mediating paracrine signaling between key metabolic organs.
- Specific miRNAs are linked to prominent cardiovascular risk factors and may influence antioxidant defenses.
Conclusions:
- MicroRNAs are pivotal in the complex molecular pathways connecting metabolic disorders and cardiovascular diseases.
- Targeting miRNAs presents a promising avenue for novel therapeutic interventions for metabolic and cardiovascular conditions.
- Further research into miRNA-regulated protective mechanisms could reveal new strategies for disease prevention and treatment.
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