Implications for MicroRNA involvement in the prognosis and treatment of atherosclerosis

Samira Tabaei1, Seyyedeh Samaneh Tabaee2,3

  • 1Department of Immunology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Insights

MicroRNAs (miRNAs) regulate key cellular processes and are implicated in atherosclerosis. This review explores their role in endothelial cells, smooth muscle cells, and macrophages, highlighting their diagnostic and therapeutic potential.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cardiovascular Research

Background:

  • MicroRNAs (miRNAs) are crucial regulators of cellular processes including differentiation, metabolism, and apoptosis.
  • Atherosclerosis development involves complex gene and signaling pathway dysregulation, with miRNAs playing a significant role.
  • miRNAs offer novel molecular insights into atherosclerosis pathogenesis.

Purpose of the Study:

  • To review the regulatory roles of miRNAs in key cell types involved in atherosclerosis: endothelial cells (ECs), vascular smooth muscle cells (VSMCs), and monocyte/macrophages.
  • To discuss the potential of miRNAs as diagnostic and prognostic biomarkers for atherosclerosis.
  • To explore therapeutic opportunities and challenges associated with miRNA-based interventions.

Main Methods:

  • Literature review of existing research on miRNAs and atherosclerosis.
  • Analysis of miRNA involvement in cellular processes relevant to atherosclerosis.
  • Discussion of clinical translation challenges and future perspectives.

Main Results:

  • miRNAs are key regulators of EC, VSMC, and monocyte/macrophage functions, including migration, differentiation, proliferation, and lipid handling.
  • miRNAs demonstrate significant potential as biomarkers for atherosclerosis diagnosis and prognosis.
  • Promising preclinical results exist, but clinical translation faces practical and technical hurdles.

Conclusions:

  • miRNAs are pivotal in regulating cellular dynamics within the atherosclerotic process.
  • miRNAs hold considerable promise as biomarkers and therapeutic targets for atherosclerosis.
  • Further research is needed to overcome challenges for successful clinical application of miRNA-based strategies.

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