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miRNAs as attractive diagnostic and therapeutic targets for Familial Mediterranean Fever
Hamza Malik Okuyan1,2, Mehmet A Begen3
1Department of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Canada.
Abstract:
Familial Mediterranean Fever (FMF) is a hereditary early-onset disease that causes periodical fever attack, excessive release of IL-1β, serositis, arthritis and peritonitis. Genetic analyses conducted on FMF patients (mutated and non-mutated) have highlighted that additional contributing factors such as epigenetics and environment play a role in clinical manifestations of FMF. Recently researchers report that microRNAs (miRNAs), implicated in epigenetic mechanisms, may contribute to the pathogenesis of FMF. miRNAs, a member of the captivating noncoding RNA family, are the single-strand transcripts that work in physiological and pathophysiological processes by regulating target gene expression. Recent studies have shown that miRNAs are associated with various mechanisms involved in the pathogenesis of FMF, such as apoptosis, inflammation and autophagy. Moreover, these miRNAs molecules might have potential use in treatment, therapeutic response monitoring and the diagnosis of subtypes of the disease in the future. Motivated by these potential benefits (diagnostic and therapeutic) of miRNAs, we focus on recent advances of clinical significances and potential action mechanisms of miRNAs in FMF pathogenesis and discuss their potential use for FMF.
Insights
Familial Mediterranean Fever (FMF) involves genetic and epigenetic factors like microRNAs (miRNAs). These miRNAs may play a role in FMF pathogenesis and offer future diagnostic and therapeutic potential.
Area of Science:
- Genetics and Molecular Biology
- Immunology
- RNA Biology
Background:
- Familial Mediterranean Fever (FMF) is an inherited autoinflammatory disorder characterized by recurrent fever, inflammation, and serositis.
- While genetics are primary, epigenetic factors, including microRNAs (miRNAs), are increasingly recognized for their role in FMF pathogenesis.
- MicroRNAs are small noncoding RNAs that regulate gene expression and are implicated in cellular processes relevant to FMF, such as inflammation, apoptosis, and autophagy.
Purpose of the Study:
- To review recent advances in understanding the clinical significance and mechanisms of microRNAs in Familial Mediterranean Fever.
- To explore the potential diagnostic and therapeutic applications of miRNAs in FMF management.
Main Methods:
- Literature review of recent studies on microRNAs and FMF.
- Analysis of the role of miRNAs in FMF-associated biological pathways.
- Discussion of current and future clinical applications of miRNAs in FMF.
Main Results:
- MicroRNAs are involved in key pathogenic mechanisms of FMF, including inflammation, apoptosis, and autophagy.
- Specific miRNAs show altered expression in FMF patients, suggesting a role in disease development.
- MicroRNAs hold promise for FMF diagnosis, monitoring treatment response, and potentially as therapeutic targets.
Conclusions:
- MicroRNAs are significant contributors to the pathogenesis of Familial Mediterranean Fever.
- Further research into miRNAs could lead to novel diagnostic biomarkers and therapeutic strategies for FMF.
- MicroRNAs represent a promising area for advancing FMF patient care.
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