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Published on: June 16, 2023
The Role of MicroRNAs in Mitochondria-Mediated Eye Diseases
Sabrina Carrella1, Filomena Massa1, Alessia Indrieri1,2
1Telethon Institute of Genetics and Medicine, Naples, Italy.
Abstract:
The retina is among the most metabolically active tissues with high-energy demands. The peculiar distribution of mitochondria in cells of retinal layers is necessary to assure the appropriate energy supply for the transmission of the light signal. Photoreceptor cells (PRs), retinal pigment epithelium (RPE), and retinal ganglion cells (RGCs) present a great concentration of mitochondria, which makes them particularly sensitive to mitochondrial dysfunction. To date, visual loss has been extensively correlated to defective mitochondrial functions. Many mitochondrial diseases (MDs) show indeed neuro-ophthalmic manifestations, including retinal and optic nerve phenotypes. Moreover, abnormal mitochondrial functions are frequently found in the most common retinal pathologies, i.e., glaucoma, age-related macular degeneration (AMD), and diabetic retinopathy (DR), that share clinical similarities with the hereditary primary MDs. MicroRNAs (miRNAs) are established as key regulators of several developmental, physiological, and pathological processes. Dysregulated miRNA expression profiles in retinal degeneration models and in patients underline the potentiality of miRNA modulation as a possible gene/mutation-independent strategy in retinal diseases and highlight their promising role as disease predictive or prognostic biomarkers. In this review, we will summarize the current knowledge about the participation of miRNAs in both rare and common mitochondria-mediated eye diseases. Definitely, given the involvement of miRNAs in retina pathologies and therapy as well as their use as molecular biomarkers, they represent a determining target for clinical applications.
Insights
Mitochondrial dysfunction in the retina is linked to vision loss. MicroRNAs (miRNAs) offer a promising therapeutic and biomarker strategy for both rare and common mitochondrial eye diseases.
Area of Science:
- Ophthalmology
- Mitochondrial Biology
- Molecular Biology
Background:
- The retina has high energy demands, relying on mitochondria for energy supply, making retinal cells sensitive to mitochondrial dysfunction.
- Defective mitochondrial function is linked to vision loss and neuro-ophthalmic manifestations in mitochondrial diseases.
- Common retinal pathologies like glaucoma, AMD, and DR share similarities with mitochondrial diseases and involve abnormal mitochondrial function.
Purpose of the Study:
- To review the role of microRNAs (miRNAs) in rare and common mitochondrial eye diseases.
- To explore miRNAs as potential gene/mutation-independent therapeutic targets for retinal diseases.
- To highlight the utility of miRNAs as predictive or prognostic biomarkers in retinal pathologies.
Main Methods:
- Literature review of studies on mitochondrial eye diseases and microRNA involvement.
- Analysis of miRNA dysregulation in retinal degeneration models and patient data.
- Synthesis of current knowledge on miRNA participation in mitochondria-mediated retinal pathologies.
Main Results:
- MicroRNAs are key regulators in retinal development, physiology, and pathology.
- Dysregulated miRNA expression is observed in retinal degeneration, suggesting their involvement.
- Mitochondrial dysfunction is a common factor in both rare inherited and common acquired retinal diseases.
Conclusions:
- MicroRNAs play a significant role in mitochondria-mediated retinal diseases.
- miRNA modulation presents a potential therapeutic strategy independent of specific gene mutations.
- MicroRNAs are promising molecular biomarkers for early detection and prognosis of retinal diseases, with significant clinical application potential.
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