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Published on: January 7, 2019
miRNAs as Modern Biomarkers in Asthma Therapy
Natalia Kierbiedź-Guzik1, Barbara Sozańska2
114th Paediatric Ward-Pulmonology and Allergology, J. Gromkowski Provincial Specialist Hospital, ul. Koszarowa 5, 51-149 Wrocław, Poland.
Abstract:
Asthma is a chronic inflammatory disease of the airways characterized by shortness of breath, chest tightness, coughing, and wheezing. For several decades (approximately 30 years), miRNAs and their role in asthma have been of constant interest among scientists. These small, non-coding RNA fragments, 18-25 nucleotides long, regulate gene expression at the post-transcriptional level by binding to the target mRNA. In this way, they affect several biological processes, e.g., shaping airway structures, producing cytokines and immune mediators, and controlling defense mechanisms. Publications confirm their potential role in the diagnosis and monitoring of the disease, but only some articles address the use of miRNAs in the treatment of asthma. The following paper reviews the latest available studies and presents miRNAs as a useful tool for predicting the effectiveness of the included treatment, early diagnosis of exacerbations, and in assessing patient compliance for different groups of drugs used in asthma. The latest known pathways underlying the pathogenesis of the disease, which are associated with a change in miRNA expression, may be precise targets of therapeutic activity in the future.
Insights
MicroRNAs (miRNAs) are small RNA molecules that regulate gene expression and play a role in asthma. This review highlights their potential in predicting asthma treatment effectiveness, diagnosing exacerbations, and assessing drug compliance.
Area of Science:
- Biochemistry
- Molecular Biology
- Immunology
Background:
- Asthma is a chronic airway inflammatory disease with symptoms like wheezing and coughing.
- MicroRNAs (miRNAs) are small non-coding RNAs regulating gene expression post-transcriptionally.
- miRNAs influence airway structure, cytokine production, and immune responses relevant to asthma.
Purpose of the Study:
- To review the latest research on microRNAs (miRNAs) in asthma.
- To explore the potential of miRNAs in asthma diagnosis, monitoring, and treatment.
- To present miRNAs as predictive biomarkers for treatment efficacy and patient compliance.
Main Methods:
- Literature review of recent studies on miRNAs and asthma.
- Analysis of miRNA's role in gene expression regulation relevant to asthma pathogenesis.
- Examination of evidence linking miRNA expression to asthma exacerbations and drug response.
Main Results:
- miRNAs are implicated in key biological processes underlying asthma.
- Evidence suggests miRNAs can predict treatment effectiveness in asthma patients.
- miRNAs show potential for early diagnosis of asthma exacerbations and assessing drug compliance.
Conclusions:
- MicroRNAs represent a promising area for asthma research and clinical application.
- miRNAs can serve as valuable biomarkers for personalized asthma management.
- Future therapeutic strategies may target miRNA pathways for novel asthma treatments.
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