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Exosomal miRNAs involvement in pathogenesis, diagnosis, and treatment of rheumatoid arthritis
Mahvash Sadeghi1, Jalil Tavakol Afshari2, Afsane Fadaee2
1Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract:
Rheumatoid arthritis (RA) is the most common chronic autoimmune arthropathy worldwide. The initiation, and progression of RA involves multiple cellular and molecular pathways, and biological interactions. Micro RNAs (miRNAs) are characterized as a class of small non-coding RNAs that influence gene expression at the post-transcriptional level. Exosomes are biological nano-vesicles that are secreted by different types of cells. They facilitate communication and signalling between cells by transferring a variety of biological substances, such as proteins, lipids, and nucleic acids like mRNA and miRNA. Exosomal miRNAs were shown to be involved in normal and pathological conditions. In RA, deregulated exosomal miRNA expression was observed to be involved in the intercellular communication between synovial cells, and inflammatory or regulatory immune cells. Furthermore, circulating exosomal miRNAs were introduced as available diagnostic and prognostic biomarkers for RA pathology. The current review categorized and summarized dysregulated pathologically involved and circulating exosomal miRNAs in the context of RA. It highlighted present situation and future perspective of using exosomal miRNAs as biomarkers and a specific gene therapy approach for RA treatment.
Insights
Exosomal microRNAs (miRNAs) play a key role in rheumatoid arthritis (RA) intercellular communication and are promising biomarkers for diagnosis and prognosis. This review explores their role in RA pathogenesis and therapeutic potential.
Area of Science:
- Molecular Biology
- Immunology
- Biochemistry
Background:
- Rheumatoid arthritis (RA) is a prevalent chronic autoimmune disease characterized by complex cellular and molecular pathways.
- MicroRNAs (miRNAs) are small non-coding RNAs regulating gene expression post-transcriptionally.
- Exosomes are nano-vesicles mediating intercellular communication by transferring biomolecules, including miRNAs.
Purpose of the Study:
- To review and categorize dysregulated exosomal miRNAs involved in rheumatoid arthritis pathogenesis.
- To summarize the role of circulating exosomal miRNAs as diagnostic and prognostic biomarkers for RA.
- To discuss the future potential of exosomal miRNAs in RA gene therapy.
Main Methods:
- Literature review and categorization of studies on exosomal miRNAs in rheumatoid arthritis.
- Analysis of exosomal miRNA expression in RA pathogenesis and intercellular communication.
- Evaluation of exosomal miRNAs as diagnostic, prognostic, and therapeutic targets for RA.
Main Results:
- Exosomal miRNAs are implicated in intercellular communication between synovial and immune cells in RA.
- Dysregulated exosomal miRNA expression is observed in RA pathology.
- Circulating exosomal miRNAs show potential as accessible biomarkers for RA diagnosis and prognosis.
Conclusions:
- Exosomal miRNAs are crucial mediators in rheumatoid arthritis pathogenesis and intercellular signaling.
- Circulating exosomal miRNAs represent promising biomarkers for RA diagnosis and monitoring.
- Exosomal miRNAs offer potential for targeted gene therapy strategies in rheumatoid arthritis treatment.
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