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Association between extracellular vesicles, microRNA and chronic lung disease: Narrative review
1Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, Japan.
Insights
Extracellular vesicles (EVs) and microRNAs (miRNAs) show promise in understanding and managing chronic lung disease (CLD) in premature infants. Further research into EVs and miRNAs could lead to new diagnostic and therapeutic strategies for CLD.
Area of Science:
- Neonatal Medicine
- Molecular Biology
- Pulmonology
Background:
- Chronic lung disease (CLD) is a significant comorbidity in premature infants, posing risks for mortality and long-term cardiopulmonary issues.
- Despite advancements, challenges persist in the detection and treatment of CLD.
- Extracellular vesicles (EVs) are implicated in various pathological processes, including lung disease, by transporting molecules like microRNAs (miRNAs).
Purpose of the Study:
- To review existing clinical and animal studies on the connection between EVs, miRNAs, and CLD.
- To explore the potential roles of EVs and miRNAs in the pathogenesis of CLD.
- To identify potential applications of EVs and miRNAs as biomarkers or therapeutic targets for CLD.
Main Methods:
- Literature review of clinical and animal studies.
- Analysis of the role of EVs in physiological and pathological processes.
- Examination of specific miRNAs (e.g., miRNA-21, miRNA-34a) in lung development and disease.
Main Results:
- EVs play crucial roles in intercellular communication, inflammation, immune regulation, and genetic information transfer.
- Aberrant levels of specific miRNAs are linked to abnormal lung development and CLD pathogenesis.
- EVs can carry miRNAs, suggesting a mechanism for their involvement in CLD.
Conclusions:
- EVs and miRNAs are critically involved in the pathogenesis of CLD.
- miRNAs carried by EVs may serve as diagnostic or prognostic biomarkers for CLD.
- Targeting EVs and miRNAs presents a potential therapeutic avenue for managing CLD.
Abstract:
Chronic lung disease (CLD) is a common and significant lung disease of prematurity with a high risk of neonatal mortality and lifelong effects on cardiopulmonary function. Recently, an increase in incidence has been observed and-despite advances in understanding this condition-challenges exist in relation to its detection and treatment. Extracellular vesicles (EVs), which can carry noncoding RNA species such as microRNA (miRNA), play roles in several pathological conditions, including lung disease. EVs are involved in many physiological roles, including inflammation inhibition, immune regulation, cell differentiation, apoptosis, and the carrying of genetic information. Changes in levels of multiple microRNAs (miRNAs) are associated with abnormal lung development, including miRNA-21 and miRNA-34a, which have been shown to play important roles in the pathogenesis of lung disease. As such, miRNAs may contribute to the management of CLD, including as diagnostic or prognostic biomarkers, and/or therapeutic interventions. This review aims to summarize clinical and animal studies suggesting the relationship between EVs, miRNA, and CLD and provides further ideas for exploring the role of EVs and miRNA in the pathogenesis of CLD.
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