MicroRNA-21 is a potential therapeutic agent targeting Tgfbi and mitigating high-fat-diet-induced liver disease and

Urmila Jagtap1,2, Anan Quan1,2, Yuho Ono1

  • 1Department of Pathology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02115, USA.

PubMed

Insights

MicroRNA-21 (miR-21) protects against liver disease progression, including cancer, by targeting the oncogene Tgfbi. Restoring miR-21 levels may prevent or delay liver conditions linked to metabolic dysfunction and high-fat diets.

Area of Science:

  • Hepatology
  • Molecular Biology
  • Metabolic Syndrome Research

Background:

  • Liver disease, including hepatocellular carcinoma (HCC), poses a significant global health challenge with limited curative options.
  • Metabolic-dysfunction-associated steatotic liver disease (MASLD) and metabolic-associated steatohepatitis (MASH) are increasing health concerns, often linked to dietary factors.
  • MicroRNAs (miRNAs) are emerging as critical regulators in liver disease pathogenesis.

Purpose of the Study:

  • To investigate the role of microRNA-21-5p (miR-21) in the progression of MASLD, MASH, and HCC.
  • To explore the therapeutic potential of miR-21 in the context of a Western choline-deficient (CD) high-fat diet (HFD).
  • To identify direct molecular targets of miR-21 involved in liver disease progression.

Main Methods:

  • Utilized wild-type (WT) and miR-21-knockout mouse models fed a CD-HFD.
  • Analyzed metabolic parameters, liver pathology (steatosis, fibrosis, hepatomegaly), hyperglycemia, and insulin resistance.
  • Investigated miR-21's direct targeting of Transforming growth factor beta-induced (Tgfbi) and assessed therapeutic effects of an miR-21 mimic.

Main Results:

  • Reduced miR-21 levels correlated with liver disease progression in WT mice on CD-HFD.
  • miR-21 knockout mice exhibited worsened metabolic dysfunction and accelerated liver disease and HCC development.
  • miR-21 directly targets and downregulates Tgfbi, a gene upregulated in HCC.
  • Administration of an miR-21 mimic improved metabolic parameters, reduced steatosis and fibrosis, and decreased tumor burden in CD-HFD mice.

Conclusions:

  • miR-21 plays a crucial protective role in preventing metabolic syndrome and the progression of liver disease to cancer.
  • Targeting Tgfbi via miR-21 modulation represents a potential therapeutic strategy for liver diseases associated with metabolic dysfunction.
  • Restoring miR-21 levels offers a promising approach to delay or prevent liver disease in high-fat diet environments.

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