MicroRNAs in Spinal Cord Injury: Molecular and Translational Insights

Seyyedeh Fahimeh Talebi1, Hossein Kalarestaghi2, Ehsan Sheikh Hesabi3

  • 1Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Brain and Behavior
|July 28, 2026
PubMed
Abstract

Insights

MicroRNAs (miRNAs) are key regulators in spinal cord injury (SCI) pathways, influencing processes like inflammation and remyelination. Therapeutic strategies using miRNAs show promise but face delivery and specificity challenges for clinical use.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Regenerative Medicine

Background:

  • Spinal cord injury (SCI) involves complex molecular and cellular changes leading to progressive damage and dysfunction.
  • MicroRNAs (miRNAs), small noncoding RNAs regulating gene expression, are central to injury-related pathways.
  • Understanding miRNA roles is crucial for developing effective SCI therapies.

Purpose of the Study:

  • To review the regulatory functions of miRNAs in spinal cord injury.
  • To evaluate the potential of miRNAs as therapeutic targets for SCI.
  • To synthesize current knowledge on miRNA-based therapeutic strategies.

Main Methods:

  • Analysis of recent experimental and preclinical studies on SCI.
  • Identification of key miRNAs involved in injury-induced molecular responses.
  • Assessment of advancements in miRNA-based therapeutic strategies, including mimics, inhibitors, and delivery systems.

Main Results:

  • Specific miRNAs (e.g., miR-21, miR-124, miR-219) regulate apoptosis, neuroinflammation, oxidative stress, glial activation, and remyelination.
  • miRNAs like miR-21 and miR-223 have context-dependent roles in neuroinflammation and vascular repair.
  • Therapeutic approaches using viral vectors, nanoparticles, and stem cells improved tissue preservation and functional outcomes in preclinical models.

Conclusions:

  • miRNAs are critical regulators and promising therapeutic targets for SCI.
  • Clinical translation is hindered by delivery barriers, off-target effects, and network complexity.
  • Advancements in delivery technologies and precise miRNA regulation are essential for effective neuroprotection and regeneration.