MicroRNA与缺血性脑卒中的研究进展

ISSN:2705-098X(P)

EISSN:2705-0505(O)

语言:中文

作者
覃冰冰,陈海燕
文章摘要
脑血管意外是导致残疾和认知缺陷的主要原因。缺血性脑卒中病理机制涉及氧化应激、细胞凋亡与自噬、血脑屏障破坏及神经炎症等多重过程。MicroRNA(miRNA)作为关键调控分子,通过靶向相关基因参与这些病理环节,在缺血性脑卒中的发生、发展中发挥重要作用。本综述旨在总结近年来关于miRNA在缺血性脑卒中的研究进展,探讨其潜在的治疗价值。
文章关键词
MicroRNA;缺血性脑卒中;生物标志物;机制;治疗
参考文献
[1] GBD 2015 Disease and Injury Incidence and Prevalence Collaborators.Global,regional,and national incidence,prevalence,and years lived with disability for 310 diseases and injuries,1990-2015:A systematic analysis for the global burden of disease study 2015[J].Lancet (London,England),2016,388(10053):1545-1602. [2] Hu X,Wu D,He X,et al.circGSK3βpromotes metastasis in esophageal squamous cell carcinoma by augmentingβ-catenin signaling[J]. Molecular Cancer,2019,18(1):160. [3] Feng Y,Li Y,Zhang Y,et al.miR-1224 contributes to ischemic stroke-mediated natural killer cell dysfunction by targeting Sp1 signaling[J].Journal of Neuroinflammation,2021,18(1):133. [4] Li Y,Song R,Shen G,et al.MicroRNA-210 Downregulates TET2(Ten-Eleven Translocation Methylcytosine Dioxygenase 2)and Contributes to Neuroinflammation in Ischemic Stroke of Adult Mice[J].Stroke,2023,54(3):857-867. [5] Wang P,Shao B Z,Deng Z,et al.Autophagy in ischemic stroke[J].Progress in Neurobiology,2018,163-164:98-117. [6] Diagnosis and management of acute ischaemic stroke-PubMed[EB/OL].[2025-03-15].https://pubmed.ncbi.nlm.nih.gov/32507747/. [7] Wang P,Shao B Z,Deng Z,et al.Autophagy in ischemic stroke[J].Progress in Neurobiology,2018,163-164:98-117. [8] Vandenabeele P,Galluzzi L,Vanden Berghe T,et al.Molecular mechanisms of necroptosis:An ordered cellular explosion[J].Nature Reviews Molecular Cell Biology,2010,11(10):700-714. [9] Wei L,Ying D J,Cui L,et al.Necrosis,apoptosis and hybrid death in the cortex and thalamus after barrel cortex ischemia in rats[J].Brain Research,2004,1022(1-2):54-61. [10] Ferrer I.Apoptosis:Future targets for neuroprotective strategies[J].Cerebrovascular Diseases,2006,21(Suppl.2):9-20. [11] Liu Q,Zhang L,Xu X.circLOC375190 promotes autophagy through modulation of the mTORC1/TFEB axis in acute ischemic stroke-induced neurological injury[J].Clinics(Sao Paulo,Brazil),2025,80:100581. [12] Song L,Mu L,Wang H.MicroRNA-489-3p aggravates neuronal apoptosis and oxidative stress after cerebral ischemia-reperfusion injury[J].Bioengineered,2022,13(6):14047-14056. [13] Sandoval K E,Witt K A.Blood-brain barrier tight junction permeability and ischemic stroke[J].Neurobiology of Disease,2008, 32(2):200-219. [14] Chen H S,Chen X,Li W T,et al.Targeting RNS/caveolin-1/MMP signaling cascades to protect against cerebral ischemia-reperfusion injuries:Potential application for drug discovery[J].Acta Pharmacologica Sinica,2018,39(5):669-682. [15] Abdullahi W,Tripathi D,Ronaldson P T.Blood-brain barrier dysfunction in ischemic stroke:Targeting tight junctions and transporters for vascular protection[J].American Journal of Physiology.Cell Physiology,2018,315(3):C343-C356. [16] Zuo X,Lu J,Manaenko A,et al.MicroRNA-132 attenuates cerebral injury by protecting blood-brain-barrier in MCAO mice[J]. Experimental Neurology,2019,316:12-19. [17] Pan J,Qu M,Li Y,et al.MicroRNA-126-3p/-5p Overexpression Attenuates Blood-Brain Barrier Disruption in a Mouse Model of Middle Cerebral Artery Occlusion[J].Stroke,2020,51(2):619-627. [18] Deng L,Zhang J,Chen S,et al.miR-671-5p Upregulation Attenuates Blood-Brain Barrier Disruption in the Ischemia Stroke Model Via the NF-кB/MMP-9 Signaling Pathway[J].Molecular Neurobiology,2023,60(7):3824-3838. [19] Zheng L,Tang X,Lu M,et al.microRNA-421-3p prevents inflammatory response in cerebral ischemia/reperfusion injury through targeting m6A Reader YTHDF1 to inhibit p65 mRNA translation[J].International Immunopharmacology,2020,88:106937. [20] Shi Y,Li Z,Li K,et al.miR-155-5p accelerates cerebral ischemia-reperfusion inflammation injury and cell pyroptosis via DUSP14/ TXNIP/NLRP3 pathway[J].Acta Biochimica Polonica,2022,69(4):787-793. [21] Zhou F,Wang Y K,Zhang C G,et al.miR-19a/b-3p promotes inflammation during cerebral ischemia/reperfusion injury via SIRT1/FoxO3/SPHK1 pathway[J].Journal of Neuroinflammation,2021,18(1):122. [22] Yuan Q,Wang C wen,Shi J,et al.Effects of ginkgo biloba on dementia:An overview of systematic reviews[J].Journal of Ethnophar- macology,2017,195:1-9. [23] Li Q,Zhang Q.MiR-34a and endothelial biology[J].Life Sciences,2023,330:121976. [24] Wang W X,Springer J E,Hatton K W.MicroRNAs as biomarkers for predicting complications following aneurysmal subarachnoid hemorrhage[J].International journal of molecular sciences,2021,22(17):9492. [25] 马璐,王玉强,何青,等.微小RNA34a下调沉默信息调节因子1抑制内皮祖细胞功能的机制研究[J].中国心血管杂志,2019, 24(3):259-263. [26] Hu C,Dong Z L.MicroRNA-212 promotes the recovery function and vascular regeneration of endothelial progenitor cells in mice with ischemic stroke through inactivation of the notch signaling pathway via downregulating MMP9 expression[J].Journal of Cellular Physiology,2019,234(5):7090-7103. [27] 高硕君,张祥建,张培培.脑梗死相关诊断性生物标记物研究进展[J].中国卒中杂志,2017,12(12):1154-1157. [28] Ferragut Cardoso A P,Udoh K T,States J C.Arsenic-induced changes in miRNA expression in cancer and other diseases[J].Toxicology and Applied Pharmacology,2020,409:115306. [29] Bao Y,Li S,Ding Y,et al.MiRNA:A potential target for gene diagnosis and treatment of atherosclerotic stroke[J].International Journal of Neuroscience,2021,131(3):283-288. [30] 陈英道,李海宁,李育英,等.血清微小RNA-143-3p、微小RNA-188-5p水平对急性脑梗死患者静脉溶栓后预后不良的预测价值[J].实用医学杂志,2025,41(8):1117-1122. [31] 王兴萍,王鹏,程度,等.血清miR-155及缺氧诱导因子1α的表达对急性脑梗死的诊断价值[J].中国实用神经疾病杂志,2019, 22(2):124-131. [32] 朱娟,刘艳,陈进.血清miR-198和miR-30e-5p表达早期诊断老年急性脑梗死和预测预后的临床价值[J].中国急救医学,2020, 40(5):438-443. [33] 曹琳,姚平波,张平,等.急性脑梗死患者外周血microRNA表达及其与炎症细胞因子的相关性[J].中国动脉硬化杂志,2015,23(3). [34] Lou Y,Wang Y,Lu J,et al.MicroRNA-targeted nanoparticle delivery systems for cancer therapy:Current status and future prospects[J].Nanomedicine,2025,20(10):1181-1194. [35] Golombek S K,May J N,Theek B,et al.Tumor targeting via EPR:Strategies to enhance patient responses[J].Advanced Drug Delivery Reviews,2018,130:17-38. [36] Soni S,Ruhela R K,Medhi B.Nanomedicine in central nervous system(CNS)disorders:A present and future prospective[J].Advanced Pharmaceutical Bulletin,2016,6(3):319-335. [37] Harris N M,Ritzel R,Mancini N S,et al.Nano-particle delivery of brain derived neurotrophic factor after focal cerebral ischemia reduces tissue injury and enhances behavioral recovery[J].Pharmacology,Biochemistry and Behavior,2016,150-151:48-56. [38] Ballabh P,Braun A,Nedergaard M.The blood–brain barrier:An overview[J].Neurobiology of Disease,2004,16(1):1-13. [39] Khoshnam S E,Winlow W,Farbood Y,et al.Emerging roles of microRNAs in ischemic stroke:As possible therapeutic agents[J].Journal of Stroke,2017,19(2):166-187.
Full Text:
DOI