Emerging role of microRNAs in major depressive disorder: diagnosis and therapeutic implications.

Abstract:

:Major depressive disorder (MDD) is a major public health concern. Despite tremendous advances, the pathogenic mechanisms associated with MDD are still unclear. Moreover, a significant number of MDD subjects do not respond to the currently available medication. MicroRNAs (miRNAs) are a class of small noncoding RNAs that control gene expression by modulating translation, messenger RNA (mRNA) degradation, or stability of mRNA targets. The role of miRNAs in disease pathophysiology is emerging rapidly. Recent studies demonstrating the involvement of miRNAs in several aspects of neural plasticity, neurogenesis, and stress response, and more direct studies in human postmortem brain provide strong evidence that miRNAs can not only play a critical role in MDD pathogenesis, but can also open up new avenues for the development of therapeutic targets. Circulating miRNAs are now being considered as possible biomarkers in disease pathogenesis and in monitoring therapeutic responses because of the presence and/or release of miRNAs in blood cells as well as in other peripheral tissues. In this review, these aspects are discussed in a comprehensive and critical manner. :El trastorno depresivo mayor (TDM) es un importante tema de salud pública. A pesar de los enormes avances, aun no están aclarados los mecanismos patogénicos asociados con el TDM. Además, un número significativo de sujetos con TDM no responden a los medicamentos actualmente disponibles. Los microARNs (miARNs) constituyen una clase de ARNs pequeños no codificantes que controlan la expresión génica al modular la translación, la degradación del ARN mensajero (ARNm) o la estabilidad de los blancos del ARNm. Rápidamente está apareciendo un nuevo papel para los miARNs en la fisiopatología de la enfermedad. Hay estudios recíentes que demuestran la participación de los miARNs en diversos aspectos de la plasticidad neural, la neurogénesis y la respuesta al estrés. Estudios más específicos en cerebro humano postmortem aportan importante evidencia relacionada con el papel crítico que pueden jugar los miARNs en la patogénesis del TDM, y también en la apertura de nuevos caminos para el desarrollo de blancos terapéuticos. Los miARNs circulantes se están considerando actualmente como posibles biomarcadores en la patogénesis de la enfermedad y en el monitoreo de las respuestas terapéuticas dada la presencia ylo liberación de los miARNs en las células sanguíneas como en otros tejidos periféricos. En esta revisión se discuten estos aspectos de una forma crítica y comprensible. :L'épisode dépressif caracterisé (EDC) est un problème majeur de santé publique. Malgré des progrès considérables, les mécanismes pathogènes associés à l'EDC restent obscurs. De plus, un nombre significatif de personnes atteintes d'EDC ne répond pas aux traitements actuellement disponibles. Les microARN (miARN) sont une classe de petits ARN non codants qui contrôlent l'expression du gène en modulant la translation, la dégradation de l'ARN messager (ARNm) ou la stabilité des cibles de l'ARNm. La connaissance du rôle des miARN dans la physiopathologie des maladies prend rapidement de l'essor. Des études récentes démontrant l'implication des miARN dans plusieurs aspects de plasticité neuronale, de neurogenèse, de réponse au stress et d'études plus directes dans le cerveau humain postmortem affirment que les miARN non seulement jouent un rôle décisif dans la pathogenèse de l'EDC, mais qu'ils peuvent aussi inaugurer de nouvelles voies pour le développement de cibles thérapeutiques. Les miARN circulants sont maintenant considérés comme des biomarqueurs possibles dans la pathogenèse de la maladie et dans les réponses thérapeutiques de contrôle à cause de la présence et/ou de la libération des miARN dans les cellules sanguines comme dans d'autres tissus périphériques. Nous analysons dans cet article ces différents aspects de façon complète et critique.

authors

Dwivedi Y

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

43-61

issue

1

eissn

1294-8322

issn

1958-5969

journal_volume

16

pub_type

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