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  4. MicroRNAs as potential therapeutics for treating spinal cord injury

MicroRNAs as potential therapeutics for treating spinal cord injury

Neural Regen Res, 2012 · DOI: 10.3969/j.issn.1673-5374.2012.17.011 · Published: June 1, 2012

Spinal Cord InjuryNeurologyGenetics

Simple Explanation

MicroRNAs (miRNAs) are small non-coding RNAs that regulate gene expression and play roles in biological processes. After spinal cord injury (SCI), miRNA expression levels change, suggesting their involvement in inflammation, oxidative stress, apoptosis, glial scar formation, and axonal regeneration. Because of their small size and specificity, miRNAs could be potential therapeutics for treating SCI. Techniques are being developed to manipulate miRNA levels in animals for clinical use. Effective therapy for SCI patients is lacking. Manipulating miRNA levels as a means of gene therapy has certain advantages. First, miRNAs are only about 22-nt long; they diffuse into tissues and are absorbed by cells relatively easily compared with DNA plasmid constructs.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Expression levels of numerous miRNAs change after SCI, indicating that miRNAs may play significant roles in responding to injury.
  • 2
    MiR-223, found in invading neutrophils near the injury site, might regulate the secretion of inflammatory factors.
  • 3
    Elevated levels of miR-133b in the nucleus of the medial longitudinal fascicle of zebrafish are essential for their locomotor recovery and axonal regeneration.

Research Summary

This review summarizes the changes in expression levels of microRNAs after spinal cord injury. These aberrant changes suggest that microRNAs play an important role in inflammation, oxidative stress, apoptosis, glial scar formation and axonal regeneration. Given their small size and specificity of action, microRNAs could be potential therapeutics for treating spinal cord injury in the future.

Practical Implications

Therapeutic Potential

MiRNAs can be manipulated to promote axonal regeneration or reduce inflammation after SCI.

Delivery Strategies

Advancements in chemical modification and delivery systems are improving the efficacy of miRNA-based therapies.

Personalized Treatment

Tissue-specific expression patterns of miRNAs can be utilized to reduce side effects in non-targeted tissues.

Study Limitations

  • 1
    High dose-associated side effects and toxicity when applied in vivo
  • 2
    Unpredictable off-target effects of individual miRNAs
  • 3
    Lack of reports on miRNA treatment for SCI in mammals

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