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中国生物工程杂志

China Biotechnology
China Biotechnology  2021, Vol. 41 Issue (11): 64-73    DOI: 10.13523/j.cb.2106023
    
Advance of microRNA Therapeutics in Cancer and Other Diseases
TANG De-ping1,XING Meng-jie1,2,SONG Wen-tao1,YAO Hui-hui1,MAO Ai-hong2,**()
1 School of Biological & Pharmaceutical Engineering, Lanzhou Jiaotong University, Lanzhou 730070,China
2 Gansu Provincial Academic Institute for Medical Research, Lanzhou 730050,China
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Abstract  

microRNAs (miRNAs) are a class of endogenous, small non-coding RNAs (about 22 nt) that have critical roles in gene expression. Functional studies have identified miRNAs dysregulation as a cause in many human diseases, including cancer, viral infection, and autoimmune disorders. Restoring or suppressing miRNAs function and activity has become an attractive therapeutic method for the management of cancer and other diseases. Several miRNA-based therapeutics have reached clinical development, including a mimic of the tumor suppressor miR-34 for treating cancer and anti-miRs targeted miR-122 for treating HCV infection. In this review, we summarize the recent advances in our knowledge of miRNA therapeutics in cancer and other diseases and discuss ongoing challenges to ensure the safety and efficacy of miRNA therapeutics in vivo.



Key wordsmiRNA therapeutics      Cancer      Hepatitis      Cardiovascular disease      Diabetes     
Received: 15 June 2021      Published: 01 December 2021
ZTFLH:  R459.9  
Corresponding Authors: Ai-hong MAO     E-mail: maoaih@aliyun.com
Cite this article:

TANG De-ping,XING Meng-jie,SONG Wen-tao,YAO Hui-hui,MAO Ai-hong. Advance of microRNA Therapeutics in Cancer and Other Diseases. China Biotechnology, 2021, 41(11): 64-73.

URL:

https://manu60.magtech.com.cn/biotech/10.13523/j.cb.2106023     OR     https://manu60.magtech.com.cn/biotech/Y2021/V41/I11/64

miRNAs 递送载体 调控靶mRNA 临床前模型 疾病
抑癌miRNAs(miRNA mimics 为治疗剂)
Ler-7 中性脂质乳剂 MYC,BCLXL,RAS,EZH2,HMGA2,FAS,P21,PGRMC1, DICER1 肺癌(orthotopic)KrasG12DGEM 实体瘤(乳腺、结直肠、卵巢、肺、肝和胶质瘤)、B细胞淋巴瘤
miR-34a 脂质纳米颗粒载体
中性脂质乳剂
BCL2,MET,MYC,CDK6,CD44,SRC,E2F1,JAG1,FOXP1,PDGFRA,PDL1, SIRT1 肺癌(xenograft/ orthotopic )KrasG12DGEM胰腺癌(orthotopic)
前列腺癌(orthotopic)
实体瘤(肺、肝、结直肠、脑、前列腺、胰腺、膀胱和宫颈癌)、骨髓瘤、B细胞淋巴瘤
miR-143
miR-145
脂质体
PEI
KRAS,ERK5,VEGF,NFKB1,MYC,MMPs,PLK1,CDH2,EGFR 结直肠癌(orthotopic)
胰腺癌(orthotopic)
实体瘤(膀胱、肺、乳腺、结直肠、胰腺、宫颈和头颈部肿瘤)
淋巴性白血病
miR-200家族 脂质体
DOPC中性脂质
ZEB1,ZEB2 BMI1,SUZ12,JAG1,SOX2,SP1,CDH1,KRAS 肺癌(orthotopic)
卵巢癌(orthotopic)
乳腺癌(orthotopic)
实体瘤(乳腺、卵巢和肺)
致癌miRNAs(antimiRs 为治疗剂)
miR-10b LNA antimiRs NF1,CDH1,E2F1,PIK3CA,ZEB1,HOXD10 恶性胶质瘤(orthotopic)
乳腺癌(orthotopic)
实体瘤(乳腺和胶质瘤)
miR-155 pHIP 共轭antimiR SHIP,SPI1,HDAC4,RHOA,SOCS1,BCL2,JMJD1A,SOX6,SMAD2,SMAD5, TP53INP1 淋巴瘤(miR-155过表达 GEM) 实体瘤(肝、肺、肾、胰腺和神经胶质瘤)、B细胞淋巴瘤、淋巴性白血病
miR-221
miR-222
胆固醇- antimiR CDKN1B,CDKN1C,BMF, RB1,WEE1,APAF1,ANXA1, CTCF 肝细胞癌 实体瘤(肝、胰腺和肺)
其他
MiR-122 硫代磷酸DNA-LNA antimiR HCV5'-RNA, CAT1, CD320, ALDOA, PPARB HCV小鼠模型 HCV感染相关肝脏疾病
miR-33 2'-F或MOE 硫代磷酸DNA antimiR
LNA antimiR
SREBF2, ABCA1, CROT, CPT1A, HADHB, PRKAA1 HFD小鼠 动脉粥样硬化
miR-208 LNA antimiR MED13, SOX6, MYH7B Dahl高血压大鼠 心脏病
心脏负荷
心肌梗死
miR-21 LNA antimiR PTEN, PDCD4, SMAD7, SPRY, PPAR 心脏病(压力超负荷模型) 肾纤维化
心肌纤维化
miR-192 LNA-miRNA mimic Collagens-I, ZEB1, ZEB2 链脲霉素诱导的Ⅰ型糖尿病小鼠 糖尿病相关的肾并发症
miR-29c 裸antagomiRs HDAC4, MMPs db/db小鼠 糖尿病相关的肾并发症
miR-103
miR-107
LNA-antimiR CAV1 ob/ob小鼠
HFD小鼠
糖尿病
miR-15 LNA-antimiR CHEK1 缺血-再灌注损伤小鼠 心肌梗死
Table 1 Selected miRNAs in cancer and other dieases in preclinical trials
名 称(开发公司) 治疗剂 递送方式 疾病 临床试验
Mirvirasen
(Santaris Pharma A/S
Hoffmann La Roche)
AntimiR-122 LNA-修饰的反义抑制 慢性感染诱导的丙肝 Ⅱ期,多-中心(NCT01200420)
Ⅱ期,多-中心(NCT01872936)
Ⅱ期,单-中心(NCT02031133)
Ⅱ期,单-中心(NCT02508090)
RG-101
(Regulus Therapeutics)
AntimiR-122 GalNAc-共轭antimiR 慢性丙肝 Ⅰ期,单-中心
Ⅱ期,多-中心
RG-125/AZD4076
(Regulus Therapeutics)
AntimiR-103/107 GalNAc-共轭antimiR 2型糖尿病
非酒精性脂肪肝
Ⅰ期,单-中心(NCT02612662)
Ⅰ/Ⅱa期,单-中心(NCT02826525)
MRG-106
(mirage Therapeutics)
AntimiR-155 LNA-修饰的反义抑制 皮肤T细胞淋巴瘤
真菌病
Ⅰ期,多-中心(NCT02580552)
MRG-201
(mirage Therapeutics)
miR-29 mimic 胆固醇-连接的miRNA双链 硬皮病 Ⅰ期,单-中心(NCT02603224)
MesomiR-1
(EnGeneIC)
miR-16 mimic EnGeneIC递送载体 间皮瘤
非小细胞肺癌
Ⅰ期,多-中心(NCT02369198)
MRX34
(Mirna Therapeutics)
miR-34 mimic LNPs (Smarticles) 多种实体瘤 Ⅰ期,多-中心(NCT01829971)
Table 2 Selected miRNA therapeutics in clinical trials
Fig.1 Chemical modifications and delivery systems for miRNA therapeutics (a) Chemical modifications to increase stability and improve targeting to disease site (b) Several encapsulation methods to improved delivery to disease site
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