Targeting microRNAs involved in human diseases: A novel approach for modification of gene expression and drug development
Graphical abstract
MicroRNAs regulate gene expression and anti-sense microRNA molecules and microRNA mimics are proposed in diagnostics and therapy. Peptide nucleic acids (PNAs) efficiently target microRNAs, leading to therapeutic effects.
Introduction
The identification of all epigenetic modifications involved in gene expression is one of the major steps forward for understanding human biology in both normal and pathological conditions. This field is referred to as epigenomics, and it is defined as epigenetic changes (i.e. DNA methylation, histone modification and expression of noncoding RNAs such as microRNAs) on a genomic scale [1]. In this context, microRNAs play a pivotal role.
MicroRNAs (miRNAs, miRs) are a family of small (19–25 nucleotides in length) noncoding RNAs that regulate gene expression by sequence-selective targeting of mRNAs, leading to a translational repression or mRNA degradation, depending on the degree of complementarity between miRNAs and the target mRNA sequences [2], [3], [4], [5]. Since their discovery and first characterization, the number of microRNA sequences deposited in the miRBase databases is growing [6], [7], [8], [9], [10]. Considering that a single miRNA can target several mRNAs and a single mRNA might contain in the 3′UTR sequence several signals for miRNA recognition, it is calculated that at least 10–40% of human mRNAs are a target for microRNAs [10], [11], [12], [13]. Hence, great interest is concentrated on the identification of validated targets of microRNAs.
This specific field of microRNA research has confirmed that the complex networks constituted by miRNAs and RNA targets coding for structural and regulatory proteins lead to the control of highly regulated biological functions, such as differentiation, cell cycle and apoptosis [1], [2], [3]. Low expression of a given miRNA is expected to be linked with a potential expression of targets mRNAs. Conversely, high expression of miRNAs is expected to induce low expression of biological functions of the target mRNAs [1], [2], [3].
Alteration of microRNA expression has been demonstrated to be associated with human pathologies as well as guided alterations of miRNAs have been suggested as a novel approach to develop innovative therapeutic protocols. MicroRNA therapeutics appears as a novel field in which miRNA activity is the major target of the intervention [14], [15], [16], [17]. MiRNA inhibition can be readily achieved by the use of small miR-inhibitor oligomers, including RNA, DNA, DNA analogs (miRNA anti-sense therapy) [14], [15]. On the contrary, increase of miRNA function (miRNA replacement therapy) can be achieved by the use of modified, suitably delivered miRNAs mimetics, transfection using recombinant vectors or lentivirus carrying miRNA gene sequences [16], [17].
This review article focuses on the involvement of microRNAs in the regulation of gene expression, on the possible role of microRNAs in the onset and development of human pathologies, and on the pharmacological alteration of the biological activity of microRNAs using anti-miR molecules.
Section snippets
Biogenesis of microRNAs and drug design
Some miRNAs are encoded by unique genes (intergenic miRNAs) [18], [19], [20], [21], [22], [23] and others are embedded into the intronic regions of protein-coding genes (intragenic miRNAs) [24], [25], [26], [27], [28]. Examples of intergenic miRNA are miR-210, miR-10a, miR-21, and miR-222/miR-221, which are encoded by unique genes located in the chromosome 11, 17, 17, 6 and X, respectively. The transcription is controlled, as protein-coding genes, by a promoter which is regulated by specific
Involvement of microRNAs in the control of gene expression
The basic mechanism leading to alteration of gene expression is based on the recruitment of mature miRNA at the level of the RISC silencing complex [32], [33], [34], [35], [36], [37]. This process occurs in the cytoplasm, where the pre-miRNA hairpin is cleaved by the RNase III enzyme Dicer, which interacts with the 3′ end of the hairpin and cuts away the loop joining the 3′ and 5′ arms, yielding an imperfect miRNA/miRNA duplex. One of the strands is incorporated into the RISC, where it binds to
MicroRNAs in erythropoiesis
Increasing numbers of published studies report the involvement of microRNAs in erythropoiesis [13], [38], [39], [40], [41]. Different cellular experimental systems were used in these studies. Huang et al. employed human embryonic stem cells (hESCs) as a model system to study early human hematopoiesis [42]. These authors differentiated hESCs by embryoid body (EB) formation and compared the miR expression profile of undifferentiated hESCs to CD34(+) EB cells, demonstrating the function of
MicroRNAs and human pathologies
Strong evidences are reported by a number of authors suggesting the concept that the inappropriate expression of miRNA is associated with cancer [56], [57], [58], [59], [60], [61] and a variety of other pathologies [62], [63], [64], [65], [66], [67], [68], [69], [70], [71]. For example, let-7 miRNA prevents proliferation of cancer stem cells [72]. miRNAs have roles in obesity [73], [74] and diabetes [75], hearing loss in humans [76], development of liver diseases [77], osteopenic diseases [63],
MicroRNA and cancer
MicroRNAs play a pivotal role in cancer [102], [103], [104], [105], [106], [107], [108]. The literature on this specific issue is impressive (see the Human MicroRNA Disease Database, http://202.38.126.151/hmdd/mirna/md/) [61], [62], [102], [103], [104], [105], [106], [107], [108], [109], [110], [111], [112], [113], [114], [115], [116], [117], [118], [119], [120], [121], [122], [123], [124], [125], [126], [127], [128], [129], [130], [131], [132], [133], [134], [135], [136], [137], [138], [139],
Bioactive molecules altering miR metabolism
Given the role of miRNAs in epigenetic regulation of gene expression, miRNAs have been proposed as possible candidates for drug targeting with the objective of interfering with biological functions, altering the expression of the mRNAs specifically regulated by the targeted miRNAs [15], [144], [145], [146], [147], [148], [149], [150], [151], [152]. Mature miRNAs can be targeted with short RNA sequences, oligodeoxyribonucleotides (ODNs) and ODN-analogs (such as LNAs). Other molecular targets are
Peptide nucleic acids
PNAs (Figs. 4F and 5A) are DNA analogs in which the sugar-phosphate backbone is replaced by N-(2-aminoethyl)glycine units [153], [154], [155], [156], [157], [158], [159], [160], [161], [162]. These molecules efficiently hybridize with complementary DNA and RNA, forming double helices with Watson–Crick base pairing [153], [154], [155], [156], [157], [158], [159], [160], [161], [162], [163], [164], [165], [166], [167]. In addition, they generate triple helix formation with double stranded DNA and
MicroRNA therapeutics and clinical trials
On the basis of the studies demonstrating that microRNAs are promising candidates for drug targeting, many activities aiming at developing possible reagents for therapy and diagnostics are in progress in order to bring this research to industrial exploitation and to clinical settings [71], [190]. At present, miRNAs are likely to be used as biomarkers in clinical settings sooner than as therapeutic reagents. This is evident by looking at patents and clinical trials (Table 4). As far as clinical
Conclusions and perspectives
MicroRNAs are promising candidates for drug targeting: the aim is to develop possible molecular systems for experimental therapy of human pathologies in which microRNAs appears to be deeply involved. PNAs are bioactive molecules and promising tools for the inhibition of miRNA activity. This effect can be very important in obtaining gene modulation in a simple way, with major applications in gene therapy and in drug development. The issue of delivering PNA to their targets is still open,
Acknowledgments
This work was supported by a grant by MIUR (Italian Ministry of University and Research, PRIN-2007). RG is granted by Fondazione Cariparo (Cassa di Risparmio di Padova e Rovigo), CIB, by UE ITHANET Project (Infrastructure for the Thalassaemia Research Network), by Telethon GGP10124 and by FIRB-2007. This research is also supported by Associazione Veneta per la Lotta alla Talassemia (AVLT), Rovigo. We thank Dr. Amanda Julie Neville for her help in producing the English text.
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