Review Article
MicroRNAs and liver disease

https://doi.org/10.1016/j.trsl.2011.01.008Get rights and content

Posttranscriptional regulation of gene expression is now recognized as an important contributor to disease pathogenesis, whose mechanisms include alterations in the function of stability and translational elements within both coding and noncoding regions of messenger RNA. A major component in this regulatory paradigm is the binding both to RNA stability as well as to translational control elements by microRNAs (miRNAs). miRNAs are noncoding endogenously transcribed RNAs that undergo a well-characterized series of processing steps that generate short single-stranded (∼20–22) RNA fragments that bind to complementary regions within a range of targets and in turn lead to mRNA degradation or attenuated translation as a result of trafficking to processing bodies. This article will highlight selected advances in the role of miRNAs in liver disease including nonalcoholic fatty liver disease, viral hepatitis, and hepatocellular carcinoma and will briefly discuss the utility of miRNAs as biomarkers of liver injury and neoplasia.

Section snippets

miRNA Biogenesis

miRNAs are transcribed in mono or polycistronic form as single-stranded RNA transcripts from genomic, viral, or plasmid DNA. The resultant transcript, termed pri-miRNA (genomically encoded) or shRNA (viral or plasmid encoded), is cleaved in the nucleus by the RNase Drosha to a 60–90 bp hairpin configuration pre-miRNA. The pre-miRNA is exported from the nucleus via a GTP-dependent Ran/Exportin 5 complex. In the cytoplasm, the pre-miRNA undergoes continued processing by the Dicer complex to a

miRNA Analysis and Bioinformatics

Although the first evidence for miRNA function was observed in 1993,7 increased understanding of the importance of miRNAs in physiology has occurred in the last 10 years. To date, more than 17,000 miRNAs have been described in 142 species, with ∼1000 described in humans (miRBase release 168). Because each miRNA can regulate hundreds of target mRNA transcripts, developments in microarray and bioinformatics have been central to understanding miRNA function. A common approach to investigate the

Hepatic miRNAs as Metabolic Modulators and Their Importance in NAFLD

miRNAs have been implicated in regulating key hepatic metabolic functions,3 and over the last few years, some relevant pathways have been selectively interrogated. Initial studies in mice used a loss-of-function approach with either specific antagomirs11 or used antisense oligonucleotide (ASO)-mediated knockdown of miR-122,12 an abundant miRNA in adult liver.13 Either targeting strategy effectively decreased hepatic miR-122 expression in mice, leading to decreased serum cholesterol levels

miRNAs and Hepatitis C Virus (HCV)

Experience with RNAi in plants and invertebrates would argue for a conserved role for miRNA in the innate response to viral infections. However, discoveries in human viral infections have revealed unexpected findings that have enlarged the understanding of miRNA function within mammalian cells.

The role of miRNAs in modulating the response to hepatotrophic virus infection has been studied most extensively in the setting of hepatitis C virus (HCV) infection, the most common etiologic agent

miRNAs and HCC

miRNAs contribute to oncogenesis by mechanisms including decreased expression of tumor suppressor genes (oncomiRNAs) or, alternatively, as tumor suppressor genes targeting an oncogenic mRNA transcript for destruction (tumor suppressor miRNAs).70

miRNA encoding genes frequently are located at sites of DNA deletion or amplification in malignancy,71 and although an association of miRNAs with cancer was demonstrated earlier in the setting of loss of miR15 and miR16 expression in chronic lymphocytic

miRNAs as Biomarkers of Liver Injury

Serum levels of alanine aminotransferase (ALT) along with aspartate aminotransferase (AST) are the primary serum biomarker of parenchymal liver injury in a variety of clinical scenarios.81 However, significant limitations exist to the use of aminotransferases as biomarkers of liver injury. First, elevations in serum aminotransferases can reflect nonhepatic injury (particularly skeletal muscle injury) and thus complicate noninvasive assessement of hepatic injury. Second, in situations such as

miRNAs as Biomarkers for HCC

Cirrhosis, regardless of the cause, is a significant risk factor for HCC formation, and the early detection of tumors is an important challenge. Current recommendations include ultrasound imaging every 6 to 12 months, which carries significant cost, has imperfect sensitivity and specificity, and are not available to all patients. Recent data suggest that serum miRNA analysis may be effective to detect HCC. Using a murine MYC-induced HCC model, serum miRNA analysis revealed altered patterns of

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    Supported by Grants HL-38180, DK-52574, and DK-52560 and by a Fellow to Faculty transition award from the Foundation for Digestive Health and Nutrition.

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