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非编码 RNA 在肝脏疾病中的应用前景和现状

赵 得武, 李 一鸣, 蔡 子为, 朱海 宏*

摘要

核糖核酸(RNA)生物学领域揭示了一系列非编码 RNA(ncRNA),尤其是环状 RNA(circRNA)和长非编码
RNA(lncRNA),它们在肝病发病机制中发挥着至关重要的作用。这篇综述探讨了 circRNA 在肝脏病理学中的各种功能,
包括代谢相关性脂肪肝、肝细胞癌、酒精相关性肝病以及胆管疾病(如原发性硬化性胆管炎和胆管癌)。我们重点介绍了
调控肝脏脂质代谢、炎症、纤维化和肿瘤发生的关键非编码 RNA,展示了它们的诊断和治疗潜力。新出现的基于 RNA 的
疗法,如 mRNA 疗法、RNA 干扰和反义寡核苷酸,提供了调节 circRNA 活性和在分子水平上治疗肝病的方法。同时,测
序技术和生物信息学管道的进步也使新型 circRNA 的鉴定和功能表征成为可能,从而推动了个性化医疗的创新。总之,本
综述强调了 circRNA 作为肝病生物标志物和治疗靶点的潜力,并强调了进一步研究其调控机制和临床应用的必要性。

关键词

肝脏疾病;环状 RNA;微 RNA;竞争性内源 RNA

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