Tiny Guides, Big Impact: Focus on the Opportunities and Challenges of miR-Based Treatments for ARDS

Acute Respiratory Distress Syndrome (ARDS) is characterized by lung inflammation and increased membrane permeability, which represents the leading cause of mortality in ICUs. Mechanical ventilation strategies are at the forefront of supportive approaches for ARDS. Recently, an increasing understandi...

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Main Authors: Chirag M. Vaswani, Julia Simone, Jacqueline L. Pavelick, Xiao Wu, Greaton W. Tan, Amin M. Ektesabi, Sahil Gupta, James N. Tsoporis, Claudia C. dos Santos
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/25/5/2812
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author Chirag M. Vaswani
Julia Simone
Jacqueline L. Pavelick
Xiao Wu
Greaton W. Tan
Amin M. Ektesabi
Sahil Gupta
James N. Tsoporis
Claudia C. dos Santos
author_facet Chirag M. Vaswani
Julia Simone
Jacqueline L. Pavelick
Xiao Wu
Greaton W. Tan
Amin M. Ektesabi
Sahil Gupta
James N. Tsoporis
Claudia C. dos Santos
author_sort Chirag M. Vaswani
collection DOAJ
description Acute Respiratory Distress Syndrome (ARDS) is characterized by lung inflammation and increased membrane permeability, which represents the leading cause of mortality in ICUs. Mechanical ventilation strategies are at the forefront of supportive approaches for ARDS. Recently, an increasing understanding of RNA biology, function, and regulation, as well as the success of RNA vaccines, has spurred enthusiasm for the emergence of novel RNA-based therapeutics. The most common types of RNA seen in development are silencing (si)RNAs, antisense oligonucleotide therapy (ASO), and messenger (m)RNAs that collectively account for 80% of the RNA therapeutics pipeline. These three RNA platforms are the most mature, with approved products and demonstrated commercial success. Most recently, miRNAs have emerged as pivotal regulators of gene expression. Their dysregulation in various clinical conditions offers insights into ARDS pathogenesis and offers the innovative possibility of using microRNAs as targeted therapy. This review synthesizes the current state of the literature to contextualize the therapeutic potential of miRNA modulation. It considers the potential for miR-based therapeutics as a nuanced approach that incorporates the complexity of ARDS pathophysiology and the multifaceted nature of miRNA interactions.
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spelling doaj.art-d332d7a64134437f9b85fa616e503dba2024-03-12T16:46:25ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672024-02-01255281210.3390/ijms25052812Tiny Guides, Big Impact: Focus on the Opportunities and Challenges of miR-Based Treatments for ARDSChirag M. Vaswani0Julia Simone1Jacqueline L. Pavelick2Xiao Wu3Greaton W. Tan4Amin M. Ektesabi5Sahil Gupta6James N. Tsoporis7Claudia C. dos Santos8Department of Physiology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaDepartment of Medicine, McMaster University, Hamilton, ON L8V 5C2, CanadaInstitute of Medical Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaKeenan Research Centre for Biomedical Science, St. Michael’s Hospital, University of Toronto, Toronto, ON M5B 1W8, CanadaDepartment of Physiology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaKeenan Research Centre for Biomedical Science, St. Michael’s Hospital, University of Toronto, Toronto, ON M5B 1W8, CanadaFaculty of Medicine, School of Medicine, The University of Queensland, Herston, QLD 4006, AustraliaKeenan Research Centre for Biomedical Science, St. Michael’s Hospital, University of Toronto, Toronto, ON M5B 1W8, CanadaDepartment of Physiology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, CanadaAcute Respiratory Distress Syndrome (ARDS) is characterized by lung inflammation and increased membrane permeability, which represents the leading cause of mortality in ICUs. Mechanical ventilation strategies are at the forefront of supportive approaches for ARDS. Recently, an increasing understanding of RNA biology, function, and regulation, as well as the success of RNA vaccines, has spurred enthusiasm for the emergence of novel RNA-based therapeutics. The most common types of RNA seen in development are silencing (si)RNAs, antisense oligonucleotide therapy (ASO), and messenger (m)RNAs that collectively account for 80% of the RNA therapeutics pipeline. These three RNA platforms are the most mature, with approved products and demonstrated commercial success. Most recently, miRNAs have emerged as pivotal regulators of gene expression. Their dysregulation in various clinical conditions offers insights into ARDS pathogenesis and offers the innovative possibility of using microRNAs as targeted therapy. This review synthesizes the current state of the literature to contextualize the therapeutic potential of miRNA modulation. It considers the potential for miR-based therapeutics as a nuanced approach that incorporates the complexity of ARDS pathophysiology and the multifaceted nature of miRNA interactions.https://www.mdpi.com/1422-0067/25/5/2812ARDSgene therapymiRNAnanotechnology
spellingShingle Chirag M. Vaswani
Julia Simone
Jacqueline L. Pavelick
Xiao Wu
Greaton W. Tan
Amin M. Ektesabi
Sahil Gupta
James N. Tsoporis
Claudia C. dos Santos
Tiny Guides, Big Impact: Focus on the Opportunities and Challenges of miR-Based Treatments for ARDS
International Journal of Molecular Sciences
ARDS
gene therapy
miRNA
nanotechnology
title Tiny Guides, Big Impact: Focus on the Opportunities and Challenges of miR-Based Treatments for ARDS
title_full Tiny Guides, Big Impact: Focus on the Opportunities and Challenges of miR-Based Treatments for ARDS
title_fullStr Tiny Guides, Big Impact: Focus on the Opportunities and Challenges of miR-Based Treatments for ARDS
title_full_unstemmed Tiny Guides, Big Impact: Focus on the Opportunities and Challenges of miR-Based Treatments for ARDS
title_short Tiny Guides, Big Impact: Focus on the Opportunities and Challenges of miR-Based Treatments for ARDS
title_sort tiny guides big impact focus on the opportunities and challenges of mir based treatments for ards
topic ARDS
gene therapy
miRNA
nanotechnology
url https://www.mdpi.com/1422-0067/25/5/2812
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