Just as miRNA is involved in the normal functioning of eukaryotic cells, so has dysregulation of miRNA been associated with disease. A manually curated, publicly available database, miR2Disease, documents known relationships between miRNA dysregulation and human disease.
Inherited diseases A mutation in the seed region of miR-96 causes hereditary progressive hearing loss. A mutation in the seed region of miR-184 causes hereditary keratoconus with anterior polar cataract. Deletion of the miR-17~92 cluster causes skeletal and growth defects.
Cancer The first human disease known to be associated with miRNA deregulation was
chronic lymphocytic leukemia. Many other miRNAs also have links with cancer and accordingly are sometimes referred to as "
oncomirs". In malignant B cells miRNAs participate in pathways fundamental to B cell development like
B-cell receptor (BCR) signalling, B-cell migration/adhesion, cell-cell interactions in immune niches and the production and class-switching of immunoglobulins. MiRNAs influence B cell maturation, generation of pre-, marginal zone, follicular, B1, plasma and memory B cells. Another role for miRNA in cancers is to use their expression level for prognosis. In
NSCLC samples, low
miR-324a levels may serve as an indicator of poor survival. Either high miR-185 or low miR-133b levels may correlate with
metastasis and poor survival in
colorectal cancer. Furthermore, specific miRNAs may be associated with certain histological subtypes of colorectal cancer. For instance, expression levels of miR-205 and miR-373 have been shown to be increased in mucinous colorectal cancers and mucin-producing Ulcerative Colitis-associated colon cancers, but not in sporadic colonic adenocarcinoma that lack mucinous components. In-vitro studies suggested that miR-205 and miR-373 may functionally induce different features of mucinous-associated neoplastic progression in intestinal epithelial cells. Optimal treatment for cancer involves accurately identifying patients for risk-stratified therapy. Those with a rapid response to initial treatment may benefit from truncated treatment regimens, showing the value of accurate disease response measures. Cell-free circulating miRNAs (cimiRNAs) are highly stable in blood, are overexpressed in cancer and are quantifiable within the diagnostic laboratory. In classical
Hodgkin lymphoma, plasma miR-21, miR-494, and miR-1973 are promising disease response biomarkers. Circulating miRNAs have the potential to assist clinical decision making and aid interpretation of
positron emission tomography combined with
computerized tomography. They can be performed at each consultation to assess disease response and detect relapse. MicroRNAs have the potential to be used as tools or targets for treatment of different cancers. The specific microRNA, miR-506 has been found to work as a tumor antagonist in several studies. A significant number of cervical cancer samples were found to have downregulated expression of miR-506. Additionally, miR-506 works to promote apoptosis of cervical cancer cells, through its direct target hedgehog pathway transcription factor, Gli3.
DNA repair and cancer Many miRNAs can directly target and inhibit
cell cycle genes to control
cell proliferation. A new strategy for tumor treatment is to inhibit tumor cell proliferation by repairing the defective miRNA pathway in tumors. Cancer is caused by the accumulation of
mutations from either DNA damage or uncorrected errors in
DNA replication. Defects in
DNA repair cause the accumulation of mutations, which can lead to cancer. Several genes involved in DNA repair are regulated by microRNAs.
Germline mutations in DNA repair genes cause only 2–5% of
colon cancer cases. However, altered expression of microRNAs, causing DNA repair deficiencies, are frequently associated with cancers and may be an important
causal factor. Among 68 sporadic colon cancers with reduced expression of the
DNA mismatch repair protein
MLH1, most were found to be deficient due to
epigenetic methylation of the
CpG island of the
MLH1 gene. However, up to 15% of MLH1-deficiencies in sporadic colon cancers appeared to be due to over-expression of the microRNA miR-155, which represses MLH1 expression. In 29–66% of
glioblastomas, DNA repair is deficient due to epigenetic methylation of the
MGMT gene, which reduces protein expression of MGMT. However, for 28% of glioblastomas, the MGMT protein is deficient, but the MGMT promoter is not methylated. Transgenic mice with HMGA1 targeted to lymphoid cells develop aggressive lymphoma, showing that high HMGA1 expression is associated with cancers and that HMGA1 can act as an oncogene. HMGA2 protein specifically targets the promoter of
ERCC1, thus reducing expression of this DNA repair gene. ERCC1 protein expression was deficient in 100% of 47 evaluated colon cancers (though the extent to which HGMA2 was involved is not known). Single Nucleotide polymorphisms (SNPs) can alter the binding of miRNAs on 3'UTRs for example the case of hsa-mir181a and hsa-mir181b on the CDON tumor suppressor gene.
Heart disease The global role of miRNA function in the heart has been addressed by conditionally inhibiting miRNA maturation in the
murine heart. This revealed that miRNAs play an essential role during its development. miRNA expression profiling studies demonstrate that expression levels of specific miRNAs change in diseased human hearts, pointing to their involvement in
cardiomyopathies. Furthermore, animal studies on specific miRNAs identified distinct roles for miRNAs both during heart development and under pathological conditions, including the regulation of key factors important for cardiogenesis, the hypertrophic growth response and cardiac conductance. Another role for miRNA in cardiovascular diseases is to use their expression levels for diagnosis, prognosis or risk stratification. miRNA's in animal models have also been linked to cholesterol metabolism and regulation.
miRNA-712 Murine microRNA-712 is a potential biomarker (i.e. predictor) for
atherosclerosis, a cardiovascular disease of the arterial wall associated with lipid retention and inflammation. Non-laminar blood flow also correlates with development of atherosclerosis as mechanosenors of endothelial cells respond to the shear force of disturbed flow (d-flow). A number of pro-atherogenic genes including
matrix metalloproteinases (MMPs) are upregulated by d-flow, These fibers play a critical role in regulation of vascular inflammation and permeability, which are important in the development of atherosclerosis. Expressed by endothelial cells, TIMP3 is the only ECM-bound TIMP. High throughput whole
transcriptome profiling of the FoxD1-Dicer knockout mouse model revealed ectopic upregulation of pro-apoptotic gene,
Bcl2L11 (Bim) and dysregulation of the
p53 pathway with increase in p53 effector genes including
Bax,
Trp53inp1, Jun,
Cdkn1a,
Mmp2, and
Arid3a. p53 protein levels remained unchanged, suggesting that FoxD1 stromal miRNAs directly repress p53-effector genes. Using a lineage tracing approach followed by
Fluorescent-activated cell sorting, miRNA profiling of the FoxD1-derived cells not only comprehensively defined the transcriptional landscape of miRNAs that are critical for vascular development, but also identified key miRNAs that are likely to modulate the renal phenotype in its absence. These miRNAs include miRs-10a, 18a, 19b, 24, 30c, 92a, 106a, 130a, 152, 181a, 214, 222, 302a, 370, and 381 that regulate Bcl2L11 (Bim) and miRs-15b, 18a, 21, 30c, 92a, 106a, 125b-5p, 145, 214, 222, 296-5p and 302a that regulate p53-effector genes. Consistent with the profiling results, ectopic
apoptosis was observed in the cellular derivatives of the FoxD1 derived progenitor lineage and reiterates the importance of renal stromal miRNAs in cellular homeostasis. Previous studies demonstrate that miRNAs can regulate neuronal differentiation and maturation at various stages. MiRNAs also play important roles in
synaptic development (such as dendritogenesis or spine morphogenesis) and
synaptic plasticity (contributing to learning and memory). Elimination of miRNA formation in mice by experimental silencing of
Dicer has led to pathological outcomes, such as reduced neuronal size, motor abnormalities (when silenced in
striatal neurons), and
neurodegeneration (when silenced in
forebrain neurons). Altered miRNA expression has been found in neurodegenerative diseases (such as
Alzheimer's disease,
Parkinson's disease, and
Huntington's disease) as well as many psychiatric disorders (including
epilepsy,
schizophrenia,
major depression,
bipolar disorder, and
anxiety disorders).
Stroke According to the Center for Disease Control and Prevention, Stroke is one of the leading causes of death and long-term disability in America. 87% of the cases are
ischemic strokes, which results from blockage in the artery of the brain that carries oxygen-rich blood. The obstruction of the blood flow means the brain cannot receive necessary nutrients, such as oxygen and glucose, and remove wastes, such as carbon dioxide. miRNAs plays a role in posttranslational gene silencing by targeting genes in the pathogenesis of cerebral ischemia, such as the inflammatory, angiogenesis, and apoptotic pathway.
Alcoholism The vital role of miRNAs in gene expression is significant to
addiction, specifically
alcoholism. Chronic alcohol abuse results in persistent changes in brain function mediated in part by alterations in
gene expression. Up to 35 different miRNAs have been found to be altered in the alcoholic post-mortem brain, all of which target genes that include the regulation of the
cell cycle,
apoptosis,
cell adhesion,
nervous system development and
cell signaling. miRNAs can be either upregulated or downregulated in response to chronic alcohol use.
miR-206 expression increased in the prefrontal cortex of alcohol-dependent rats, targeting the transcription factor brain-derived neurotrophic factor (
BDNF) and ultimately reducing its expression. BDNF plays a critical role in the formation and maturation of new neurons and synapses, suggesting a possible implication in synapse growth/
synaptic plasticity in alcohol abusers.
miR-155, important in regulating alcohol-induced
neuroinflammation responses, was found to be upregulated, suggesting the role of
microglia and
inflammatory cytokines in alcohol pathophysiology. Downregulation of miR-382 was found in the
nucleus accumbens, a structure in the
basal forebrain significant in regulating feelings of
reward that power motivational habits. miR-382 is the target for the
dopamine receptor D1 (DRD1), and its overexpression results in the upregulation of DRD1 and delta
fosB, a transcription factor that activates a series of transcription events in the nucleus
accumbens that ultimately result in addictive behaviors. Alternatively, overexpressing miR-382 resulted in attenuated drinking and the inhibition of
DRD1 and delta
fosB upregulation in rat models of alcoholism, demonstrating the possibility of using miRNA-targeted
pharmaceuticals in treatments. Studies to determine what role
pluripotent stem cells play in
adipogenesis, were examined in the immortalized human
bone marrow-derived
stromal cell line hMSC-Tert20. Decreased expression of
miR-155,
miR-221, and
miR-222, have been found during the adipogenic programming of both immortalized and primary hMSCs, suggesting that they act as negative regulators of differentiation. Conversely,
ectopic expression of the miRNAs
155,
221, and
222 significantly inhibited adipogenesis and repressed induction of the master regulators
PPARγ and CCAAT/enhancer-binding protein alpha (
CEBPA). This paves the way for possible genetic obesity treatments. Another class of miRNAs that regulate
insulin resistance,
obesity, and
diabetes, is the
let-7 family. Let-7 accumulates in human tissues during the course of
aging. When let-7 was ectopically overexpressed to mimic accelerated aging, mice became insulin-resistant, and thus more prone to high fat diet-induced obesity and
diabetes. In contrast when let-7 was inhibited by injections of let-7-specific
antagomirs, mice become more insulin-sensitive and remarkably resistant to high fat diet-induced obesity and diabetes. Not only could let-7 inhibition prevent obesity and diabetes, it could also reverse and cure the condition. These experimental findings suggest that let-7 inhibition could represent a new therapy for
obesity and type 2 diabetes.
Hemostasis miRNAs also play crucial roles in the regulation of complex enzymatic cascades including the
hemostatic blood coagulation system. Large scale studies of functional miRNA targeting have recently uncovered rationale therapeutic targets in the hemostatic system. They have been directly linked to
Calcium homeostasis in the
endoplasmic reticulum, which is critical in cell differentiation in early development. ==Plants==