中国神经再生研究(英文版) ›› 2025, Vol. 20 ›› Issue (1): 116-129.doi: 10.4103/NRR.NRR-D-23-01292

• 综述:脑损伤修复保护与再生 • 上一篇    下一篇

非编码RNA与急性缺血性脑卒中:从中枢到外周

  


  • 出版日期:2025-01-15 发布日期:1900-01-01
  • 基金资助:
    国家自然科学基金项目(82301486和82071325);美捷登青年科学家学术及研究基金(MJR202310040);南京医科大学科技发展基金项目(NMUB20220060);江苏省卫生健康委员会医学科研项目(ZDA2020019);健康中国步长致远心脑健康公益项目(HIGHER202102)

Non-coding RNAs in acute ischemic stroke: from brain to periphery

Shuo Li1, #, Zhaohan Xu1, #, Shiyao Zhang2, Huiling Sun3, Xiaodan Qin3, Lin Zhu1, Teng Jiang1, Junshan Zhou1, Fuling Yan2, *, Qiwen Deng1, *   

  1. 1Department of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China; 2Department of Neurology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu Province, China; 3General Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China
  • Online:2025-01-15 Published:1900-01-01
  • Contact: Qiwen Deng, PhD, qiw_deng@njmu.edu.cn; Fuling Yan, PhD, yanfuling218@163.com.
  • Supported by:
    This work was supported by the National Natural Science Foundation of China, Nos. 82301486 (to SL) and 82071325 (to FY); Medjaden Academy & Research Foundation for Young Scientists, No. MJR202310040 (to SL); Nanjing Medical University Science and Technique Development Foundation Project, No. NMUB20220060 (to SL); Medical Scientific Research Project of Jiangsu Commission of Health, No. ZDA2020019 (to JZ); and Health China Buchang Zhiyuan Public Welfare Project for Heart and Brain Health, No. HIGHER202102 (to QD).

摘要:

急性缺血性脑卒中是一种发病率高、死亡率高、致残率高的临床急症。有关急性缺血性脑卒中的准确预测、诊断和预后生物标志物及有效的治疗靶点仍然未知。随着基因高通量测序分析的出现,在临床样本和实验模型中发现了多种急性缺血性脑卒中后大脑和外周血中异常表达的非编码RNA。脑卒中后大脑中差异表达的非编码RNA在病理过程中发挥着至关重要的作用,导致神经保护或恶化,因此非编码RNA可以作为急性缺血性脑卒中的治疗靶点。此外,外周血中不同表达的非编码RNA也可能成为急性缺血性脑卒中预测、诊断和预后的生物标志物。特别是,外周免疫细胞中的这些非编码RNA最近被证明参与了急性缺血性脑卒中后的外周和大脑免疫反应。此次综述总结了非编码RNA(微小RNA、长链非编码RNA和环状RNA)在急性缺血性脑卒中诱导的脑损伤的病理过程中的作用,以及这些非编码RNA作为急性缺血性脑卒中预测、诊断和预后的生物标志物的功能的最新进展,从而为非编码RNA在急性缺血性脑卒中中的相关临床应用提供新的思路。

https://orcid.org/0000-0003-4324-8009 (Qiwen Deng); https://orcid.org/0000-0002-2196-3995 (Fuling Yan)

关键词: 急性缺血性脑卒中, 细胞凋亡, 血脑屏障, 环状RNA, 兴奋性毒性, 长链非编码RNA, 微小RNA, 神经炎症, 非编码RNA, 氧化应激

Abstract: Acute ischemic stroke is a clinical emergency and a condition with high morbidity, mortality, and disability. Accurate predictive, diagnostic, and prognostic biomarkers and effective therapeutic targets for acute ischemic stroke remain undetermined. With innovations in high-throughput gene sequencing analysis, many aberrantly expressed non-coding RNAs (ncRNAs) in the brain and peripheral blood after acute ischemic stroke have been found in clinical samples and experimental models. Differentially expressed ncRNAs in the post-stroke brain were demonstrated to play vital roles in pathological processes, leading to neuroprotection or deterioration, thus ncRNAs can serve as therapeutic targets in acute ischemic stroke. Moreover, distinctly expressed ncRNAs in the peripheral blood can be used as biomarkers for acute ischemic stroke prediction, diagnosis, and prognosis. In particular, ncRNAs in peripheral immune cells were recently shown to be involved in the peripheral and brain immune response after acute ischemic stroke. In this review, we consolidate the latest progress of research into the roles of ncRNAs (microRNAs, long ncRNAs, and circular RNAs) in the pathological processes of acute ischemic stroke–induced brain damage, as well as the potential of these ncRNAs to act as biomarkers for acute ischemic stroke prediction, diagnosis, and prognosis. Findings from this review will provide novel ideas for the clinical application of ncRNAs in acute ischemic stroke.

Key words: acute ischemic stroke, apoptosis, blood–brain barrier damage, circular RNAs, excitatory toxicity, long non-coding RNAs, microRNAs, neuroinflammation, non-coding RNAs, oxidative stress