Therapeutic interventions

治疗干预措施
  • 文章类型: Journal Article
    Behçet疾病(BD)是一个复杂的医学难题,迷人的研究人员以其神秘的发病机理。这种复杂的疾病,以复发性口腔和生殖器病变为特征,眼睛刺激,和皮肤损伤,对治疗研究提出了重大障碍。这篇综述探讨了microRNAs(miRNAs)与BD的复杂相互作用,强调他们在疾病的病理生理学中的关键参与。miRNA,被公认为在不同生物过程中的监管影响,在自身免疫性疾病的分子机制中占有举足轻重的地位,例如BD。探索从研究miRNA生物通路和功能开始,建立对他们监管机制的基本理解。转向控制BD的分子景观,这篇综述强调了miRNA介导的对Notch等关键信号通路的影响,核因子κ-活化B细胞的轻链增强子(NF-κB),和蛋白激酶B(AKT)/哺乳动物雷帕霉素靶蛋白(mTOR),提供对复杂病理生理机制的见解。剖析免疫学景观揭示了miRNA对BD的深刻影响,阐明免疫反应的复杂调节,并为疾病的病因和进展提供新的观点。除了分子的复杂性,这篇综述探讨了miRNA在BD中的临床意义,强调它们作为诊断和预后指标的潜力。讨论扩展到基于miRNA的治疗干预的有希望的领域,强调它们在缓解症状和改变疾病进展方面的潜力。这次全面审查,作为研究人员的宝贵资源,临床医生,和利益相关者,旨在破译BD复杂的分子挂毯,探索miRNAs的治疗潜力。
    Behçet\'s Disease (BD) is an intricate medical puzzle, captivating researchers with its enigmatic pathogenesis. This complex ailment, distinguished by recurrent mouth and genital lesions, eye irritation, and skin injuries, presents a substantial obstacle to therapeutic research. This review explores the complex interaction of microRNAs (miRNAs) with BD, highlighting their crucial involvement in the disease\'s pathophysiology. miRNAs, recognized for regulatory influence in diverse biological processes, hold a pivotal position in the molecular mechanisms of autoimmune diseases, such as BD. The exploration begins with examining miRNA biogenic pathways and functions, establishing a foundational understanding of their regulatory mechanisms. Shifting to the molecular landscape governing BD, the review highlights miRNA-mediated impacts on critical signaling pathways like Notch, nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB), and protein kinase B (AKT)/mammalian target of rapamycin (mTOR), offering insights into intricate pathophysiological mechanisms. Dissecting the immunological landscape reveals the profound influence of miRNAs on BD, shedding light on the intricate modulation of immune responses and offering novel perspectives on disease etiology and progression. Beyond molecular intricacies, the review explores the clinical relevance of miRNAs in BD, emphasizing their potential as diagnostic and prognostic indicators. The discussion extends to the promising realm of miRNA-based therapeutic interventions, highlighting their potential in alleviating symptoms and altering disease progression. This comprehensive review, serving as a valuable resource for researchers, clinicians, and stakeholders, aims to decipher the intricate molecular tapestry of BD and explore the therapeutic potential of miRNAs.
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  • 文章类型: Journal Article
    肥胖是一种普遍存在的健康问题,具有多种因素。在与肥胖相关的各种定义的分子靶标中,过氧化物酶体增殖物激活受体γ,瘦素,ghrelin,脂联素在包括能量平衡在内的基本过程中起着至关重要的作用,脂肪组织生物学,和代谢健康,使它们在肥胖研究中特别重要。辣椒素和橘皮通过其热产生表现出有希望的抗肥胖特性,新陈代谢,和抗炎作用。这些靶标提供了治疗肥胖的治疗方法的潜在途径。亚洲医学已经强调了特定植物物种的降脂和抗肥胖益处。由于潜在的抗肥胖品质,辣椒素,它来自辣椒,橘皮提取物是本文的重点。辣椒素引起前脂肪细胞和脂肪细胞的凋亡并抑制脂肪生成。柑橘类水果是生物活性物质的重要来源,主要是类黄酮。由于它们能够减少脂肪细胞发育和细胞脂质含量,柑橘多酚有助于控制肥胖。通过研究肥胖中分子变量的相互作用以及辣椒素和橘皮提取物可能的抗肥胖优势,这项广泛的分析为预防和管理肥胖和代谢综合征的新治疗方法提供了见解。
    Obesity is a widespread prevailing health concern with multifactorial causes. Among the various defined molecular targets associated with obesity, peroxisome proliferator activated receptor gamma, leptin, ghrelin, and adiponectin play crucial roles in fundamental processes including energy balance, adipose tissue biology, and metabolic health, making them particularly significant in the study of obesity.Capsaicin and orange peel exhibit promising anti-obesity properties through their thermogenic, metabolic, and anti-inflammatory effects. Potential pathways for therapeutic approaches in the management of obesity are provided by these targets. The lipid-lowering and anti-obesity benefits of specific plant species have been highlighted in Asian medicine. Due to the potential anti-obesity qualities, capsaicin, which is derived from chilli peppers, and orange peel extract has been focused in this review. Capsaicin causes apoptosis in preadipocytes and adipocytes and suppresses adipogenesis. Citrus fruits are a significant source of bioactive substances, primarily flavonoids. Due to their ability to reduce adipocyte development and cellular lipid content, citrus polyphenols are helpful in the control of obesity. This extensive analysis offers insights into new treatment approaches for the prevention and management of obesity and metabolic syndrome by examining the interactions of molecular variables in obesity as well as the possible anti-obesity advantages of capsaicin and orange peel extract.
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  • 文章类型: Journal Article
    选择素是一组依赖Ca2+的,吸引细胞粘附和迁移的跨膜I型糖蛋白。E-选择素仅在内皮细胞中表达,并且其表达在被促炎细胞因子激活时强烈增强。E-选择素与其配体在循环白细胞上的相互作用捕获并减慢它们,进一步促进整合素激活,牢固粘附于内皮细胞并迁移至组织。氧化应激诱导内皮细胞损伤,导致E-选择素的异常表达。此外,E-选择素水平升高与炎症的高风险呈正相关。在包括急性肾损伤(AKI)在内的几种病理状况中发现了E-选择素的失调,肺部疾病,肝脏病理学,静脉血栓栓塞症(VTE)。小鼠中E-选择素基因的缺失在一定程度上改善了这些并发症。在这次审查中,我们描述了调节E-选择素表达的机制,E-选择素与其配体的相互作用,E-选择素的生理和病理生理作用,以及靶向E-选择素的治疗潜力。
    Selectins are a group of Ca2+-dependent, transmembrane type I glycoproteins which attract cell adhesion and migration. E-selectin is exclusively expressed in endothelial cells, and its expression is strongly enhanced upon activation by pro-inflammatory cytokines. The interaction of E-selectin with its ligands on circulating leukocytes captures and slows them down, further facilitating integrin activation, firm adhesion to endothelial cells and transmigration to tissues. Oxidative stress induces endothelial cell injury, leading to aberrant expression of E-selectin. In addition, the elevated level of E-selectin is positively related to high risk of inflammation. Dysregulation of E-selectin has been found in several pathological conditions including acute kidney injury (AKI), pulmonary diseases, hepatic pathology, Venous thromboembolism (VTE). Deletion of the E-selectin gene in mice somewhat ameliorates these complications. In this review, we describe the mechanisms regulating E-selectin expression, the interaction of E-selectin with its ligands, the E-selectin physiological and pathophysiological roles, and the therapeutical potential of targeting E-selectin.
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  • 文章类型: Journal Article
    这篇综述严格评估了多酚在调节线粒体自噬中的作用的新兴研究,靶向去除受损线粒体的重要细胞机制。这些天然化合物,以其低毒性而闻名,强调了它们在针对各种疾病的治疗策略中的潜力,比如神经退行性疾病,心血管,和肌肉骨骼疾病。该分析深入到多酚促进线粒体自噬的分子机制,特别是通过影响关键的信号通路和转录调节因子,包括磷酸酶和张力蛋白同源物(PTEN)诱导的推定激酶1(PINK1)/parkin和叉头盒O3(FOXO3a)途径。值得注意的发现包括白藜芦醇和姜黄素的神经保护特性,影响自噬途径和线粒体动力学,以及多酚与其他天然物质的开创性整合,以增强治疗效果。此外,该综述面临多酚生物利用度的问题,并强调临床试验证实其治疗可行性的必要性。通过提供当代见解和多酚和线粒体自噬研究的最新进展的详尽综合,这篇综述致力于促进更多的研究,并促进创新的治疗方式的创造,利用多酚的独特属性来管理和预防疾病。
    This review rigorously assesses the burgeoning research into the role of polyphenols in modulating mitophagy, an essential cellular mechanism for the targeted removal of impaired mitochondria. These natural compounds, known for their low toxicity, are underscored for their potential in therapeutic strategies against a diverse array of diseases, such as neurodegenerative, cardiovascular, and musculoskeletal disorders. The analysis penetrates deeply into the molecular mechanisms whereby polyphenols promote mitophagy, particularly by influencing crucial signaling pathways and transcriptional regulators, including the phosphatase and tensin homolog (PTEN) induced putative kinase 1 (PINK1)/parkin and forkhead box O3 (FOXO3a) pathways. Noteworthy discoveries include the neuroprotective properties of resveratrol and curcumin, which affect both autophagic pathways and mitochondrial dynamics, and the pioneering integration of polyphenols with other natural substances to amplify therapeutic effectiveness. Furthermore, the review confronts the issue of polyphenol bioavailability and emphasizes the imperative for clinical trials to corroborate their therapeutic viability. By delivering an exhaustive synthesis of contemporary insights and recent advancements in polyphenol and mitophagy research, this review endeavors to catalyze additional research and foster the creation of innovative therapeutic modalities that exploit the distinctive attributes of polyphenols to manage and prevent disease.
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  • 文章类型: Journal Article
    睡眠对健康至关重要,新兴的研究揭示了与肠道微生物群的深刻联系。这篇综述探讨了肠道菌群与睡眠之间的双向关系,探索所涉及的机制及其提供的治疗机会。肠-脑轴是肠道微生物群和中枢神经系统之间串扰的管道,微生物群的生态失调会损害睡眠质量,反之亦然。饮食,昼夜节律,和免疫调节都起作用。特定的肠道细菌,比如乳酸菌和双歧杆菌,通过5-羟色胺和γ-氨基丁酸的产生增强睡眠,举例说明直接的微生物组影响。相反,睡眠不足会减少有益细菌,加剧生态失调。益生菌,益生元,postbiotics,粪便移植显示出治疗潜力,在动物和人类研究的支持下,但需要进一步研究安全性和长期效果。解开这个复杂的链接为量身定制的睡眠疗法铺平了道路,利用微生物组操纵来改善睡眠和健康。加速研究对于充分挖掘睡眠障碍管理这个有前途的领域至关重要。
    Sleep is crucial for wellness, and emerging research reveals a profound connection to gut microbiota. This review explores the bidirectional relationship between gut microbiota and sleep, exploring the mechanisms involved and the therapeutic opportunities it presents. The gut-brain axis serves as a conduit for the crosstalk between gut microbiota and the central nervous system, with dysbiosis in the microbiota impairing sleep quality and vice versa. Diet, circadian rhythms, and immune modulation all play a part. Specific gut bacteria, like Lactobacillus and Bifidobacterium, enhance sleep through serotonin and gamma-aminobutyric acid production, exemplifying direct microbiome influence. Conversely, sleep deprivation reduces beneficial bacteria, exacerbating dysbiosis. Probiotics, prebiotics, postbiotics, and fecal transplants show therapeutic potential, backed by animal and human research, yet require further study on safety and long-term effects. Unraveling this intricate link paves the way for tailored sleep therapies, utilizing microbiome manipulation to improve sleep and health. Accelerated research is essential to fully tap into this promising field for sleep disorder management.
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  • 文章类型: Journal Article
    纳米金刚石(ND)的使用不断升级,引起了人们对其生态毒理学影响的担忧,促使探索治疗干预措施。本文率先研究了维生素B12结合的丝胶蛋白(VB12-SER)作为一种潜在的治疗方法,以对抗ND引起的黑暗甲虫(Blapspolychresta)毒性。该研究分析了死亡率和器官特异性效应,覆盖睾丸,子房,和中肠,治疗前后。暴露于10mgNDs/g体重后,在死亡率低于50%的称为ND2的个体亚组中,进行了两种治疗,包括10mg/mL的纯丝胶(SER)和10.12mg/mL的VB12-SER。因此,五个实验组(对照组,SER,ND2,ND2+SER,考虑ND2+SER+VB12)。进行Kaplan-Meier存活分析以评估这些组中昆虫在30天期间的寿命分布。分析显示,死亡率增加和被检查器官内的ND引起的显著异常,包括细胞死亡,DNA损伤,酶失调,抗氧化剂失衡,蛋白质消耗,脂质过氧化,和形态畸形。相比之下,拟议的治疗方法,尤其是(ND2+SER+VB12),表现出显著的恢复,突出显示VB12-共轭SER在减轻ND触发的不良反应方面的潜力。分子对接模拟证实了VB12-SER复合物与靶蛋白的结合稳定性和有利的相互作用。这项研究增强了对NDs对多chresta芽孢杆菌的影响的理解,提议它作为一种有效的生物指示剂,并介绍了VB12缀合的SER作为纳米毒理学研究中一种有前途的治疗策略。
    The escalating use of nanodiamonds (NDs) has raised concerns about their ecotoxicological impact, prompting exploration of therapeutic interventions. This paper pioneers the examination of Vitamin B12-conjugated sericin (VB12-SER) as a potential therapeutic approach against ND-induced toxicity in darkling beetles (Blaps polychresta). The study analyzes mortality rates and organ-specific effects, covering the testis, ovary, and midgut, before and after treatments. Following exposure to 10 mg NDs/g body weight, within a subgroup of individuals termed ND2 with a mortality rate below 50%, two therapeutic treatments were administered, including pure sericin (SER) at 10 mg/mL and VB12-SER at 10.12 mg/mL. Consequently, five experimental groups (control, SER, ND2, ND2+SER, ND2+SER+VB12) were considered. Kaplan-Meier survival analysis was performed to assess the lifespan distribution of the insects in these groups over a 30-d period. Analyses revealed increased mortality and significant abnormalities induced by NDs within the examined organs, including cell death, DNA damage, enzyme dysregulation, antioxidant imbalances, protein depletion, lipid peroxidation, and morphological deformities. In contrast, the proposed treatments, especially (ND2+SER+VB12), demonstrated remarkable recovery, highlighting VB12-conjugated SER\'s potential in mitigating ND-triggered adverse effects. Molecular docking simulations affirmed binding stability and favorable interactions of the VB12-SER complex with target proteins. This research enhances understanding of NDs\' effects on B. polychresta, proposing it as an effective bioindicator, and introduces VB12-conjugated SER as a promising therapeutic strategy in nanotoxicological studies.
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  • 文章类型: Journal Article
    角化,一种由铜积累驱动的调节细胞死亡的新特征形式,已经成为各种非癌性疾病的重要机制。这篇综述深入研究了铜代谢与Wilson病(WD)等疾病的发病机理之间的复杂相互作用。神经退行性疾病,和心血管疾病。我们研究了铜失调诱导角化的分子机制,强调关键铜转运蛋白和酶的关键作用。此外,我们评估铜螯合策略的治疗潜力,通过减轻铜诱导的细胞损伤和恢复生理稳态,在实验模型中显示出希望。通过对最新进展和当前知识的全面综合,这篇综述强调了进一步研究将这些发现转化为临床应用的必要性.最终目标是利用靶向角化的治疗潜力,从而改善与铜失调相关的非癌性疾病的疾病管理和患者预后。
    Cuproptosis, a newly characterized form of regulated cell death driven by copper accumulation, has emerged as a significant mechanism underlying various non-cancerous diseases. This review delves into the complex interplay between copper metabolism and the pathogenesis of conditions such as Wilson\'s disease (WD), neurodegenerative disorders, and cardiovascular pathologies. We examine the molecular mechanisms by which copper dysregulation induces cuproptosis, highlighting the pivotal roles of key copper transporters and enzymes. Additionally, we evaluate the therapeutic potential of copper chelation strategies, which have shown promise in experimental models by mitigating copper-induced cellular damage and restoring physiological homeostasis. Through a comprehensive synthesis of recent advancements and current knowledge, this review underscores the necessity of further research to translate these findings into clinical applications. The ultimate goal is to harness the therapeutic potential of targeting cuproptosis, thereby improving disease management and patient outcomes in non-cancerous conditions associated with copper dysregulation.
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  • 文章类型: Journal Article
    年龄的增长与几种与年龄有关的疾病(ARD)有关,肌肉骨骼疾病影响着全球数百万老年人。由于骨科疾病导致相当多的患者,对骨骼老化有更深入的了解是小时的需要。骨老化的潜在因素之一是细胞衰老及其相关的衰老相关分泌表型(SASP)。SASP包括促炎标志物,抑制细胞生长和发育的细胞因子和趋化因子。SASP的积累超过几年导致慢性低度炎症随着年龄的增长,也被称为发炎。聚焦于骨衰老和炎症的途径和分子机制目前是有限的,但正在越来越多地探索。大部分的基因,涉及衰老和炎症的途径和机制与癌症和其他ARDs如骨关节炎(OA)相关的途径和机制一致。因此,使用测序等技术探索这些途径,识别这些因素并用最合适的方法与之对抗对于健康衰老和早期发现ARD至关重要。可以使用几种方法来帮助再生和减少骨中的衰老。这些可能是药理学的,非药物和生活方式干预。随着越来越多的证据表明衰老之间错综复杂的关系,衰老,炎症和ARD,这些方法也可用作衰老骨髓(BM)的抗衰老策略.
    Advancing age is associated with several age-related diseases (ARDs), with musculoskeletal conditions impacting millions of elderly people worldwide. With orthopedic conditions contributing towards considerable number of patients, a deeper understanding of bone aging is the need of the hour. One of the underlying factors of bone aging is cellular senescence and its associated senescence associated secretory phenotype (SASP). SASP comprises of pro-inflammatory markers, cytokines and chemokines that arrest cell growth and development. The accumulation of SASP over several years leads to chronic low-grade inflammation with advancing age, also known as inflammaging. The pathways and molecular mechanisms focused on bone senescence and inflammaging are currently limited but are increasingly being explored. Most of the genes, pathways and mechanisms involved in senescence and inflammaging coincide with those associated with cancer and other ARDs like osteoarthritis (OA). Thus, exploring these pathways using techniques like sequencing, identifying these factors and combatting them with the most suitable approach are crucial for healthy aging and the early detection of ARDs. Several approaches can be used to aid regeneration and reduce senescence in the bone. These may be pharmacological, non-pharmacological and lifestyle interventions. With increasing evidence towards the intricate relationship between aging, senescence, inflammation and ARDs, these approaches may also be used as anti-aging strategies for the aging bone marrow (BM).
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  • 文章类型: Journal Article
    披露兄弟姐妹性行为(SSB)通常会影响所有家庭成员,但仍然存在,然而,缺乏关于治疗性家庭干预措施以及它们如何引发家庭变化的研究。这项研究旨在探索SSB披露的关系影响,在SSB披露后,帮助家庭启动康复过程的治疗和干预目标。单病例研究设计用于分析一个家庭的长期治疗过程。这项N=1研究的数据包括对相关治疗师的18次访谈,对相关家庭成员的五次采访,治疗档案,和家庭会议笔记。使用专题方法分析数据。关系创伤是在破裂的关系中经历的,关系压力和家庭成员之间的信任受损。治疗目标是(1)重建家庭的安全,(2)帮助家庭进程的SSB后果和(3)恢复信任和寻求关系医治。针对目标的适当干预措施包括以个人为中心的心理创伤治疗以及对父母的干预,参与的兄弟姐妹,和不参与的兄弟姐妹,然后是涉及的兄弟姐妹和整个家庭之间的会议。治疗结果发现个体创伤症状减少,重新创造了家庭安全感,关系创伤处理的开始,和新发现的兄弟姐妹/家庭关系形式。这项研究从专业人士和家庭成员的角度提供了一个独特而全面的见解,在SSB披露后,家庭的康复过程。本研究中确定的有效干预措施可能为与这些家庭合作的治疗师提供工具。这项研究也可能为SSB的滥用和相互类型提供更多见解。
    Disclosures of sibling sexual behavior (SSB) usually affect all family members but there remains, however, a paucity in studies on therapeutical family interventions and how they can initiate changes in families. This study was designed to explore relational impacts of SSB disclosures, goals for therapy and interventions that helped a family initiate the recovery process after a SSB disclosure. A single case study design was used to analyze a family\'s long-term therapy process. Data on this N = 1 study comprised 18 interviews with involved therapists, five interviews with involved family members, therapy files, and notes on family sessions. Data was analyzed using a thematic approach. Relational traumas were experienced in broken relationships, relationships under pressure and damaged trust between family members. Therapy goals were to (1) recreate family\'s safety, (2) help the family process the SSB consequences and (3) restore trust and search for relationship healing. Appropriate interventions to target the goals included individual-centered psycho trauma treatment as well as interventions for the parents, the involved siblings, and the uninvolved siblings, followed by sessions between the involved siblings and with the whole family. Therapy outcomes were found in reduced individual trauma symptoms, a recreated sense of family safety, the start of relational trauma processing, and newfound forms of sibling/family relationships. This study provides a unique and comprehensive insight into a family\'s healing process after SSB disclosures from the perspectives of both professionals and family members. The effective interventions identified in this study may provide tools for therapists working with these families. This study may also offer greater insights into both the abusive and mutual types of SSB.
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  • 文章类型: Journal Article
    这项全面的探索探讨了microRNAs(miRNAs)在复杂的细胞调节挂毯中的关键作用。作为基因表达的有力协调者,miRNA在细胞过程中表现出不同的功能,将它们的影响从细胞核扩展到细胞质。miRNA生物发生的复杂旅程,涉及转录,processing,整合到RNA诱导的沉默复合物中,展示他们的多功能性。在细胞质中,成熟的miRNA通过调节靶mRNA表达来微调细胞功能,当它们延伸到细胞核时,影响转录调控和表观遗传修饰。miRNA的失调在各种病理中变得明显,比如癌症,自身免疫性疾病,和炎症条件。miRNA对环境信号的适应性,与转录因子的相互作用,参与复杂的监管网络强调了它们的重要性。DNA甲基化和组蛋白修饰有助于深入理解miRNAs的动态调控。与RNA结合蛋白竞争等机制,海绵,而通过降解和编辑对miRNA水平的控制有助于这一复杂的调控过程。在这次审查中,我们主要关注miRNA表达失调如何与皮肤相关的自身免疫性疾病和自身炎症性疾病有关,关节炎,心血管疾病,炎症性肠病,自身免疫性和自身炎症性疾病,和神经退行性疾病。我们还强调了miRNAs的多方面作用,敦促继续研究以解开其复杂性。控制miRNA功能的机制有望在治疗干预方面取得进步,并增强对健康和疾病中细胞动力学的见解。
    This comprehensive exploration delves into the pivotal role of microRNAs (miRNAs) within the intricate tapestry of cellular regulation. As potent orchestrators of gene expression, miRNAs exhibit diverse functions in cellular processes, extending their influence from the nucleus to the cytoplasm. The complex journey of miRNA biogenesis, involving transcription, processing, and integration into the RNA-induced silencing complex, showcases their versatility. In the cytoplasm, mature miRNAs finely tune cellular functions by modulating target mRNA expression, while their reach extends into the nucleus, influencing transcriptional regulation and epigenetic modifications. Dysregulation of miRNAs becomes apparent in various pathologies, such as cancer, autoimmune diseases, and inflammatory conditions. The adaptability of miRNAs to environmental signals, interactions with transcription factors, and involvement in intricate regulatory networks underscore their significance. DNA methylation and histone modifications adds depth to understanding the dynamic regulation of miRNAs. Mechanisms like competition with RNA-binding proteins, sponging, and the control of miRNA levels through degradation and editing contribute to this complex regulation process. In this review, we mainly focus on how dysregulation of miRNA expression can be related with skin-related autoimmune and autoinflammatory diseases, arthritis, cardiovascular diseases, inflammatory bowel disease, autoimmune and autoinflammatory diseases, and neurodegenerative disorders. We also emphasize the multifaceted roles of miRNAs, urging continued research to unravel their complexities. The mechanisms governing miRNA functions promise advancements in therapeutic interventions and enhanced insights into cellular dynamics in health and disease.
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