miRNA在药物性肝损伤中的作用

Inam Sameh Arif, Israa Burhan Raoof, Hayder Hussein Luaibi, Shams Khaleel Ibraheem
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摘要

急性肝病的特点是肝功能在几天或几周内丧失,但在以前未诊断的患者中,与慢性肝功能衰竭相比,急性肝病较少见,慢性肝功能衰竭发展缓慢且不可逆。它是由药物性肝损伤(DILI)引起的,因此肝损伤的识别对临床治疗和诊断具有挑战性。肝功能衰竭的主要原因包括与正常情况相比,某些药物的毒性代谢物消耗了三磷酸腺苷(ATP),以及microrna过度表达导致氧化应激增加,因此有必要对患者进行完整的诊断。生物标志物参数可以用来验证肝损伤,如microRNAs (miRNAs)分析,它是一个更容易接受的标志物,因为它比转氨酶更早增加,从而可以更准确地诊断。我们总结了miRNA作为一种新型DILI生物标志物的最新进展迹象,miRNA水平可以在人类或动物(如小鼠、大鼠)的血浆、唾液、尿液、胎液(羊水)以及其他材料中检测到,因此,miRNA水平在疾病期间显著升高,从而提供了肝损伤的特异性生物标志物。
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Role of miRNA in drug-induced hepatic injury
Acute liver disease is characterized by loss of liver function within days or weeks however, in the patient who is not previously diagnosed, its less common compared with chronic liver failure, which developed slowly and irreversible process. It’s caused by   drug-induced liver damage (DILI) therefore identifying liver injury is challenging for clinical treatment and diagnosis. The major causes of liver failure involve toxic metabolites of some medications that consumed Adenosine Tri Phosphate (ATP) compared with normal conditions and increased oxidative stress due to overexpression of MicroRNAs, it is necessary to do complete diagnosis of patients. Biomarker parameters can be utilized to validate liver damage like microRNAs (miRNAs) analysis, it is a more receptive marker because increased earlier than the transaminases enzymes allowing for a more accurate diagnosis.  we summarized recent signs of progress disease concerning the role of miRNA as a novel DILI biomarker, the miRNA levels can be measured in plasma, saliva, urine, fetal fluid (amniotic), as well as other materials either in human or animals like mice, rats which significantly elevate during illness, therefore, provide e specific biomarker of hepatoinjury.
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