Review
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World J Gastroenterol. May 21, 2014; 20(19): 5818-5825
Published online May 21, 2014. doi: 10.3748/wjg.v20.i19.5818
MicroRNAs: New therapeutic targets for intestinal barrier dysfunction
Lin Zhang, Jian Cheng, Xiao-Ming Fan
Lin Zhang, Jian Cheng, Xiao-Ming Fan, Department of Gastroenterology and Hepatology, Jinshan Hospital of Fudan University, Shanghai 201508, China
Author contributions: Fan XM conceived the topic and revised the paper; Zhang L reviewed the literature and wrote the paper; Cheng J reviewed the literature.
Supported by Grant for Key Clinical Discipline Construction of Shanghai Municipality, China, No. ZK2012B20; and Phase II Outstanding Young Medical Personnel Training Fund of Jinshan District Health Systems, Shanghai, China, No. JWKJ-RCYQ-201207
Correspondence to: Xiao-Ming Fan, MD, PhD, Department of Gastroenterology and Hepatology, Jinshan Hospital of Fudan University, No. 1508, Longhang Road, Shanghai 201508, China. xiaomingfan57@sina.com
Telephone: +86-21-34189990 Fax: +86-21-57943141
Received: October 28, 2013
Revised: December 9, 2013
Accepted: January 14, 2014
Published online: May 21, 2014
Abstract

Defects in intestinal barrier function characterized by an increase in intestinal permeability contribute to intestinal inflammation. Growing evidence has shown that an increase in intestinal permeability has a pathogenic role in diseases such as inflammatory bowel disease (IBD) and celiac disease, and functional bowel disorders such as irritable bowel syndrome. Therefore, clarification of the inflammatory responses, the defense pathway and the corresponding regulatory system is essential and may lead to the development of new therapies. MicroRNAs (miRNAs) are small (19-22 nt) noncoding RNA molecules that regulate genes at the post-transcriptional level by base-pairing to specific messenger RNAs for degradation to repress translation. Recent studies suggested that miRNAs are important in the immune response and mediate a critical role in multiple immune response-related disorders. Based on these discoveries, attention has been focused on understanding the role of miRNAs in regulating intestinal barrier dysfunction, especially in IBD. Here, we provide a review of the most recent state-of-the-art research on miRNAs in intestinal barrier dysfunction.

Keywords: MicroRNAs, Intestinal barrier dysfunction, Inflammatory bowel disease, Celiac disease, Therapeutic target

Core tip: This article summarizes the latest findings on the important roles of microRNAs (miRNAs) in regulating inflammation and autoimmune disorders in inflammatory bowel disease (IBD). Insight into miRNAs-21 as a novel biomarker is also provided, which shows that miRNAs-21 is a potential diagnostic and therapeutic target for IBD.