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Gambari et al. J Cancer Metastasis Treat 2019;5:55  I  http://dx.doi.org/10.20517/2394-4722.2019.18                         Page 3 of 13




























               Figure 1. Scheme summarizing the miRNA replacement (A) and anti-miRNA (B) approaches to modify miRNA-regulated gene expression.
               In panel A the miRNA replacement molecule is transfected to target cells (a) where interact with the mRNA to be modulated (b) causing
               inhibition of protein production (c, dotted arrow). In panel B the miRNA inhibitors (a-c) are transfected to target cells (d) where they
               interact with the microRNA target preventing its binding to the specific 3’UTR sequence (dotted arrow) of the regulated mRNA (d).
               This causes up-regulation of this mRNA with increased protein production (e). Three examples of antagomiRNA molecules are shown:
               microparticle delivered antagomiRNAs (a), peptide-delivered molecules (b, peptide in green), or chemically-modified molecules (chemical
               modifications in yellows) to increase biological functions (for instance resistance to enzymatic degradation or delivery efficiency to target
               cells)


               Table 1. Experimental strategies for inhibition of microRNA functions
                Strategy        Bioactive molecules  Mechanism(s) of action  Biological effects  References
                Use of microRNA   RNA, DNA, LNA and   Sequence-specific   Up-regulation of the   Weiler et al. [25] , 2006;
                inhibiting      other DNA analogues,   hybridization to miRNA   expression of miRNA-  Lu et al. [26] , 2009;
                molecules       PNAs and PNA       targets            regulated mRNAs   Lennox et al. [27] , 2011;
                                analogues                                               Obad et al. [28] , 2011;
                                                                                        Elmén et al. [29] , 2008;
                                                                                        Stenvang et al. [30] , 2008;
                                                                                                 [31]
                                                                                        Staedel et al. , 2015
                Use of miRNA    Circular RNAs      Inhibition of miRNAs   Up-regulation of the   Ebert et al. [32] , 2007;
                sponges         (circRNAs) and long-  by circRNA-miRNA   expression of mRNAs   Ebert et al. [33] , 2010;
                                non-coding RNAs    or lncRNA-miRNA    regulated by sponged   Kluiver et al. [34] , 2012;
                                (lncRNAs)          interactions       miRNAs            Kluiver et al. [35] , 2012;
                                                                                        de Melo et al. [37] , 2015;
                                                                                        Tay et al. [38] , 2015
                Use of mowers   Synthetic devices   ‘‘Mowing down’’ miRNA   Up-regulation of the   Liu et al. [39] , 2012
                                containing multiple   expression (just like a   expression of mRNAs
                                bulged miRNA binding   lawn mower)    regulated by the
                                sites and named them                  “mowed down” miRNAs
                                ‘‘miRNA-mowers’’
                MirNA masking   DNA, LNA, PNAs and   Binding to mRNA and   Up-regulation of the   Wang et al. [40] , 2011;
                                analogues          interference with the   expression of “masked”   Bak et al. [41] , 2013;
                                                   binding of miRNA to its   mRNAs by inhibition of   Murakami et al. [42] , 2014
                                                   target site        miRNA binding


               PEPTIDE-NUCLEIC ACIDS
               Peptide Nucleic Acids (PNAs) are DNA analogues described for the first time by Nielsen et al. , in which
                                                                                               [49]
               the sugar-phosphate backbone has been replaced by N-(2-aminoethyl)glycine units [50-53]  [see Figure 2 for
               the chemical general structure]. PNAs are very interesting molecules for sequence-specific alteration of
               gene expression, since are capable of forming Watson-Crick double helices after efficient sequence-specific
               hybridization with complementary DNA and RNA . Furthermore, they are able to generate triple helix with
                                                          [54]
               double-stranded DNA and to perform strand invasion . In virtue of these biological activities, PNAs have
                                                             [55]
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