Big hope for cancer: How the Nobel-winning discovery of microRNA is changing the face of diagnosis and therapies

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What if the ammunition to combat diseases similar crab and Alzheimer’s lies successful the smallest portion of your cells? We each cognize that DNA (deoxyribonucleic acid) contains the blueprint of beingness and the RNA (Ribonucleic acid) helps successful transcribing the accusation and producing the proteins to prolong it. However, it is simply a tiny molecule called microRNA, which helps cells power the types and amounts of proteins they make, that has opened up caller pathways for diagnosing and treating diseases — from cancers and Alzheimer’s to viral infections.
Scientists Victor Ambros and Gary Ruvkun were awarded the Nobel Prize for medicine for their find of microRNA successful 1993. Now, researchers crossed India are moving with these molecules to dainty the untreatable and diagnose conditions successful their aboriginal stages.

Dr Lekha Dinesh has been moving with microRNAs for astir a decade, looking for ways to rapidly diagnose colorectal cancer. In fact, her probe astatine CCMB (Centre for Cellular and Molecular Biology) has proven that it is imaginable to measurement the levels of circumstantial microRNA from a tumour illustration and fig retired not lone whether idiosyncratic has colon crab but besides the signifier of the disease.

If proven for usage successful humans, the trial tin assistance diagnose and people colon crab successful conscionable a mates of hours aft a biopsy — a process by which a portion of tumour is extracted for testing. “Current diagnosis protocols instrumentality astir a week. But we person figured retired a database of microRNA that get either upregulated oregon downregulated erstwhile a idiosyncratic has colorectal cancer. Just by looking astatine the levels, you tin besides archer the signifier of crab they have,” says Dr Dinesh.

Better still, a institution that the institute has tied up with, is present moving to devise a humor trial that tin bash the same. “We person present proven that immoderate of these microRNAs are detectable adjacent successful humor samples, meaning conscionable a humor trial tin springiness america each the accusation astir the crab theoretically. This is what the institution is present moving on,” adds Dr Dinesh.

She explains wherefore microRNAs are the champion biomarkers: “Testing for cistron mutations — and these days determination are respective laboratories that bash gene-typing for antithetic types of cancers — does not archer america whether a idiosyncratic has cancer. If they person a peculiar mutation, they whitethorn beryllium astatine a higher hazard for immoderate cancers. Gene investigating is not indispensable for astir cancers — adjacent if you bash person the BRCA cistron for example, what tin you do? If you person household history, you should anyhow beryllium getting screened for bosom cancer. Genetic investigating is indispensable lone for immoderate newer crab therapies that people definite genes.”

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Dr Dinesh says that RNAs tin perchance archer idiosyncratic whether they person crab due to the fact that their functioning changes erstwhile a idiosyncratic develops cancer. “However, RNAs cannot beryllium utilized arsenic biomarkers due to the fact that they degenerate precise rapidly — their fractional beingness is conscionable 30 minutes. MicroRNA, connected the different hand, is precise unchangeable and tin besides archer america whether a idiosyncratic has crab and what signifier it is at,” she adds.

Finding a Cure for Alzheimer’s

Even arsenic the load of Alzheimer’s is connected the rise, an effectual cure remains elusive. A radical of researchers from the National Institutes of Pharmaceutical Education and Research-Raebareli (NIPER-R) has been moving connected changing the levels of definite microRNAs that activate a protein, which successful crook protects cells from oxidative accent oregon harm — 1 of the factors known to power improvement of Alzheimer’s disease. “Nrf2 is simply a macromolecule that is the body’s archetypal enactment of defence against oxidative stress. The levels of Nrf2 spell up to support a compartment erstwhile they acquisition immoderate toxin oregon escaped radicals. We are looking for microRNAs that tin modulate the Nrf2 levels,” says Ravinder K Kaundal from the section of pharmacology and toxicology astatine NIPER-R.

MicroRNAs tin alteration the levels of antithetic proteins that power mRNAs — the molecules that transportation the accusation from the cistron to the macromolecule accumulation centres. MicroRNAs tin either enslaved with the mRNAs oregon destruct them to forestall macromolecule production. “So, higher the level of definite microRNAs, little are the levels of the people proteins. The situation is that 1 microRNA tin modulate respective genes and 1 cistron tin besides beryllium regulated by respective microRNA — it is not a one-to-one relationship. So, we person to find the microRNAs that tin alteration the levels of Nrf2 successful the body,” explains Kaundal.

The researchers person been conducting experiments successful compartment cultures and animals to spot whether changing the levels of definite microRNAs tin alteration the levels of Nrf2 and successful crook support against Alzheimer’s disease.

Once identified, these microRNA targets tin beryllium utilized arsenic biomarkers to make speedy tests to observe Alzheimer’s illness successful humor and cerebrospinal fluid samples. At present, the diagnosis of Alzheimer’s illness is chiefly based connected the doctors evaluating a person’s memory, abstract thinking, occupation solving, connection usage and changes successful mood. Brain scans tin beryllium done sometimes. A diagnostic trial tin assistance successful diagnosing much radical astatine an aboriginal stage.

Not lone that, microRNA levels tin beryllium controlled utilizing microRNA mimics — artificial pieces of microRNA — meaning erstwhile the people is found, changing the levels of microRNA whitethorn besides assistance dainty the disease. “These, however, are laboratory studies and a cure for the illness whitethorn inactive beryllium years away,” says Kaundal.

Infection control

Dr Anupam Mukherjee and his squad — from the ICMR-National Institute of Translational Virology and AIDS Research — has been moving to survey the relation of microRNAs successful infections similar hepatitis C, HIV, Herpes Simplex and Rotavirus.

MicroRNAs tin alteration the levels of assorted proteins successful the assemblage to make a hostile situation for pathogens wrong the body. Two, they tin people definite genes to forestall the maturation oregon multiplication of a microorganism wrong quality cells. Three, they tin straight people viral proteins to forestall an infection. “Another vantage is that accepted antiviral drugs are made up of chemicals that tin origin unwanted broadside effects — nausea, fatigue oregon harm to steadfast cells. But due to the fact that microRNAs are people produced by our bodies, utilizing them arsenic therapy could travel with less broadside effects, oregon adjacent nary astatine all,” adds Dr Mukherjee.

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