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The involvement of regulatory non-coding RNAs in sepsis: A systematic review

  • Jeffery Ho
  • , Hung Chan
  • , Sunny H. Wong*
  • , Maggie Haitian Wang
  • , Jun Yu
  • , Zhangang Xiao
  • , Xiaodong Liu
  • , Gordon Choi
  • , Czarina C.H. Leung
  • , Wai T. Wong
  • , Zheng Li
  • , Tony Gin
  • , Matthew T.V. Chan*
  • , William K.K. Wu
  • *Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

87 Citations (Scopus)

Abstract

Background: Sepsis coincides with altered gene expression in different tissues. Accumulating evidence has suggested that microRNAs, long non-coding RNAs, and circular RNAs are important molecules involved in the crosstalk with various pathways pertinent to innate immunity, mitochondrial functions, and apoptosis. Methods: We searched articles indexed in PubMed (MEDLINE), EMBASE and Europe PubMed Central databases using the Medical Subject Heading (MeSH) or Title/Abstract words ("microRNA", "long non-coding RNA", "circular RNA", "sepsis" and/or "septic shock") from inception to Sep 2016. Studies investigating the role of host-derived microRNA, long non-coding RNA, and circular RNA in the pathogenesis of and as biomarkers or therapeutics in sepsis were included. Data were extracted in terms of the role of non-coding RNAs in pathogenesis, and their applicability for use as biomarkers or therapeutics in sepsis. Two independent researchers assessed the quality of studies using a modified guideline from the Systematic Review Center for Laboratory animal Experimentation (SYRCLE), a tool based on the Cochrane Collaboration Risk of Bias tool. Results: Observational studies revealed dysregulation of non-coding RNAs in septic patients. Experimental studies confirmed their crosstalk with JNK/NF-ΚB and other cellular pathways pertinent to innate immunity, mitochondrial function, and apoptosis. Of the included studies, the SYRCLE scores ranged from 3 to 7 (average score of 4.55). This suggests a moderate risk of bias. Of the 10 articles investigating non-coding RNAs as biomarkers, none of them included a validation cohort. Selective reporting of sensitivity, specificity, and receiver operating curve was common. Conclusions: Although non-coding RNAs appear to be good candidates as biomarkers and therapeutics for sepsis, their differential expression across tissues complicated the process. Further investigation on organ-specific delivery of these regulatory molecules may be useful.

Original languageEnglish
Article number383
Number of pages12
JournalCritical Care
Volume20
Early online date28 Nov 2016
DOIs
Publication statusPublished - Dec 2016

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

User-Defined Keywords

  • Biomarker
  • CircRNA
  • Inflammation
  • LncRNA
  • MicroRNA
  • Sepsis
  • Shock

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