Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applications

Sepsis is a life-threatening syndrome characterized by organ dysfunction caused by a dysregulated host response to infection. Sepsis-associated acute liver injury (SA-ALI) is a frequent and serious complication of sepsis that considerably impacts both short-term and long-term survival outcomes. In i...

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Main Authors: Jialian Wang, Xingyu Tao, Zhengyang Liu, Yuan Yan, Peifeng Cheng, Bin Liu, Huimin Du, Bailin Niu
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Pharmacological Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S1043661825000210
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author Jialian Wang
Xingyu Tao
Zhengyang Liu
Yuan Yan
Peifeng Cheng
Bin Liu
Huimin Du
Bailin Niu
author_facet Jialian Wang
Xingyu Tao
Zhengyang Liu
Yuan Yan
Peifeng Cheng
Bin Liu
Huimin Du
Bailin Niu
author_sort Jialian Wang
collection DOAJ
description Sepsis is a life-threatening syndrome characterized by organ dysfunction caused by a dysregulated host response to infection. Sepsis-associated acute liver injury (SA-ALI) is a frequent and serious complication of sepsis that considerably impacts both short-term and long-term survival outcomes. In intensive care units (ICUs), the mortality rate of patients with SA-ALI remains high, mostly due to the absence of effective early diagnostic markers and suitable therapeutic strategies. Recent studies have demonstrated the importance of non-coding RNAs (ncRNAs) in the development and progression of SA-ALI. This review focuses on the critical roles of ncRNAs, including microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and circular RNAs (circRNAs), in regulating “cytokine storms”, oxidative stress, mitochondrial dysfunction, and programmed cell death in SA-ALI, and summarizes the current state and limitations of existing studies on lncRNAs and circRNAs in SA-ALI. By integrating advancements in high-throughput sequencing technologies, this review provides novel insights into the dual potential of ncRNAs as diagnostic biomarkers and therapeutic targets, offers new ideas for SA-ALI diagnosis and treatment research and highlights potential challenges in clinical translation.
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series Pharmacological Research
spelling doaj-art-56c851f47a52425c9ed2bf3c3be433312025-02-08T04:59:46ZengElsevierPharmacological Research1096-11862025-02-01212107596Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applicationsJialian Wang0Xingyu Tao1Zhengyang Liu2Yuan Yan3Peifeng Cheng4Bin Liu5Huimin Du6Bailin Niu7Department of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400016, ChinaDepartment of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400016, ChinaDepartment of Nephrology, Chongqing Emergency Medical Center, Chongqing University Central Hospital, Chongqing University, Chongqing 400016, ChinaDepartment of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400016, ChinaDepartment of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400016, ChinaDepartment of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400016, ChinaDepartment of Oncology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China; Correspondence to: Department of Oncology, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing, China.Department of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400016, China; Correspondence to: Department of Intensive Care Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Jiankang Road No.1, Yuzhong District, Chongqing 400016, China.Sepsis is a life-threatening syndrome characterized by organ dysfunction caused by a dysregulated host response to infection. Sepsis-associated acute liver injury (SA-ALI) is a frequent and serious complication of sepsis that considerably impacts both short-term and long-term survival outcomes. In intensive care units (ICUs), the mortality rate of patients with SA-ALI remains high, mostly due to the absence of effective early diagnostic markers and suitable therapeutic strategies. Recent studies have demonstrated the importance of non-coding RNAs (ncRNAs) in the development and progression of SA-ALI. This review focuses on the critical roles of ncRNAs, including microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and circular RNAs (circRNAs), in regulating “cytokine storms”, oxidative stress, mitochondrial dysfunction, and programmed cell death in SA-ALI, and summarizes the current state and limitations of existing studies on lncRNAs and circRNAs in SA-ALI. By integrating advancements in high-throughput sequencing technologies, this review provides novel insights into the dual potential of ncRNAs as diagnostic biomarkers and therapeutic targets, offers new ideas for SA-ALI diagnosis and treatment research and highlights potential challenges in clinical translation.http://www.sciencedirect.com/science/article/pii/S1043661825000210SepsisAcute liver injuryNon-coding RNAMiRNALncRNACircRNA
spellingShingle Jialian Wang
Xingyu Tao
Zhengyang Liu
Yuan Yan
Peifeng Cheng
Bin Liu
Huimin Du
Bailin Niu
Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applications
Pharmacological Research
Sepsis
Acute liver injury
Non-coding RNA
MiRNA
LncRNA
CircRNA
title Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applications
title_full Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applications
title_fullStr Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applications
title_full_unstemmed Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applications
title_short Noncoding RNAs in sepsis-associated acute liver injury: Roles, mechanisms, and therapeutic applications
title_sort noncoding rnas in sepsis associated acute liver injury roles mechanisms and therapeutic applications
topic Sepsis
Acute liver injury
Non-coding RNA
MiRNA
LncRNA
CircRNA
url http://www.sciencedirect.com/science/article/pii/S1043661825000210
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