miRNA在慢性前列腺炎中的研究进展:分子机制与临床应用展望
Research Progress of miRNA in Chronic Prostatitis: Molecular Mechanisms and Prospects for Clinical Application
摘要: 慢性前列腺炎/慢性盆腔疼痛综合征(Chronic Prostatitis/Chronic Pelvic Pain Syndrome, CP/CPPS)是泌尿外科中常见的慢性炎症性疾病之一,以慢性盆腔疼痛及下尿路症状(LUTS)为主要临床表现,部分患者伴随性功能障碍及相关神经精神症状,其病因复杂且临床治疗效果不理想,严重影响了男性患者生活质量。MicroRNA (miRNA)是近年来发现的参与调控大部分基因表达的重要因子,在CP/CPPS的发病机制及临床诊断治疗中备受关注。本文综述了近年来miRNA在CP/CPPS中的研究进展,探讨miRNA作为生物标志物在CP/CPPS临床诊疗中的作用,为CP/CPPS的诊疗提供理论依据和思路。
Abstract: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the common chronic inflammatory diseases in the field of urology, which is mainly manifested by chronic pelvic pain and lower urinary tract symptoms (LUTS), Some patients also suffer from sexual dysfunction and related neuropsychiatric symptoms. It has a large impact on the quality of life of the patient because of its complex etiology and poor clinical efficacy. MicroRNA (miRNA) is an important factor discovered in recent years that participates in the regulation of most gene expressions, and has garnered significant attention in the pathogenesis, clinical diagnosis, and treatment of CP/CPPS. This article reviews the recent research progress of miRNA in CP/CPPS, explores the role of miRNA as a biomarker in the clinical diagnosis and treatment of CP/CPPS, and provides a theoretical basis and ideas for the diagnosis and treatment of CP/CPPS.
文章引用:王粤斌, 余盛鑫, 温东, 帅歌柳, 石珍银, 曾雪晴, 邹晓峰. miRNA在慢性前列腺炎中的研究进展:分子机制与临床应用展望[J]. 临床医学进展, 2025, 15(11): 1617-1624. https://doi.org/10.12677/acm.2025.15113263

参考文献

[1] Yuan, P., Sun, T., Han, Z., Chen, Y. and Meng, Q. (2023) Uncovering the Genetic Links of Diabetic Erectile Dysfunction and Chronic Prostatitis/Chronic Pelvic Pain Syndrome. Frontiers in Physiology, 14, Article ID: 1096677. [Google Scholar] [CrossRef] [PubMed]
[2] Chatterjee, B., Sarkar, M., Bose, S., Alam, M.T., Chaudhary, A.A., Dixit, A.K., et al. (2024) Micrornas: Key Modulators of Inflammation-Associated Diseases. Seminars in Cell & Developmental Biology, 154, 364-373. [Google Scholar] [CrossRef] [PubMed]
[3] Ouyang, B., Han, D., Guo, Z., Deng, J., Li, W., Huang, L., et al. (2022) Altered Small Non-Coding RNA Expression Profiles of Extracellular Vesicles in the Prostatic Fluid of Patients with Chronic Pelvic Pain Syndrome. Experimental and Therapeutic Medicine, 23, Article No. 382. [Google Scholar] [CrossRef] [PubMed]
[4] Rosatti, S., Rojas, A.M.L., Moro, B., Suarez, I.P., Bologna, N.G., Chorostecki, U., et al. (2024) Principles of miRNA/miRNA Function in Plant mirna Processing. Nucleic Acids Research, 52, 8356-8369. [Google Scholar] [CrossRef] [PubMed]
[5] Kim, H., Lee, Y. and Kim, V.N. (2024) The Biogenesis and Regulation of Animal microRNAs. Nature Reviews Molecular Cell Biology, 26, 276-296. [Google Scholar] [CrossRef] [PubMed]
[6] Liao, Z., Zheng, R. and Shao, G. (2022) Mechanisms and Application Strategies of miRNA-146a Regulating Inflammation and Fibrosis at Molecular and Cellular Levels (Review). International Journal of Molecular Medicine, 51, Article No. 7. [Google Scholar] [CrossRef] [PubMed]
[7] Tubita, V., Callejas‐Díaz, B., Roca‐Ferrer, J., Marin, C., Liu, Z., Wang, D.Y., et al. (2020) Role of microRNAs in Inflammatory Upper Airway Diseases. Allergy, 76, 1967-1980. [Google Scholar] [CrossRef] [PubMed]
[8] Herrnreiter, C.J., Luck, M.E., Cannon, A.R., Li, X. and Choudhry, M.A. (2024) Reduced Expression of miR-146a Potentiates Intestinal Inflammation Following Alcohol and Burn Injury. The Journal of Immunology, 212, 881-893. [Google Scholar] [CrossRef] [PubMed]
[9] Zhao, B., Zheng, J., Qiao, Y., Wang, Y., Luo, Y., Zhang, D., et al. (2021) Prostatic Fluid Exosome-Mediated microRNA-155 Promotes the Pathogenesis of Type IIIA Chronic Prostatitis. Translational Andrology and Urology, 10, 1976-1987. [Google Scholar] [CrossRef] [PubMed]
[10] Dülgeroğlu, Y. and Eroğlu, O. (2021) Serum Levels of miR-223-3p and miR-223-5p in Prostate Diseases. MicroRNA, 9, 303-309. [Google Scholar] [CrossRef] [PubMed]
[11] Fu, X., He, H., Li, C., Li, N., Jiang, S., Ge, H., et al. (2020) MicroRNA‐155 Deficiency Attenuates Inflammation and Oxidative Stress in Experimental Autoimmune Prostatitis in a TLR4‐Dependent Manner. The Kaohsiung Journal of Medical Sciences, 36, 712-720. [Google Scholar] [CrossRef] [PubMed]
[12] Gronau, L., Duecker, R.P., Jerkic, S., Eickmeier, O., Trischler, J., Chiocchetti, A.G., et al. (2024) Dual Role of microRNA-146a in Experimental Inflammation in Human Pulmonary Epithelial and Immune Cells and Expression in Inflammatory Lung Diseases. International Journal of Molecular Sciences, 25, Article No. 7686. [Google Scholar] [CrossRef] [PubMed]
[13] Hasanoğlu, S., Göncü, B., Yücesan, E., Atasoy, S., Kayali, Y. and Özten Kandaş, N. (2021) Investigating Differential miRNA Expression Profiling Using Serum and Urine Specimens for Detecting Potential Biomarkers for Early Prostate Cancer Diagnosis. Turkish Journal of Medical Sciences, 51, 1764-1774. [Google Scholar] [CrossRef] [PubMed]
[14] Chung, K.Y., Quek, J.M., Neo, S.H. and Too, H.P. (2020) Polymer-Based Precipitation of Extracellular Vesicular miRNAs from Serum Improve Gastric Cancer miRNAs Biomarker Performance. The Journal of Molecular Diagnostics, 22, 610-618. [Google Scholar] [CrossRef] [PubMed]
[15] Zhao, G., Dai, Y., Xia, C., Xue, Y. and Xu, H. (2025) Serum Direct SMOS-qPCR: A Fast Approach for miRNAs Detection. Analytical Methods, 17, 2335-2341. [Google Scholar] [CrossRef] [PubMed]
[16] Khalilian, S., Abedinlou, H., Hussen, B.M., Imani, S.Z.H. and Ghafouri-Fard, S. (2022) The Emerging Role of miR-20b in Human Cancer and Other Disorders: Pathophysiology and Therapeutic Implications. Frontiers in Oncology, 12, Article ID: 985457. [Google Scholar] [CrossRef] [PubMed]
[17] Wang, X., Tian, L. and Sun, Q. (2020) Diagnostic and Prognostic Value of Circulating miRNA-499 and miRNA-22 in Acute Myocardial Infarction. Journal of Clinical Laboratory Analysis, 34, 2410-2417. [Google Scholar] [CrossRef] [PubMed]
[18] Zhou, Y., Liu, Y., Zong, Z., Huang, H., Liang, L., Yang, X., et al. (2025) Rapid and Sensitive Detection of Exosomal microRNAs by Terahertz Metamaterials. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy, 330, Article ID: 125745. [Google Scholar] [CrossRef] [PubMed]
[19] Jin, W., Fei, X., Wang, X., Chen, F. and Song, Y. (2020) Circulating miRNAs as Biomarkers for Prostate Cancer Diagnosis in Subjects with Benign Prostatic Hyperplasia. Journal of Immunology Research, 2020, Article ID: 5873056. [Google Scholar] [CrossRef] [PubMed]
[20] Jo, H., Shim, K. and Jeoung, D. (2022) Potential of the miR-200 Family as a Target for Developing Anti-Cancer Therapeutics. International Journal of Molecular Sciences, 23, Article No. 5881. [Google Scholar] [CrossRef] [PubMed]
[21] Makada, H. and Singh, M. (2025) Hydrogels as Suitable miRNA Delivery Systems: A Review. Polymers, 17, Article No. 915. [Google Scholar] [CrossRef] [PubMed]
[22] Wang, H. (2024) A Review of Nanotechnology in microRNA Detection and Drug Delivery. Cells, 13, Article No. 1277. [Google Scholar] [CrossRef] [PubMed]
[23] Zhang, P., Ouyang, Y., Sohn, Y.S., Nechushtai, R., Pikarsky, E., Fan, C., et al. (2021) pH-and miRNA-Responsive DNA-Tetrahedra/Metal-Organic Framework Conjugates: Functional Sense-and-Treat Carriers. ACS Nano, 15, 6645-6657. [Google Scholar] [CrossRef] [PubMed]
[24] Latifi, Z., Nikanfar, S., Khodavirdilou, R., Beirami, S.M., Khodavirdilou, L., Fattahi, A., et al. (2024) MicroRNAs as Diagnostic Biomarkers in Diabetes Male Infertility: A Systematic Review. Molecular Biology Reports, 52, Article No. 90. [Google Scholar] [CrossRef] [PubMed]
[25] Song, J., Wang, J., Liu, K., Xu, W., Sun, T. and Liu, J. (2022) The Role of microRNAs in Erectile Dysfunction: From Pathogenesis to Therapeutic Potential. Frontiers in Endocrinology, 13, Article ID: 1034043. [Google Scholar] [CrossRef] [PubMed]
[26] Lou, L. and Zheng, W. (2022) MicroRNA 200a Contributes to the Smooth Muscle Cells Growth in Aged‐Related Erectile Dysfunction via Regulating Rho/ROCK Pathway. Andrologia, 54, e14503. [Google Scholar] [CrossRef] [PubMed]
[27] Meng, Q., Chen, Y., Cui, L., Wei, Y., Li, T. and Yuan, P. (2023) Comprehensive Analysis of Biological Landscape of Oxidative Stress-Related Genes in Diabetic Erectile Dysfunction. International Journal of Impotence Research, 36, 627-635. [Google Scholar] [CrossRef] [PubMed]
[28] Salgado-Hernández, S.V., Martínez-Retamoza, L., Ocadiz-Delgado, R., Pérez-Mora, S., Cedeño-Arboleda, G.E., Gómez-García, M.d.C., et al. (2024) miRNAs Dysregulated in Human Papillomavirus-Associated Benign Prostatic Lesions and Prostate Cancer. Cancers, 17, Article No. 26. [Google Scholar] [CrossRef] [PubMed]
[29] Bolayırlı, I., Önal, B., Adıgüzel, M., Konukoğlu, D., Demirdağ, Ç., Kurtuluş, E., et al. (2022) The Clinical Significance of Circulating miR-21, miR-142, miR-143, and miR-146a in Patients with Prostate Cancer. Journal of Medical Biochemistry, 41, 191-198. [Google Scholar] [CrossRef] [PubMed]
[30] KP, A., Kaliaperumal, K. and Sekar, D. (2024) microRNAs and Their Therapeutic Strategy in Phase I and Phase II Clinical Trials. Epigenomics, 16, 259-271. [Google Scholar] [CrossRef] [PubMed]
[31] Lu, D., Zhang, Q., Zheng, C., Li, J. and Yin, Z. (2024) DGNMDA: Dual Heterogeneous Graph Neural Network Encoder for miRNA-Disease Association Prediction. Bioengineering, 11, Article No. 1132. [Google Scholar] [CrossRef] [PubMed]
[32] Fang, Y., Wu, Q., Wang, F., Liu, Y., Zhang, H., Yang, C., et al. (2024) Aptamer‐RIBOTAC Strategy Enabling Tumor‐specific Targeted Degradation of MicroRNA for Precise Cancer Therapy. Small Methods, 9, e2400349. [Google Scholar] [CrossRef] [PubMed]
[33] Drobna-Śledzińska, M., Maćkowska-Maślak, N., Jaksik, R., Dąbek, P., Witt, M. and Dawidowska, M. (2022) CRISPRi for Specific Inhibition of miRNA Clusters and MiRNAs with High Sequence Homology. Scientific Reports, 12, Article No. 6297. [Google Scholar] [CrossRef] [PubMed]