Journal of Immunology Research

Journal of Immunology Research / 2014 / Article

Review Article | Open Access

Volume 2014 |Article ID 987285 |

Qian Ge, Sonia Brichard, Xu Yi, QiFu Li, "microRNAs as a New Mechanism Regulating Adipose Tissue Inflammation in Obesity and as a Novel Therapeutic Strategy in the Metabolic Syndrome", Journal of Immunology Research, vol. 2014, Article ID 987285, 10 pages, 2014.

microRNAs as a New Mechanism Regulating Adipose Tissue Inflammation in Obesity and as a Novel Therapeutic Strategy in the Metabolic Syndrome

Academic Editor: David Kaplan
Received24 Nov 2013
Accepted21 Jan 2014
Published24 Mar 2014


Obesity is associated closely with the metabolic syndrome (MS). It is well known that obesity-induced chronic inflammation plays a fundamental role in the pathogenesis of MS. White adipose tissue (AT) is the primary site for the initiation and exacerbation of obesity-associated inflammation. Exploring the mechanisms of white AT inflammation and resetting the immunological balance in white AT could be crucial for the management of MS. Several prominent molecular mechanisms have been proposed to mediate inflammation in white AT, including hypoxia, endoplasmic reticulum stress, lipotoxicity, and metabolic endotoxemia. Recently, a growing body of evidence supports the role of miRNAs as a new important inflammatory mediator by regulating both the adaptive and innate immunity. This review will focus on the implication of miRNAs in white AT inflammation in obesity, and will also highlight the potential of miRNAs as targets for therapeutic intervention in MS as well as the challenges lying in miRNA-targeting therapeutics.

1. Introduction

The incidence of obesity defined as body mass index (BMI) ≥ 30 kg/m2 has increased drastically worldwide during recent decades. Obesity is associated with a cluster of metabolic disorders, including increased risk of insulin resistance, type 2 diabetes (T2DM), hypertension, dyslipidemia, and cardiovascular disease; these disorders and obesity per se constitute a serious threat, known as the metabolic syndrome (MS) [1]. It is well known that chronic inflammation is a key feature of obesity; this obesity-induced inflammation builds the common soil for the pathogenesis of MS [2]. Therefore, resetting the immunological balance in obesity is a crucial approach for the management of MS.

White adipose tissue (AT) has been regarded as the primary goal of pharmacological intervention since obesity-induced inflammation is mainly initiated and exacerbated in this organ [35]. Although several prominent molecular mechanisms have been proposed to trigger inflammation in white AT, including hypoxia, endoplasmic reticulum stress, lipotoxicity, and metabolic endotoxemia [5], these factors cannot fully explain the origin of inflammation. On the other hand, current anti-inflammatory strategies are not sufficient enough in the treatment of MS. These facts suggest that there are lots of unknowns responsible for AT inflammation in obesity. In recent years, a growing body of evidence has highlighted the modulating roles of miRNAs in immune/inflammatory system [6, 7] and their involvement in the obesity-related metabolic disorders including T2DM and atherosclerosis [8, 9]. Specific miRNAs have been implicated in adipogenesis and mature adipocyte function [10]. As yet, whether these miRNAs could be another mechanism for mediating AT inflammation and whether these tiny molecules could serve as potent therapeutic anti-inflammatory targets for MS are still not fully settled. The aim of the present review is to address these questions.

2. Obesity, Inflammation, and Metabolic Syndrome

2.1. Low-Grade Inflammation as a Key Feature of Obesity

During the past decade, it became clear that inflammation is a key feature of obesity [2]. The inflammatory response triggered by obesity involves many components of the classical inflammatory response to pathogens and includes the increases in circulating inflammatory cytokines and acute-phase proteins (e.g., C-reactive protein), recruitment of leukocytes to inflamed tissues, activation of tissue leukocytes, and generation of reparative tissue responses (e.g., fibrosis). However, the nature of obesity-induced inflammation, referred to as “metainflammation” (metabolically triggered inflammation), is unique compared with other inflammatory paradigms (e.g., infection and autoimmune disease) in several key aspects. First, the chronic nature of obesity produces a low-grade activation of the innate immune system that affects metabolic homeostasis over time. Second, childhood obesity may place individuals at risk for lifelong inflammation, since inflammatory markers are elevated in obese children as young as 3 years old. Third, this chronic inflammation is composed of recurrent acute episodes of nutrition-related immune activation induced by nutrient availability (fasting or high-fat meals). This fluctuation may be associated with the induction of pro- or anti-inflammatory mediators. Finally, obesity-induced chronic inflammation is unique by its multiorgan involvement [11].

2.2. Obesity-Induced Inflammation Linking Obesity to Metabolic Syndrome

The metabolic syndrome (MS) refers to the clustering of cardiovascular risk factors that include central obesity, hyperglycemia, dyslipidemia, and hypertension. The ultimate importance of this cluster is to identify individuals at high risk of both T2DM and cardiovascular disease. Growing evidence implicates obesity-induced inflammation as an important mechanism linking obesity to the MS in metabolically active organs. Assessment of gene expression networks in obese AT has identified a robust pattern of overexpressed inflammatory genes associated with metabolic disease [12, 13]. Multiple inflammatory mediators abnormally secreted by AT and the crosstalk between immune and metabolic cells can impair insulin signaling and induce oxidative stress and endothelial dysfunction, leading to systemic insulin resistance and cardiovascular disease [5]. Deregulated macrophage-myocyte and macrophage-hepatocyte signaling can impair insulin sensitivity as well [14, 15]. Hypothalamic inflammation, which is induced very rapidly by a high-fat diet [16] may provoke hyperphagia and has been documented to impair insulin release from β cells, peripheral insulin action, and potentiate hypertension [1719]. Thus, chronic excess of nutrients, such as lipids and glucose may simultaneously trigger inflammatory responses, which further disrupt metabolic function, enhancing stress, and inflammation. Such a vicious cycle is identified as a mechanism leading to further metabolic deterioration. Therefore, breaking this vicious circle by resetting the immunological balance in obesity is a crucial approach for the management of MS.

3. The Fundamental Role of White Adipose Tissue in Obesity-Induced Inflammation

Obesity is characterized by excessive expansion of white adipose tissue (AT), which has been thought to be the primary site for the initiation of obesity-associated inflammation. Although AT’s principal function deals with energy storage, it serves as an active secretory organ as well. A number of bioactive peptides or proteins, collectively named “adipokines,” are produced and secreted by fat and/or nonfat cells of white AT. They act in an autocrine/paracrine manner to regulate local AT function and also act in an endocrine manner to influence the functions of distant tissues such as liver, skeletal muscle, and cardiovascular and central nervous systems [5, 20].

In obesity, white AT is remodeled dynamically by adipocyte hypertrophy (increased size), hyperplasia (increased number), immune cell infiltration, endothelial cell overactivation, and extracellular matrix overproduction [2124]. This remodeling may trigger metabolic and hypoxic stress, resulting in activation of multiple inflammatory signaling pathways, ultimately leading to dysregulation of numerous adipokines including proinflammatory cytokines, chemokines, growth factors, acute-phase proteins, and complement-like factors. Virtually, all known adipokines are dysregulated in obesity via multiple mechanisms. Such a deregulation is the main feature of AT low-grade inflammation and contributes to the pathogenesis of MS [5].

4. Molecular Mechanisms Mediating White Adipose Tissue Inflammation

Several prominent mechanisms have been highlighted that coordinately mediate white AT inflammation.

Hypoxia. In obesity, the growing AT is submitted to hypoxia induced by hypoperfusion at the earliest stages of expansion. Observations have proved that AT is poorly oxygenated in the obese state in humans and rodents due to a reduction in adipose tissue blood flow [25, 26]. This hypoxia could be a determinant mediator of obesity-induced inflammation in AT by activating multiple signaling pathways such as Hypoxia Inducible Factor-1α (HIF-1α) and Nuclear Factor kappa B (NF-κB) in adipocytes and macrophages, thereby altering the expression of many proinflammatory adipokines [2729]. In addition, some studies reported that hypoxia also induces AT inflammatory responses indirectly by causing adipocyte death (e.g., apoptosis and necrosis) and lipolysis [3032].

Endoplasmic Reticulum Stress. The endoplasmic reticulum (ER) is responsible for much of a cell’s protein synthesis and folding, but it has also a role in sensing cellular stress [33]. Obesity results in conditions that increase the demand on the ER, such as hypoxia and excess of cytokines, lipids, or glucose. Subsequently, the ER stress induces a complex response known as the unfolded protein response (UPR), which alters a cell’s transcriptional and translational programs to cope with these stressful conditions and resolve the protein-folding defect [33]. ER stress and the UPR lead to obesity-induced inflammation and metabolic abnormalities by several distinct mechanisms, including the activation of JNK-AP1 (Jun N-terminal Kinase-Activator Protein 1) and IKK (IκB kinase)-NFκB pathways, the induction of the acute-phase response, and the production of reactive oxygen species (ROS) [34, 35].

Lipotoxicity. Obesity is characterized by a positive energy balance, and the classical response to this nutrient oversupply is AT hypertrophy. However, the capacity for lipid storage in hypertrophied subcutaneous AT is limited. This limited storage capacity, coupled with the overstimulation of hormone-sensitive lipase, leads to massive increase in free fatty acid (FFA) release and accumulation ectopically. FFAs are potent ligands that activate toll-like receptor (TLR) signaling [36]. TLRs are a family of pattern-recognition receptors that play a critical role in the innate immune system by activating proinflammatory signaling pathways in response to microbial pathogens. AT expresses a broad spectrum of TLRs [3739]. TLR expression in AT is inducible by inflammatory stimulation and linked to downstream activation of NF-κB or JNK and subsequent release of proinflammatory adipokines [37, 38, 40]. TLR4-deficient mice and C3H/HeJ mice (which have a loss-of-function mutation in TLR4) are partially protected from fat-induced inflammation and insulin resistance in their visceral AT [41, 42]. FFAs also increase the infiltration and activation of macrophages, especially the CD11c+ subset, thereby exacerbating their proinflammatory activity [43].

Metabolic Endotoxemia. High-fat diet given to mice chronically increased plasma Lipopolysaccharide (LPS) concentration two to three times; a threshold that has been defined as metabolic endotoxemia [44]. Obese subjects with type 2 diabetes have 76% higher circulating LPS than healthy controls [39] and this high level of LPS decreased significantly after surgical weight loss [45]. Elevated plasma LPS levels result from increased absorption of LPS across the intestinal barrier triggered by high-fat diet. Recently, three underlying mechanisms have been proposed, including the changes in gut microbiota environment [44], the increased availability of chylomicrons [46], and the permeability of the gut epithelium [4749]. In murine adipocytes, LPS initiates inflammation via TLR4 and induces the secretion of proinflammatory cytokines via downstream activation of NF-κB or mitogen-activated protein kinases (MAPK) signaling pathways [50]. In human adipocytes, stimulation by LPS increases release of Tumor Necrosis Factor-alpha (TNF-α), Interleukin-6 (IL-6), and Monocyte Chemoattractant Protein-1 (MCP-1) by NF-κB activation and upregulates TLR2 expression. Newly expressed TLR2 further amplifies proinflammatory signals in AT [39].

5. microRNAs as a New Mechanism Mediating White Adipose Tissue Inflammation

microRNAs (miRNAs) are endogenous ~22 nt RNAs that can bind to the 3′-untranslated region (3′-UTR) of target mRNAs to repress mRNA expression at the posttranscriptional level. As a group, miRNAs may directly regulate expression of over 30% of human and mouse genes and more than 60% of human protein-coding genes have been under selective pressure to maintain pairing to miRNAs [51]. Specific miRNAs have been implicated in adipocyte differentiation and mature adipocyte function, including lipolysis, glucose-uptake, and insulin sensitivity [8, 10]. On the other hand, miRNAs have been defined as important immunomodulators by regulating the differentiation, induction, and function of immune cells and the expression of multiple cytokines in the immune system. These findings could shed light on the possible links between miRNAs and adipose tissue immunity/inflammation.

5.1. Role of microRNAs in Inflammation

Role of microRNAs in Adaptive Immunity. Studies conducted by some groups have demonstrated that miRNA regulation is indispensable for stable immune process. miRNAs appear to have a key role in the differentiation of B-cells. Ablation of whole miRNAs by deletion of Argonaute 2 (Ago2) or Dicer impairs pre-B-cell differentiation and the succeeding peripheral B-cell generation [52]. Several individual miRNAs have also been reported to be involved in the B-cell biology. For example, overexpression of miR-17~92 clusters enhances B-cell proliferation and survival [53], while miR-150 profoundly impairs early B-cell differentiation and mature B-cell responses [54].

miRNAs have been shown to be key regulators of the T-cell lineage induction pathways. Deletion of Dicer at an early stage of T-cell development compromised the survival of T-cell lineage [55]. The best evidence for miRNAs playing a role in specific developmental stages of T-cell differentiation is from miR-181, which reduces the number of T-cells in haematopoietic overexpression systems [56] and also increases the sensitivity of T-cell receptor signaling [57].

In addition, miRNAs also play pivotal roles in the induction, function, and maintenance of the regulatory T-cell (Treg) lineage. miRNAs can enhance thymic and peripheral induction of Treg cells [55, 58]. Dicer-deficient Treg cells almost lost their suppressive capacity and anergic profile [58].

Role of microRNAs in Innate Immunity. Several miRNAs (including miR-155, miR-146a, miR-21, and miR-9) have been consistently found to be rapidly induced by innate immune activation (e.g., toll-like receptor), indicating that they may regulate the innate immune response [59]. Target prediction analyses indicate that up to a half of innate immune genes could be under the direct regulation of miRNAs. A study on 613 genes, which regulate immunity utilizing a computational approach, identified 285 genes as miRNA targets. Major targets include transcription factors, cofactors, and chromatin modifiers whereas upstream factors, such as ligands and receptors (cytokines and chemokines) were, in general, poor or nontargets [60].

The mechanisms by which miRNAs regulate cytokine expression include direct regulation by binding to seeding sites in mRNA 3′-UTR and indirect regulation. Computational analyses predict that most cytokines lack miRNA target sites in 3′-UTRs [60]. For example, of the interleukin genes (IL1-29) studied, 9 had predicted miRNA binding sites. Out of 20 interleukin receptor genes examined, only 2 had high probability miRNA target sites. These findings suggest that the regulation of cytokine genes by miRNAs occurs often via indirect mechanism. Recent studies indicate indeed that miRNAs could indirectly regulate cytokine genes via AU-rich elements (ARE) located in the mRNA 3′-UTR by targeting ARE-binding proteins. ARE are the cis-acting structural RNA motifs that are important determinants of cytokine message stability. ARE-mediated mRNA degradation is regulated by a number of trans-acting factors, called the ARE-binding proteins (which include tristetraprolin (TTP), AU rich binding factor 1 (AUF1), and members of the Hu protein R (HUR) family) [61]. These ARE-binding proteins are heavily predicted targets of miRNAs [62]. Repression of several ARE components by miRNAs may alter the levels of inflammatory cytokines as well as of other immune genes [60, 62].

5.2. Role of microRNAs in White Adipose Tissue Inflammation

Obesity-Induced Inflammation Is Associated with Dysregulated Expression of miRNAs in White Adipose Tissue. Low-grade inflammation in AT is a key feature of obesity. A number of miRNAs have been found dysregulated in white AT during obesity and closely associated with obesity-related metabolic disorders. A recent study identified 21 miRNAs, which were differentially expressed in epididymal AT between lean mice fed a standard diet and mice rendered obese by a high-fat diet [63]. Ortega et al. performed miRNA array on human subcutaneous AT: 50 of the 799 miRNAs tested (6.2%) significantly differed between obese () and lean () subjects [64]. Among these 50 miRNAs, 17 were highly correlated with BMI and metabolic parameters (fasting glucose and/or triglycerides) [64]. These data are concordant with those obtained in overweight or obese subjects by Klöting et al. They showed significant correlations between the expression of selected miRNAs and both AT morphology and key metabolic parameters, including visceral fat area, HbA1c, fasting plasma glucose, and circulating leptin, adiponectin, and IL-6 [65]. Another two miRNAs (miR-17–5p and miR-132) were significantly decreased in the omental fat and the circulation of obese subjects [66]. A very recent study defined a set of eleven adipocyte-specific miRNAs downregulated in obese subjects as all of them were concomitantly altered in both the white AT and the isolated adipocytes [67]. Moreover, inflammation per se could alter white AT miRNA levels. Xie et al. showed that TNF-α treatment of 3T3-L1 adipocytes mimicked the changes of miRNA expression observed in AT of obese mice [68]. With obesity and inflammation being so intrinsically associated, the dysregulated expression of miRNAs in inflammatory adipocytes highly suggests the particular importance of miRNAs in obesity-induced inflammation.

Individual miRNAs Regulate White Adipose Tissue Inflammation. Indeed, a few individual miRNAs have been reported as playing a crucial role in the inflammatory state of AT so far (Figure 1). Expression of miR-221 and miR-222 has been positively correlated to TNF-α and negatively correlated to ApN expression in white AT of mice [69]. Yet, the direct effects of both miRNAs on these pro- or anti-inflammatory adipokines are still unraveled. miR-132, which was downregulated in human obese omental fat [66], has been reported to activate NF-κB and the transcription of IL-8 and MCP-1 in primary human preadipocytes and in in vitro differentiated adipocytes [70]. Zhuang et al. demonstrated that miR-223 played a crucial role in modulating macrophage polarization in a pattern that protects mice from diet-induced AT inflammation and systemic insulin resistance. Consequently, miR-223 suppressed the infiltration of proinflammatory M1 “classically activated” macrophages by targeting Pknox1 in vitro, while miR-223 deficient mice fed a high-fat diet exhibited increased AT inflammation characterized by enhanced proinflammatory activation of macrophages [71]. The group of Brichard has identified several miRNAs, which were regulated by adiponectin (a promising anti-inflammatory adipokine) in white AT in vivo. The miR883b-5p, which was upregulated by adiponectin and downregulated in human obesity repressed the LPS-binding protein (LBP) and TLR4 signaling, acting therefore as a major mediator of the anti-inflammatory action of ApN. Moreover, miR883b-silencing in the de novo AT formed from in vivo differentiation of preadipocytes also induced LBP production and tissue inflammation [72]. Very recently, Arner et al. overexpressed individual miRNAs (which have been defined downregulated in AT in human obesity) in human adipocytes differentiated in vitro. They found that a set of nine miRNAs significantly reduced the secretion of chemokine (C-C motif) ligand 2 (CCL2) which is an initiator of AT inflammation by attracting the migration of inflammatory cells into the tissue. Among these miRNAs, only miR-126 was predicted by in silico analysis and confirmed by luciferase reporter assay in 3T3-L1 cells to bind directly to the 3′-UTR of CCL2, whereas miR-193b affected indirectly the CCL2 production through downregulating the transcription factors (TFs) of CCL2 (RELB, STAT6, and ETS1) [67]. Thus, miRNAs may mediate AT inflammation by regulating either the activation of macrophages or the production of adipokines. The mechanism by which miRNAs regulate adipokines in AT seems via direct and indirect mechanisms. miRNAs may act directly on the target inflammatory adipokines or indirectly by first regulating the intermediate machinery components like the TFs, which, in turn, control the expression of adipokines.

In addition to the innate immunity, recent studies have disclosed the importance of the adaptive immunity in AT inflammation. The subsets of the lymphocyte lineage, including CD8+ and CD4+ T-cells, Tregs, Natural killer T-cells (NKT), and B-cells have been revealed to infiltrate into AT which may orchestrate AT inflammation. Lymphocyte infiltration into AT could even precede macrophage infiltration [73, 74]. Yet, the mechanisms underlying the infiltration of lymphocytes into AT remain largely unknown (Figure 1). Whether miRNAs could play roles in modulating the infiltration or activation of the lymphocytes in AT may arouse research interest and requires to be investigated in the future.

miRNAs Mediate Intercellular Communication. More recently, adipocytes have been reported to secrete miRNAs in the form of adipocyte-derived microvesicles (ADMs), which may regulate the function of distant or neighboring cells. One study found that microvesicles released from cultured 3T3-L1 adipocytes harbored 143 miRNAs, most of them being adipocyte-specific and reflecting the abundance of their expression levels in the donor cells. Interestingly, the miRNAs-containing microvesicles were transported into cultured macrophages which were incubated with ADMs containing-medium for 24 h; they were also present in rat serum in vivo [75]. Yet, whether the miRNAs inside the vesicles were functional in their new location remains to be determined. Furthermore, another group discovered that miRNAs-microvesicle complexes derived from the larger primary rat adipocytes were transferred into and expressed in the smaller adipocytes and were involved in the transcription of multiple genes for lipid synthesis and cell growth [76]. Thus, miRNAs could also be important mediators of cellular crosstalk. Since macrophages and hypertrophied adipocytes are the main sources of AT inflammation, the miRNA-mediated interactions (adipocytes-macrophages and larger adipocytes-smaller adipocytes) may be novel mechanisms for miRNAs contributing to AT inflammation (Figure 1).

6. Therapeutic Potential of microRNAs in Metabolic Syndrome

The facts that miRNAs are largely dysregulated in obesity and that specific miRNAs regulate obesity-associated inflammation suggests the potential of these molecules as targets for therapeutic intervention in obesity and obesity-related metabolic disorders.

6.1. microRNAs as Diagnostic Tools

Recent studies have demonstrated that miRNAs can be secreted into the circulation. Chen et al. screened serum miRNAs of healthy Chinese subjects and found over 100 and 91 serum miRNAs in male and female subjects, respectively. Yet, how these miRNAs make their way into the circulation is still mysterious [77]. New studies have revealed that circulating miRNAs can reside in microvesicles (exosomes, microparticles, and apoptotic bodies) and in protein/lipoprotein complexes (high density lipoprotein (HDL) and Argonaute 2); these formations make the circulating miRNAs protected and resistant to RNase activity and degradation. Therefore, the levels of miRNAs in serum are remarkable, stable, reproducible, and tissue-specific among individuals. This raises the potential of miRNAs as novel biomarkers for many disorders. Multiple reports have noted the potential use of blood miRNAs as biomarkers for the obesity, cardiovascular diseases, atherosclerosis, and T2DM. Heneghan et al. showed that circulating levels of miR-17-5p and miR-132 were significantly decreased in obese individuals compared to nonobese individuals and reflected miRNA expression in omental fat. The miRNA expression in blood and omental fat from obese patients correlated significantly with BMI, fasting blood glucose, and glycated hemoglobin [66]. Cardiac specific miR-1, miR-208, and miR-499 were induced consistently in blood of patients with myocardial infarction and strongly correlated to markers of cardiac damage including troponin T and creatine kinase-MB (CK-MB) activity [7881]. Circulating miRNAs have also been proposed as highly sensitive biomarkers for T2DM. In the Bruneck cohort of 822 subjects, decreased serum levels of miR-126 in T2DM emerged as a significant predictor of T2DM and correlated negatively with increasing glucose intolerance [82].

6.2. microRNAs as Therapeutic Tools

“Silencing” of key miRNA and “replacement” of certain tissue-specific miRNA whose expression is known to be decreased are potential therapeutic interventions.

Techniques. Several techniques have been set up to use the therapeutic potential of miRNAs. miRNAs can be deactivated and silenced by anti-miRNA oligonucleotides (AMOs), “miRNA sponges,” and “miRNA masking” [83]. AMOs are synthetic antisense oligonucleotides that competitively inhibit the interaction between miRNAs and their mRNA targets. The most widely employed types of AMOs are 2′-O-methyl AMO, 2′-O-methoxyethyl AMOs, and Locked Nucleic Acids (LNAs) [84]. Given that miRNAs have been observed to function often in clusters in pathological processes, the “miRNA sponges” have been developed to knockdown multiple miRNAs. This technique requires a vector encoding large quantities of transcripts (anti-miRNAs) which display numerous and tandem binding sites for a cluster of miRNAs of interest. The “miRNA masking” is an alternative miRNA-knockdown strategy to the AMO approach, with the advantage of targeting miRNAs in a gene-specific manner. Unlike AMO, which binds to the endogenous miRNA directly, a miRNA mask binds to the miRNA’s binding site located in the 3′-UTR of its target mRNA, thereby avoiding off-target effects [83].

Conversely, with regard to those miRNAs with decreased expression in disease, the fundamental principle strategy is to restore their expression. This can be achieved through miRNA mimicry or plasmid/viral vector-encoded miRNA replacement. miRNA mimics are small chemically altered double-stranded RNA molecules that imitate endogenous miRNAs [83]. Plasmid/viral vectors encoding miRNAs are encouraging strategies to replace miRNA in vivo, with good transduction efficiency and minimal toxicity [85, 86].

microRNAs and Therapeutics. Since the obesity-induced inflammation is considered to build the common soil for the pathogenesis of MS, some potential anti-inflammatory therapies have been investigated. Several drugs in current clinical practice show the anti-inflammatory properties: the peroxisome proliferator-activated receptor (PPAR) family and nonacetylated salicylates. Other strategies have been explored by targeting the cytokines and chemokines or their receptors (e.g., the anti-TNF or anti-CCR2 (chemokine (C–C motif) receptor 2) therapies) [2]. Although there have been some encouraging results, it is likely that the benefits of these approaches are limited [87, 88]. Therefore, the development of miRNA-based therapeutics has raised interest in this field.

To date, the greatest efforts have been made in exploring the potential application of miRNAs therapeutics in cancer and liver disorders. Gain or loss of function of individual miRNAs have been reported in almost every solid and hematological cancer, with therapeutic suppressing effect in tumor cell proliferation, progression of tumors, and the metastatic process [83]. The liver specific miR-122 has been proved to regulate cholesterol biosynthesis and hepatitis C virus replication. Silencing of miR-122 by intraperitoneal administration of high affinity LNA anti-miR-122 has resulted in dose-dependent lowering of plasma cholesterol in mice and nonhuman primates (monkeys). This was achieved without significant adverse reactions or hepatic toxicity [89, 90].

Likewise, induction or reduction of miRNA expression that is known to be under/upper-expressed and involved in AT inflammation using viral or liposomal delivery of tissue-specific miRNAs to affected AT could potentially result in restoration of immune balance to the AT. Yet, the application of miRNAs therapeutics in AT in vivo is poorly investigated because fat cells are insusceptible to selective transfer of exogenous nucleotide due to the containing lipid droplets of adipocytes. Encouragingly, the discovery that miRNAs could be secreted by adipocytes and accepted by neighboring adipocytes or macrophages in the form of adipocyte-derived microvesicles [75, 76] raises the hope that it could be possible to import the targeting miRNAs into AT in vivo by the manner of microvesicles. This manner could construct the microvesicles containing specific miRNAs and inject the constructed microvesicles into white AT.

6.3. Potential Challenges in microRNA-Based Therapy

Although significant advances have been made in miRNA-based therapy, various challenges remain to be overcome before clinical use. First, one individual miRNA may have multiple potential targets, which may coordinate or antagonize each other’s functions. In addition, miRNA-target interactions depend not only on the sequence of the target site but also on the cellular context, in which the interactions occur. This complexity explains the difficulties in predicting the spectrum of side effects and toxicity profiles, which may be associated with miRNA-based therapeutics. Second, replacement of miRNA may potentially lead to oversaturation of endogenous miRNAs pathway. High levels of exogenous miRNA can compete with the endogenous miRNA biogenesis processing, leading to cell toxicity [91, 92]. Another critical issue is the site-specific, safe, effective, and repeated delivery of miRNA in vivo. The systemic intravenous delivery of viral or liposomal-mediated miRNA oligonucleotides have been well achieved in cancer and liver disease. However, targeting certain miRNAs in other specific tissues is poorly achieved due to the invasive nature of access for repeat delivery and lack of cell-specific up-take. Restoration of tissue-specific miRNA expression could be a more rational approach for managing local abnormalities with more efficiency and precision and with less systemic side effects [83, 92].

7. Conclusion

Evidence has provided that miRNAs are largely dysregulated in white AT in human obesity; specific miRNAs regulate the polarization of macrophages and the expression and secretion of adipokines in white AT; a subset of miRNAs could be packaged into adipocyte-derived microvesicles and delivered into blood or neighboring cells, mediating intercellular communication. Several reports strongly support the roles of miRNAs as important mediators in AT inflammation. Furthermore, with the recent discovery that miRNAs are secreted into circulation in a stable manner and correlated closely with crucial metabolic parameters, the plasma miRNA profiles could therefore be used as attractive biomarkers for the MS. Finally, the establishment of miRNAs-based techniques allows exploring further fascinating roles of miRNAs and their applications in the management of MS. Despite huge challenges lying in miRNA-targeting therapeutics, especially in developing safe and effective delivery of targeting miRNAs in specific tissues in vivo, the development of miRNA-based therapeutics for MS is warranted because of the severe problem that metabolic disease poses to society.

Conflict of Interests

The authors declare that there is no conflict of interests regarding the publication of this paper.


This work was supported by grants from the National Key Clinical Department Construction Project.


  1. Y.-H. Tseng, A. M. Cypess, and C. R. Kahn, “Cellular bioenergetics as a target for obesity therapy,” Nature Reviews Drug Discovery, vol. 9, no. 6, pp. 465–482, 2010. View at: Publisher Site | Google Scholar
  2. G. S. Hotamisligil, “Inflammation and metabolic disorders,” Nature, vol. 444, no. 7121, pp. 860–867, 2006. View at: Publisher Site | Google Scholar
  3. K. L. Spalding, E. Arner, P. O. Westermark et al., “Dynamics of fat cell turnover in humans,” Nature, vol. 453, no. 7196, pp. 783–787, 2008. View at: Publisher Site | Google Scholar
  4. P. Jiao and H. Xu, “Adipose inflammation: cause or consequence of obesity-related insulin resistance,” Diabetes, Metabolic Syndrome and Obesity, vol. 1, pp. 25–31, 2008. View at: Google Scholar
  5. E. Maury and S. M. Brichard, “Adipokine dysregulation, adipose tissue inflammation and metabolic syndrome,” Molecular and Cellular Endocrinology, vol. 314, no. 1, pp. 1–16, 2010. View at: Publisher Site | Google Scholar
  6. L.-F. Lu and A. Liston, “MicroRNA in the immune system, microRNA as an immune system,” Immunology, vol. 127, no. 3, pp. 291–298, 2009. View at: Publisher Site | Google Scholar
  7. D. Sayed and M. Abdellatif, “Micrornas in development and disease,” Physiological Reviews, vol. 91, no. 3, pp. 827–887, 2011. View at: Publisher Site | Google Scholar
  8. H. M. Heneghan, N. Miller, and M. J. Kerin, “Role of microRNAs in obesity and the metabolic syndrome,” Obesity Reviews, vol. 11, no. 5, pp. 354–361, 2010. View at: Publisher Site | Google Scholar
  9. M. Hulsmans, D. De Keyzer, and P. Holvoet, “MicroRNAs regulating oxidative stress and inflammation in relation to obesity and atherosclerosis,” The FASEB Journal, vol. 25, no. 8, pp. 2515–2527, 2011. View at: Publisher Site | Google Scholar
  10. R. Alexander, H. Lodish, and L. Sun, “MicroRNAs in adipogenesis and as therapeutic targets for obesity,” Expert Opinion on Therapeutic Targets, vol. 15, no. 5, pp. 623–636, 2011. View at: Publisher Site | Google Scholar
  11. C. N. Lumeng and A. R. Saltiel, “Inflammatory links between obesity and metabolic disease,” The Journal of Clinical Investigation, vol. 121, no. 6, pp. 2111–2117, 2011. View at: Publisher Site | Google Scholar
  12. Y. Chen, J. Zhu, P. Y. Lum et al., “Variations in DNA elucidate molecular networks that cause disease,” Nature, vol. 452, no. 7186, pp. 429–435, 2008. View at: Publisher Site | Google Scholar
  13. V. Emilsson, G. Thorleifsson, B. Zhang et al., “Genetics of gene expression and its effect on disease,” Nature, vol. 452, no. 7186, pp. 423–428, 2008. View at: Publisher Site | Google Scholar
  14. V. Varma, A. Yao-Borengasser, N. Rasouli et al., “Muscle inflammatory response and insulin resistance: synergistic interaction between macrophages and fatty acids leads to impaired insulin action,” The American Journal of Physiology: Endocrinology and Metabolism, vol. 296, no. 6, pp. E1300–E1310, 2009. View at: Publisher Site | Google Scholar
  15. W. Huang, A. Metlakunta, N. Dedousis et al., “Depletion of liver kupffer cells prevents the development of diet-induced hepatic steatosis and insulin resistance,” Diabetes, vol. 59, no. 2, pp. 347–357, 2010. View at: Publisher Site | Google Scholar
  16. J. P. Thaler, C.-X. Yi, E. A. Schur et al., “Obesity is associated with hypothalamic injury in rodents and humans,” The Journal of Clinical Investigation, vol. 122, no. 1, pp. 153–162, 2012. View at: Publisher Site | Google Scholar
  17. Y.-M. Kang, Y. Ma, J.-P. Zheng et al., “Brain nuclear factor-kappa B activation contributes to neurohumoral excitation in angiotensin II-induced hypertension,” Cardiovascular Research, vol. 82, no. 3, pp. 503–512, 2009. View at: Publisher Site | Google Scholar
  18. V. C. Calegari, A. S. Torsoni, E. C. Vanzela et al., “Inflammation of the hypothalamus leads to defective pancreatic islet function,” The Journal of Biological Chemistry, vol. 286, no. 15, pp. 12870–12880, 2011. View at: Publisher Site | Google Scholar
  19. S. Purkayastha, H. Zhang, G. Zhang, Z. Ahmed, Y. Wang, and D. Cai, “Neural dysregulation of peripheral insulin action and blood pressure by brain endoplasmic reticulum stress,” Proceedings of the National Academy of Sciences of the United States of America, vol. 108, no. 7, pp. 2939–2944, 2011. View at: Publisher Site | Google Scholar
  20. M. E. Trujillo and P. E. Scherer, “Adipose tissue-derived factors: impact on health and disease,” Endocrine Reviews, vol. 27, no. 7, pp. 762–778, 2006. View at: Publisher Site | Google Scholar
  21. E. Maury, K. Ehala-Aleksejev, Y. Guiot, R. Detry, A. Vandenhooft, and S. M. Brichard, “Adipokines oversecreted by omental adipose tissue in human obesity,” The American Journal of Physiology: Endocrinology and Metabolism, vol. 293, no. 3, pp. E656–E665, 2007. View at: Publisher Site | Google Scholar
  22. V. Bourlier, A. Zakaroff-Girard, A. Miranville et al., “Remodeling phenotype of human subcutaneous adipose tissue macrophages,” Circulation, vol. 117, no. 6, pp. 806–815, 2008. View at: Publisher Site | Google Scholar
  23. I. M. Faust, P. R. Johnson, J. S. Stern, and J. Hirsch, “Diet-induced adipocyte number increase in adult rats: a new model of obesity,” The American Journal of Physiology, vol. 235, no. 3, pp. E279–E286, 1978. View at: Google Scholar
  24. C. Henegar, J. Tordjman, V. Achard et al., “Adipose tissue transcriptomic signature highlights the pathological relevance of extracellular matrix in human obesity,” Genome Biology, vol. 9, article R14, 2008. View at: Publisher Site | Google Scholar
  25. B. Kabon, A. Nagele, D. Reddy et al., “Obesity decreases perioperative tissue oxygenation,” Anesthesiology, vol. 100, no. 2, pp. 274–280, 2004. View at: Publisher Site | Google Scholar
  26. K. A. Virtanen, P. Lönnroth, R. Parkkola et al., “Glucose uptake and perfusion in subcutaneous and visceral adipose tissue during insulin stimulation in nonobese and obese humans,” Journal of Clinical Endocrinology and Metabolism, vol. 87, no. 8, pp. 3902–3910, 2002. View at: Publisher Site | Google Scholar
  27. N. Hosogai, A. Fukuhara, K. Oshima et al., “Adipose tissue hypoxia in obesity and its impact on adipocytokine dysregulation,” Diabetes, vol. 56, no. 4, pp. 901–911, 2007. View at: Publisher Site | Google Scholar
  28. J. Ye, Z. Gao, J. Yin, and Q. He, “Hypoxia is a potential risk factor for chronic inflammation and adiponectin reduction in adipose tissue of ob/ob and dietary obese mice,” The American Journal of Physiology: Endocrinology and Metabolism, vol. 293, no. 4, pp. E1118–E1128, 2007. View at: Publisher Site | Google Scholar
  29. B. Wang, I. S. Wood, and P. Trayhurn, “Dysregulation of the expression and secretion of inflammation-related adipokines by hypoxia in human adipocytes,” Pflugers Archiv European Journal of Physiology, vol. 455, no. 3, pp. 479–492, 2007. View at: Publisher Site | Google Scholar
  30. J. Yin, Z. Gao, Q. He, D. Zhou, Z. Guo, and J. Ye, “Role of hypoxia in obesity-induced disorders of glucose and lipid metabolism in adipose tissue,” The American Journal of Physiology: Endocrinology and Metabolism, vol. 296, no. 2, pp. E333–E342, 2009. View at: Publisher Site | Google Scholar
  31. Z. Yun, H. L. Maecker, R. S. Johnson, and A. J. Giaccia, “Inhibition of PPARγ2 gene expression by the HIF-1-regulated gene DEC1/Stra13: a mechanism for regulation of adipogenesis by hypoxia,” Developmental Cell, vol. 2, no. 3, pp. 331–341, 2002. View at: Publisher Site | Google Scholar
  32. L. Liu, T. P. Cash, R. G. Jones, B. Keith, C. B. Thompson, and M. C. Simon, “Hypoxia-induced energy stress regulates mRNA translation and cell growth,” Molecular Cell, vol. 21, no. 4, pp. 521–531, 2006. View at: Publisher Site | Google Scholar
  33. K. Zhang and R. J. Kaufman, “From endoplasmic-reticulum stress to the inflammatory response,” Nature, vol. 454, no. 7203, pp. 455–462, 2008. View at: Publisher Site | Google Scholar
  34. B. P. Tu and J. S. Weissman, “Oxidative protein folding in eukaryotes: mechanisms and consequences,” Journal of Cell Biology, vol. 164, no. 3, pp. 341–346, 2004. View at: Publisher Site | Google Scholar
  35. C. M. Haynes, E. A. Titus, and A. A. Cooper, “Degradation of misfolded proteins prevents ER-derived oxidative stress and cell death,” Molecular Cell, vol. 15, no. 5, pp. 767–776, 2004. View at: Publisher Site | Google Scholar
  36. A. Schaeffler, P. Gross, R. Buettner et al., “Fatty acid-induced induction of Toll-like receptor-4/nuclear factor-κB pathway in adipocytes links nutritional signalling with innate immunity,” Immunology, vol. 126, no. 2, pp. 233–245, 2009. View at: Publisher Site | Google Scholar
  37. A. Kopp, C. Buechler, M. Neumeier et al., “Innate immunity and adipocyte function: ligand-specific activation of multiple toll-like receptors modulates cytokine, adipokine, and chemokine secretion in adipocytes,” Obesity, vol. 17, no. 4, pp. 648–656, 2009. View at: Publisher Site | Google Scholar
  38. O. I. Vitseva, K. Tanriverdi, T. T. Tchkonia et al., “Inducible toll-like receptor and NF-κB regulatory pathway expression in human adipose tissue,” Obesity, vol. 16, no. 5, pp. 932–937, 2008. View at: Publisher Site | Google Scholar
  39. S. J. Creely, P. G. McTernan, C. M. Kusminski et al., “Lipopolysaccharide activates an innate immune system response in human adipose tissue in obesity and type 2 diabetes,” The American Journal of Physiology: Endocrinology and Metabolism, vol. 292, no. 3, pp. E740–E747, 2007. View at: Publisher Site | Google Scholar
  40. A. Schäffler, J. Schölmerich, and B. Salzberger, “Adipose tissue as an immunological organ: toll-like receptors, C1q/TNFs and CTRPs,” Trends in Immunology, vol. 28, no. 9, pp. 393–399, 2007. View at: Publisher Site | Google Scholar
  41. J. E. Davis, N. K. Gabler, J. Walker-Daniels, and M. E. Spurlock, “Tlr-4 deficiency selectively protects against obesity induced by diets high in saturated fat,” Obesity, vol. 16, no. 6, pp. 1248–1255, 2008. View at: Publisher Site | Google Scholar
  42. T. Suganami, T. Mieda, M. Itoh, Y. Shimoda, Y. Kamei, and Y. Ogawa, “Attenuation of obesity-induced adipose tissue inflammation in C3H/HeJ mice carrying a toll-like receptor 4 mutation,” Biochemical and Biophysical Research Communications, vol. 354, no. 1, pp. 45–49, 2007. View at: Publisher Site | Google Scholar
  43. X. Prieur, T. Roszer, and M. Ricote, “Lipotoxicity in macrophages: evidence from diseases associated with the metabolic syndrome,” Biochimica et Biophysica Acta: Molecular and Cell Biology of Lipids, vol. 1801, no. 3, pp. 327–337, 2010. View at: Publisher Site | Google Scholar
  44. P. D. Cani, J. Amar, M. A. Iglesias et al., “Metabolic endotoxemia initiates obesity and insulin resistance,” Diabetes, vol. 56, no. 7, pp. 1761–1772, 2007. View at: Publisher Site | Google Scholar
  45. S. V. Monte, J. A. Caruana, H. Ghanim et al., “Reduction in endotoxemia, oxidative and inflammatory stress, and insulin resistance after Roux-en-Y gastric bypass surgery in patients with morbid obesity and type 2 diabetes mellitus,” Surgery, vol. 151, no. 4, pp. 587–593, 2012. View at: Publisher Site | Google Scholar
  46. S. Ghoshal, J. Witta, J. Zhong, W. de Villiers, and E. Eckhardt, “Chylomicrons promote intestinal absorption of lipopolysaccharides,” Journal of Lipid Research, vol. 50, no. 1, pp. 90–97, 2009. View at: Publisher Site | Google Scholar
  47. P. D. Cani, R. Bibiloni, C. Knauf et al., “Changes in gut microbiota control metabolic endotoxemia-induced inflammation in high-fat diet-induced obesity and diabetes in mice,” Diabetes, vol. 57, no. 6, pp. 1470–1481, 2008. View at: Publisher Site | Google Scholar
  48. G. G. Muccioli, D. Naslain, F. Bäckhed et al., “The endocannabinoid system links gut microbiota to adipogenesis,” Molecular Systems Biology, vol. 6, article 392, 2010. View at: Publisher Site | Google Scholar
  49. P. D. Cani, S. Possemiers, T. Van De Wiele et al., “Changes in gut microbiota control inflammation in obese mice through a mechanism involving GLP-2-driven improvement of gut permeability,” Gut, vol. 58, no. 8, pp. 1091–1103, 2009. View at: Publisher Site | Google Scholar
  50. A. Schäffler and J. Schölmerich, “Innate immunity and adipose tissue biology,” Trends in Immunology, vol. 31, no. 6, pp. 228–235, 2010. View at: Publisher Site | Google Scholar
  51. B. P. Lewis, C. B. Burge, and D. P. Bartel, “Conserved seed pairing, often flanked by adenosines, indicates that thousands of human genes are microRNA targets,” Cell, vol. 120, no. 1, pp. 15–20, 2005. View at: Publisher Site | Google Scholar
  52. D. O'Carroll, I. Mecklenbrauker, P. P. Das et al., “A Slicer-independent role for Argonaute 2 in hematopoiesis and the microRNA pathway,” Genes and Development, vol. 21, no. 16, pp. 1999–2004, 2007. View at: Publisher Site | Google Scholar
  53. C. Xiao, L. Srinivasan, D. P. Calado et al., “Lymphoproliferative disease and autoimmunity in mice with increased miR-17-92 expression in lymphocytes,” Nature Immunology, vol. 9, no. 4, pp. 405–414, 2008. View at: Publisher Site | Google Scholar
  54. B. Zhou, S. Wang, C. Mayr, D. P. Bartel, and H. F. Lodish, “miR-150, a microRNA expressed in mature B and T cells, blocks early B cell development when expressed prematurely,” Proceedings of the National Academy of Sciences of the United States of America, vol. 104, no. 17, pp. 7080–7085, 2007. View at: Publisher Site | Google Scholar
  55. B. S. Cobb, T. B. Nesterova, E. Thompson et al., “T cell lineage choice and differentiation in the absence of the RNase III enzyme Dicer,” Journal of Experimental Medicine, vol. 201, no. 9, pp. 1367–1373, 2005. View at: Publisher Site | Google Scholar
  56. C.-Z. Chen, L. Li, H. F. Lodish, and D. P. Bartel, “MicroRNAs modulate hematopoietic lineage differentiation,” Science, vol. 303, no. 5654, pp. 83–86, 2004. View at: Publisher Site | Google Scholar
  57. Q.-J. Li, J. Chau, P. J. R. Ebert et al., “miR-181a is an intrinsic modulator of T cell sensitivity and selection,” Cell, vol. 129, no. 1, pp. 147–161, 2007. View at: Publisher Site | Google Scholar
  58. M. M. W. Chong, J. P. Rasmussen, A. Y. Rudensky, and D. R. Littman, “The RNAseIII enzyme Drosha is critical in T cells for preventing lethal inflammatory disease,” Journal of Experimental Medicine, vol. 205, no. 9, pp. 2005–2017, 2008. View at: Publisher Site | Google Scholar
  59. L. A. O'Neill, F. J. Sheedy, and C. E. McCoy, “MicroRNAs: the fine-tuners of toll-like receptor signalling,” Nature Reviews Immunology, vol. 11, no. 3, pp. 163–175, 2011. View at: Publisher Site | Google Scholar
  60. A. J. Asirvatham, C. J. Gregorie, Z. Hu, W. J. Magner, and T. B. Tomasi, “MicroRNA targets in immune genes and the Dicer/Argonaute and ARE machinery components,” Molecular Immunology, vol. 45, no. 7, pp. 1995–2006, 2008. View at: Publisher Site | Google Scholar
  61. T. Bakheet, M. Frevel, B. R. G. Williams, W. Greer, and K. S. A. Khabar, “ARED: human AU-rich element-containing mRNA database reveals an unexpectedly diverse functional repertoire of encoded proteins,” Nucleic Acids Research, vol. 29, no. 1, pp. 246–254, 2001. View at: Google Scholar
  62. A. J. Asirvatham, W. J. Magner, and T. B. Tomasi, “miRNA regulation of cytokine genes,” Cytokine, vol. 45, no. 2, pp. 58–69, 2009. View at: Publisher Site | Google Scholar
  63. D. V. Chartoumpekis, A. Zaravinos, P. G. Ziros et al., “Differential expression of microRNAs in adipose tissue after long-term high-fat diet-induced obesity in mice,” PLoS ONE, vol. 7, no. 4, Article ID e34872, 2012. View at: Publisher Site | Google Scholar
  64. F. J. Ortega, J. M. Moreno-Navarrete, G. Pardo et al., “MiRNA expression profile of human subcutaneous adipose and during adipocyte differentiation,” PLoS ONE, vol. 5, no. 2, Article ID e9022, 2010. View at: Publisher Site | Google Scholar
  65. N. Klöting, S. Berthold, P. Kovacs et al., “MicroRNA expression in human omental and subcutaneous adipose tissue,” PLoS ONE, vol. 4, no. 3, Article ID e4699, 2009. View at: Publisher Site | Google Scholar
  66. H. M. Heneghan, N. Miller, O. J. McAnena, T. O'Brien, and M. J. Kerin, “Differential miRNA expression in omental adipose tissue and in the circulation of obese patients identifies novel metabolic biomarkers,” Journal of Clinical Endocrinology and Metabolism, vol. 96, no. 5, pp. E846–E850, 2011. View at: Publisher Site | Google Scholar
  67. E. Arner, N. Mejhert, A. Kulyte et al., “Adipose tissue microRNAs as regulators of CCL2 production in human obesity,” Diabetes, vol. 61, pp. 1986–1993, 2012. View at: Publisher Site | Google Scholar
  68. H. Xie, B. Lim, and H. F. Lodish, “MicroRNAs induced during adipogenesis that accelerate fat cell development are downregulated in obesity,” Diabetes, vol. 58, no. 5, pp. 1050–1057, 2009. View at: Publisher Site | Google Scholar
  69. P. Parra, F. Serra, and A. Palou, “Expression of adipose MicroRNAs is sensitive to dietary conjugated linoleic acid treatment in mice,” PLoS ONE, vol. 5, no. 9, Article ID e13005, 2010. View at: Publisher Site | Google Scholar
  70. J. C. Strum, J. H. Johnson, J. Ward et al., “MicroRNA 132 regulates nutritional stress-induced chemokine production through repression of SirT1,” Molecular Endocrinology, vol. 23, no. 11, pp. 1876–1884, 2009. View at: Publisher Site | Google Scholar
  71. G. Zhuang, C. Meng, X. Guo et al., “A novel regulator of macrophage activation: miR-223 in obesity associated adipose tissue inflammation,” Circulation, vol. 125, no. 23, pp. 2892–2903, 2012. View at: Publisher Site | Google Scholar
  72. Q. Ge, J. Gerard, L. Noel, I. Scroyen, and S. M. Brichard, “MicroRNAs regulated by adiponectin as novel targets for controlling adipose tissue inflammation,” Endocrinology, vol. 153, no. 11, pp. 5285–5296, 2012. View at: Publisher Site | Google Scholar
  73. A. Chatzigeorgiou, K. P. Karalis, S. R. Bornstein, and T. Chavakis, “Lymphocytes in obesity-related adipose tissue inflammation,” Diabetologia, vol. 55, no. 10, pp. 2583–2592, 2012. View at: Publisher Site | Google Scholar
  74. M. Poggi, J. Jager, O. Paulmyer-Lacroix et al., “The inflammatory receptor CD40 is expressed on human adipocytes: contribution to crosstalk between lymphocytes and adipocytes,” Diabetologia, vol. 52, no. 6, pp. 1152–1163, 2009. View at: Publisher Site | Google Scholar
  75. R. Ogawa, C. Tanaka, M. Sato et al., “Adipocyte-derived microvesicles contain RNA that is transported into macrophages and might be secreted into blood circulation,” Biochemical and Biophysical Research Communications, vol. 398, no. 4, pp. 723–729, 2010. View at: Publisher Site | Google Scholar
  76. G. Müller, M. Schneider, G. Biemer-Daub, and S. Wied, “Microvesicles released from rat adipocytes and harboring glycosylphosphatidylinositol-anchored proteins transfer RNA stimulating lipid synthesis,” Cellular Signalling, vol. 23, no. 7, pp. 1207–1223, 2011. View at: Publisher Site | Google Scholar
  77. X. Chen, Y. Ba, L. Ma et al., “Characterization of microRNAs in serum: a novel class of biomarkers for diagnosis of cancer and other diseases,” Cell Research, vol. 18, no. 10, pp. 997–1006, 2008. View at: Publisher Site | Google Scholar
  78. Y. D'Alessandra, P. Devanna, F. Limana et al., “Circulating microRNAs are new and sensitive biomarkers of myocardial infarction,” European Heart Journal, vol. 31, no. 22, pp. 2765–2773, 2010. View at: Publisher Site | Google Scholar
  79. Y. Cheng, N. Tan, J. Yang et al., “A translational study of circulating cell-free microRNA-1 in acute myocardial infarction,” Clinical Science, vol. 119, no. 2, pp. 87–95, 2010. View at: Publisher Site | Google Scholar
  80. M. F. Corsten, R. Dennert, S. Jochems et al., “Circulating MicroRNA-208b and MicroRNA-499 reflect myocardial damage in cardiovascular disease,” Circulation: Cardiovascular Genetics, vol. 3, no. 6, pp. 499–506, 2010. View at: Publisher Site | Google Scholar
  81. X. Ji, R. Takahashi, Y. Hiura, G. Hirokawa, Y. Fukushima, and N. Iwai, “Plasma miR-208 as a biomarker of myocardial injury,” Clinical Chemistry, vol. 55, no. 11, pp. 1944–1949, 2009. View at: Publisher Site | Google Scholar
  82. A. Zampetaki, S. Kiechl, I. Drozdov et al., “Plasma MicroRNA profiling reveals loss of endothelial MiR-126 and other MicroRNAs in type 2 diabetes,” Circulation Research, vol. 107, no. 6, pp. 810–817, 2010. View at: Publisher Site | Google Scholar
  83. A. M. McDermott, H. M. Heneghan, N. Miller, and M. J. Kerin, “The therapeutic potential of microRNAs: disease modulators and drug targets,” Pharmaceutical Research, vol. 28, no. 12, pp. 3016–3029, 2011. View at: Publisher Site | Google Scholar
  84. J. Weiler, J. Hunziker, and J. Hall, “Anti-miRNA oligonucleotides (AMOs): ammunition to target miRNAs implicated in human disease?” Gene Therapy, vol. 13, no. 6, pp. 496–502, 2006. View at: Publisher Site | Google Scholar
  85. A. Colin, M. Faideau, N. Dufour et al., “Engineered lentiviral vector targeting astrocytes in vivo,” Glia, vol. 57, no. 6, pp. 667–679, 2009. View at: Publisher Site | Google Scholar
  86. B. D. Brown, M. A. Venneri, A. Zingale, L. S. Sergi, and L. Naldini, “Endogenous microRNA regulation suppresses transgene expression in hematopoietic lineages and enables stable gene transfer,” Nature Medicine, vol. 12, no. 5, pp. 585–591, 2006. View at: Publisher Site | Google Scholar
  87. L. E. Bernstein, J. Berry, S. Kim, B. Canavan, and S. K. Grinspoon, “Effects of etanercept in patients with the metabolic syndrome,” Archives of Internal Medicine, vol. 166, no. 8, pp. 902–908, 2006. View at: Publisher Site | Google Scholar
  88. H. Dominguez, H. Storgaard, C. Rask-Madsen et al., “Metabolic and vascular effects of tumor necrosis factor-α blockade with etanercept in obese patients with type 2 diabetes,” Journal of Vascular Research, vol. 42, no. 6, pp. 517–525, 2005. View at: Publisher Site | Google Scholar
  89. J. Krützfeldt, N. Rajewsky, R. Braich et al., “Silencing of microRNAs in vivo with 'antagomirs',” Nature, vol. 438, no. 7068, pp. 685–689, 2005. View at: Publisher Site | Google Scholar
  90. J. Elmén, M. Lindow, S. Schütz et al., “LNA-mediated microRNA silencing in non-human primates,” Nature, vol. 452, no. 7189, pp. 896–899, 2008. View at: Publisher Site | Google Scholar
  91. D. Grimm, K. L. Streetz, C. L. Jopling et al., “Fatality in mice due to oversaturation of cellular microRNA/short hairpin RNA pathways,” Nature, vol. 441, no. 7092, pp. 537–541, 2006. View at: Publisher Site | Google Scholar
  92. C. R. Sibley, Y. Seow, and M. J. Wood, “Novel RNA-based strategies for therapeutic gene silencing,” Molecular Therapy, vol. 18, no. 3, pp. 466–476, 2010. View at: Publisher Site | Google Scholar

Copyright © 2014 Qian Ge et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Related articles

No related content is available yet for this article.
 PDF Download Citation Citation
 Download other formatsMore
 Order printed copiesOrder

Related articles

No related content is available yet for this article.

Article of the Year Award: Outstanding research contributions of 2021, as selected by our Chief Editors. Read the winning articles.