A SUPEREXPRESSÃO DE miRs VIRAIS NA INFECÇÃO PELO HTLV-1, HBV E HCV CONDUZ A IMUNOPATOGÊNESE NO DESENVOLVIMENTO DO CÂNCER
Resumo
Os microRNAs (miRs) são pequenas moléculas não codificantes, consideradas excelentes biomarcadores clínicos; no entanto, são mais instáveis na circulação do que outras classes de ácidos nucleicos. A interação intrincada entre hospedeiro e vírus, ao modular a via dos miRs, geralmente promove a persistência viral ao diminuir a detecção imunológica. Para a análise de dados, foram selecionados estudos das bases de dados NCBI, BVS, LILACS e SciELO que discutem a patogênese orquestrada por miRs oncogênicos na infecção por HTLV-1, HBV e HCV. Como estratégia complementar, também foram selecionados artigos experimentais que serviram de base para a apresentação dos resultados. Foram encontrados 180 artigos, e os critérios de inclusão contemplaram estudos experimentais, ensaios controlados e revisões de literatura. Dentre esses, seis artigos experimentais foram selecionados para compor os resultados deste trabalho, por se enquadrarem nos critérios estabelecidos. Esta revisão elucidou os mecanismos moleculares associados à infecção por HTLV-1, HBV e HCV. Os resultados mostram que diversos miRs estão associados à transformação leucêmica no grupo ATL, reforçando o potencial envolvimento dessas moléculas na patogênese da ATL associada ao HTLV-1. Além disso, a regulação dessas moléculas encontra-se alterada nas infecções por HBV e HCV, nas quais esses vírus hepatotrópicos desregulam vias como NF-κB, PI3K/AKT/mTOR, TP53 e WNT, por meio de diversos mecanismos, levando a uma hepatocarcinogênese descontrolada.
Biografia do Autor
Graduado em Licenciatura em Ciências Biológicas. Especialista em Análises Clínicas e Diagnósticas. Especialista em Farmácia e em Saúde Pública. Mestre em Genética e Biologia Molecular.
Graduado em Biomedicina. Mestre e doutor em Biologia de Agentes Infecciosos e Parasitários.
Médica do Complexo Hospitalar UFPA/EBSERH. Mestra e doutora na área de Biologia dos Agentes Infecciosos e Parasitários pela UFPA. Pós-Doutora em Ciências do Ensino Superior em Saúde pela UNIFESP.
Graduada em Biomedicina. Especialista em Microbiologia. Possui Mestrado profissional em Análises Clínicas.
Graduada em Ciências Biológicas. Mestra em Biologia Parasitária na Amazônia. Doutora em Virologia.
Graduado em Fisioterapia. Mestre em Biologia de Agentes Infecciosos e Parasitários.
Graduado em Biomedicina. Especialista em Residência Multiprofissional em Atenção à Clínica Integrada.
Graduada em Medicina. Especialista em Microbiologia. Mestra em Biologia de Agentes Infecciosos e Parasitários.
Graduada em Farmácia. Mestra e doutora em Biologia de Agentes Infecciosos e Parasitários.
Referências
1. Rojas-Pirela M, Rodriguez-Morales AJ, Rojas M, Bonilla-Aldana DK, Suárez JA, Diaz-Quijano FA, Ortega H. MicroRNAs: master regulators in host-parasitic protist interactions. Open Biol. 2022;6(12):1–25. DOI: https://doi.org/10.1098/rsob.210395
2. Dass D, Flores O, Akhrymuk I, Atasheva S, Frolova EI, Frolov I. miRNAs in Herpesvirus Infection: Powerful Regulators in Small Packages. Viruses. 2023;15:1–22. DOI: https://doi.org/10.3390/v15020429
3. Bondada MS, Reddy PB, Vemula SV, Chvatal S, Lupiani B, Reddy SM. Multifunctional miR-155 Pathway in Avian Oncogenic Virus-Induced Neoplastic Diseases. Noncoding RNA. 2019;5:1–13. DOI: https://doi.org/10.3390/ncrna5010024
4. MacLennan SA, Marra MA. Oncogenic Viruses and the Epigenome: How Viruses Hijack Epigenetic Mechanisms to Drive Cancer. Int J Mol Sci. 2023;24:1–20. DOI: https://doi.org/10.3390/ijms24119543
5. Machado CB, Cavassin FB, Caterino-de-Araujo A, Kashima S, Covas DT, Passos GA. Role of miRNAs in Human T Cell Leukemia Virus Type 1 Induced T Cell Leukemia: A Literature Review and Bioinformatics Approach. Int J Mol Sci. 2022;23:1–18. DOI: https://doi.org/10.3390/ijms23105486
6. Souza DRV, Kashima S, Covas DT, Slavov SN. Small RNA profiles of HTLV-1 asymptomatic carriers with monoclonal and polyclonal rearrangement of the T-cell antigen receptor γ-chain using massively parallel sequencing: A pilot study. Oncol Lett. 2020;20:2311–21. DOI: https://doi.org/10.3892/ol.2020.11803
7. D’Agostinho DM, Kashima S, Covas DT, Slavov SN. MiR-150 in HTLV-1 infection and T-cell transformation. Front Immunol. 2022;13:1–9. DOI: https://doi.org/10.3389/fimmu.2022.974088
8. Bouzar AB, Willems L. How HTLV-1 may subvert miRNAs for persistence and transformation. Retrovirology. 2008;5:1–6. DOI: https://doi.org/10.1186/1742-4690-5-101
9. Nascimento A, Andrade RG, Oliveira MF, Brito LM, Cordeiro T, Andrade SP, Kashima S, Covas DT, Slavov SN. Global expression of noncoding RNome reveals dysregulation of small RNAs in patients with HTLV-1–associated adult T-cell leukemia: a pilot study. Infect Agents Cancer. 2021;16:1–13. DOI: https://doi.org/10.1186/s13027-020-00343-2
10. Xiao C, Calado DP, Galler G, Thai TH, Patterson HC, Wang J, Rajewsky N, Bender TP, Rajewsky K. MiR-150 controls B cell differentiation by targeting the transcription factor c-Myb. Cell. 2007;131(1):146–59. DOI: https://doi.org/10.1016/j.cell.2007.07.021
11. Ito M, Teshima K, Ikeda S, Kitabayashi A, Kurosawa S, Amano J, Ishida T, Inagaki H, Ueda R. MicroRNA-150 inhibits tumor invasion and metastasis by targeting the chemokine receptor CCR6 in advanced cutaneous T-cell lymphoma. Blood. 2014;123:1499–511. DOI: https://doi.org/10.1182/blood-2013-09-527739
12. Bellon M, Lepelletier Y, Hermine O, Nicot C. Deregulation of microRNA involved in hematopoiesis and the immune response in HTLV-I adult T-cell leukemia. Blood. 2009;113:4914–7. DOI: https://doi.org/10.1182/blood-2008-11-189845
13. Alpuché-Lazcano SP, Jiménez-Hernández LE, López S, Peralta-Zaragoza O, Vázquez-Valls E, Valle-Mendiola A, Madrid-Marina V, Hernández-Montes J, Sánchez-Suárez L, García-Carrancá A. MicroRNAs and long non-coding RNAs during transcriptional regulation and latency of HIV and HTLV. Retrovirology. 2024;21:1–20. DOI: https://doi.org/10.1186/s12977-024-00637-y
14. Fochi S, Ciminale V, Trindade E, Bidoia C, D’Agostino DM, Silva TC, Pinon JM, De Oliveira Pereira MC, Bittencourt AL, Smole U, Koralnik IJ, De Thé G, Segurado AC, Covas DT, Kashima S, Slavov SN. NF-κB and MicroRNA Deregulation Mediated by HTLV-1 Tax and HBZ. Pathogens. 2019;8:1–18. DOI: https://doi.org/10.3390/pathogens8040290
15. Rahman S, Hoh J, Thapa R, Pope J, Kim CJ, Afonso PV, Franchini G, Feuer G. HTLV-1 Tax mediated downregulation of miRNAs associated with chromatin remodeling factors in T cells with stably integrated viral promoter. PLoS One. 2012;7:e34490. DOI: https://doi.org/10.1371/journal.pone.0034490
16. Van Duyne R, Guendel I, Klase Z, Narayanan A, Coley W, Jaworski E, Roman J, Khan ZK, Lepene B, Kashanchi F. Localization and sub-cellular shuttling of HTLV-1 Tax with the miRNA machinery. PLoS One. 2012;7:e40662. DOI: https://doi.org/10.1371/journal.pone.0040662
17. Padilha MDM, Santos NS, Silva TS, Braga SL, Medeiros GC, Lima TB, Barbosa EF, Ferreira FB. Perfil de citocinas na patogênese da infecção do vírus Linfotrópico de células T humanas HTLV-1. Braz J Health Rev. 2022;5(4):12294–311. DOI: https://doi.org/10.34119/bjhrv5n4-029
18. Padilha MDM, Silva TS, Braga SL, Santos NS, Lima TB, Medeiros GC, Barbosa EF, Ferreira FB. A expressão diferencial de microRNAs virais modula a patogenicidade da infecção. Rev Eletr Acervo Cient. 2023;23(3):1–11. DOI: https://doi.org/10.25248/reas.e12056.2023
19. Sampey GC, Van Duyne R, Currer R, Das R, Narayanan A, Jaworski E, Hu W, Cross S, Monaco MCL, Kashanchi F. Complex role of microRNAs in HTLV-1 infections. Front Genet. 2012;3:1–16. DOI: https://doi.org/10.3389/fgene.2012.00295
20. Shoraka S, Vahabpour R, Keshavarz M, Ataei-Pirkooh A, Asgari F, Bozorgmehr M, Farhadi A, Keyvani H. The role of hepatitis B virus genome variations in HBV-related HCC: effects on host signaling pathways. Front Microbiol. 2023;14:1–15. DOI: https://doi.org/10.3389/fmicb.2023.1213145
21. Thirion M, Ochiya T. Roles of microRNAs in the Hepatitis B Virus Infection and Related Diseases. Viruses. 2013;5:2690–703. DOI: https://doi.org/10.3390/v5112690
22. Wang Y, Toh HC, Chow P, Chung AY, Meyers DJ, Cole PA, Ooi LL. Hepatitis B viral RNA directly mediates down-regulation of the tumor suppressor microRNA miR-15a/miR-16-1 in hepatocytes. J Biol Chem. 2013;288:18484–93. DOI: https://doi.org/10.1074/jbc.M113.458158
23. Jiang R, Tang J, Chen Y, Deng L, Ji J, Xie Y, Sun B. miR-22 promotes HBV-related hepatocellular carcinoma development in males. Clin Cancer Res. 2011;17:5593–603. DOI: https://doi.org/10.1158/1078-0432.CCR-10-1734
24. Zhao Q, Fan YC, Wang K, Zhang JJ, Dong Q, Wu X, Li Y, Gao C. The miR-545/374a cluster encoded in the Ftx lncRNA is overexpressed in HBV-related hepatocellular carcinoma and promotes tumorigenesis and tumor progression. PLoS One. 2014;9:e109782. DOI: https://doi.org/10.1371/journal.pone.0109782
25. Elghoroury EA, El-Ghany AA, Hassan EM, Ashmawy AM, El-Baz HA, Kassem NM. Detection of exosomal miR-18a and miR-222 levels in Egyptian patients with hepatic cirrhosis and hepatocellular carcinoma. Int J Immunopathol Pharmacol. 2022;36:1–13. DOI: https://doi.org/10.1177/03946320221097832
26. Bandopadhyay M, Bharadwaj M. Exosomal miRNAs in hepatitis B virus related liver disease: a new hope for biomarker. Gut Pathog. 2020;12:1–16. DOI: https://doi.org/10.1186/s13099-020-00353-w
27. Weidle UH, Birzele F, Kollmorgen G, Rüger R. MicroRNAs involved in metastasis of hepatocellular carcinoma: target candidates, functionality and efficacy in animal models and prognostic relevance. Cancer Genomics Proteomics. 2020;17:1–21. DOI: https://doi.org/10.21873/cgp.20163
28. Xie KL, Zhang YG, Liu J, Zeng Y, Wu H. MicroRNAs associated with HBV infection and HBV-related HCC. Theranostics. 2014;4:1176–92. DOI: https://doi.org/10.7150/thno.8715
29. Shah N, Sukla S, Shah R, Kumar D, Nain CK, Rawat A. MicroRNAs in liver disease: bench to bedside. J Clin Exp Hepatol. 2013;3:231–42. DOI: https://doi.org/10.1016/j.jceh.2013.09.001
30. Braconi C, Kogure T, Valeri N, Huang N, Nuovo G, Costinean S, Croce CM, Patel T. microRNA-29 can regulate expression of the long non-coding RNA gene MEG3 in hepatocellular cancer. Oncogene. 2011;30:4750–6. DOI: https://doi.org/10.1038/onc.2011.193
31. Szabo G, Bala S. MicroRNAs in liver disease. Nat Rev Gastroenterol Hepatol. 2013;10:542–52. DOI: https://doi.org/10.1038/nrgastro.2013.87
32. Pineau P, Volinia S, McJunkin K, Marchio A, Battiston C, Terris B, Mazzaferro V, Lowe SW, Croce CM, Dejean A. miR-221 overexpression contributes to liver tumorigenesis. Proc Natl Acad Sci U S A. 2009;107:264–9. DOI: https://doi.org/10.1073/pnas.0907904107
33. Jiang L, Qian L, Zheng J, Liu Y, Ding F, Zhang L, Wang Y, Liu J, Wang Y, Wang Z. Circulating microRNAs as biomarkers in hepatocellular carcinoma screening. Medicine (Baltimore). 2015;94:e1773. DOI: https://doi.org/10.1097/MD.0000000000000603
34. Xu X, Tao Y, Shan L, Chen R, Jiang H, Qian Z, Cai F, Ma L, Yu Y. The role of microRNAs in hepatocellular carcinoma. J Cancer. 2018;9:3557–69. DOI: https://doi.org/10.7150/jca.26350
35. Joshi N, Chittenden M, Verma R, O’Donoghue M, Ralph A, Khoo C, Houghton M. The involvement of microRNAs in HCV and HIV infection. Ther Adv Vaccines Immunother. 2022;10:25151355221095452. DOI: https://doi.org/10.1177/25151355221106104
36. Li GY, Wang Y, Liu Y, Chen L, Yang Q, Xu EM, Xu T, Li W, Wang S, Xu Y. HCV induced reduction in miR-181a impairs CD4+ T cell responses via over-expression of DUSP6. Hepatology. 2015;61:1163–73. DOI: https://doi.org/10.1002/hep.27634
37. Cho HJ, Kim SS, Nam JS, Kang HG, Kim JW, Lee JH, Park KS, Kim BW, Song DS, Kim W, Yoon SK. Exosomal microRNA‐4661‐5p–based serum panel as a potential diagnostic biomarker for early‐stage hepatocellular carcinoma. Cancer Med. 2020;9:5459–72. DOI: https://doi.org/10.1002/cam4.3230
38. Khatun M, Ray RB. Mechanisms underlying hepatitis C virus-associated hepatic fibrosis. Cells. 2019;8:1249. DOI: https://doi.org/10.3390/cells8101249
39. Padilha MDM, Feitosa RNM. Desregulação de microRNAs em processos patológicos do câncer. RECIMA. 2022;3(12):1–12. DOI: https://doi.org/10.47820/recima21.v3i12.2492
40. Guan Y, Liu Y, Wang X, Gao S, Lu B, Wang Y, Liu B, Shen J, Lu J. NF-κB-DICER-miRs axis regulates TNF-α expression in responses to endotoxin stress. Int J Biol Sci. 2015;11:1257–68. DOI: https://doi.org/10.7150/ijbs.12611
41. Cui J, Placzek WJ. Post-transcriptional regulation of anti-apoptotic BCL2 family members. Int J Mol Sci. 2018;19:1–22. DOI: https://doi.org/10.3390/ijms19010308
42. Taghavipour M, Dargahi L, Mikaeili H, Javadifar N, Ghasemi F, Kazemi T. Apoptotic functions of microRNAs in pathogenesis, diagnosis, and treatment of endometriosis. Cell Biosci. 2020;10:1–9. DOI: https://doi.org/10.1186/s13578-020-0381-0
43. Floyd DH, Zhang Y, Dey BK, Yang Y, Raplham M, Baehner L, Siegall CB, Blau CA, Ditta A, Gatti RA, Huang EJ. Novel anti-apoptotic microRNAs 582-5p and 363 promote human glioblastoma stem cell survival via direct inhibition of caspase 3, caspase 9, and Bim. PLoS One. 2014;9:e96239. DOI: https://doi.org/10.1371/journal.pone.0096239
44. Williams M, Sandhu R, Crowe D, Blum W, Bhat R. Tumour suppressor microRNAs contribute to drug resistance in malignant pleural mesothelioma by targeting anti-apoptotic pathways. Cancer Drug Resist. 2019;2:1193–206. DOI: https://doi.org/10.20517/cdr.2019.41
45. Mahboonia K, Hadizadeh M, Asadi M, Farzanehfar M, Emami Razavi A, Alizadeh J, Najafi M. MicroRNAs in hepatocellular carcinoma pathogenesis: insights into mechanisms and therapeutic opportunities. Int J Mol Sci. 2024;25:1–50. DOI: https://doi.org/10.3390/ijms25179393
46. Kiliç A, Rodriguez G, Sosa RA, Yu X, Aghdassi A, Gupta S, Sahin M, Ruckert F, Ungefroren H. A systems immunology approach identifies the collective impact of 5 miRs in Th2 inflammation. JCI Insight. 2018;3:e97307. DOI: https://doi.org/10.1172/jci.insight.97503
47. Virga F, Cavallini C, Ceccarelli S, Angelucci A, Melino G, Amelio I. MicroRNA-mediated metabolic shaping of the tumor microenvironment. Cancers (Basel). 2021;13:1–17. DOI: https://doi.org/10.3390/cancers13010127
48. El-Daly SM, Abba ML, Patil N, Allgayer H. miRs-134 and -370 function as tumor suppressors in colorectal cancer by independently suppressing EGFR and PI3K signalling. Sci Rep. 2016;6:1–11. DOI: https://doi.org/10.1038/srep24720
49. Yuan Y, Wang J, Huang S, Li W, Lin W, Wang C, Zhang Y, Yang Y, Li H, Ma Y. ANXA1 inhibits miRNA-196a in a negative feedback loop through NF-κB and c-Myc to reduce breast cancer proliferation. Oncotarget. 2016;7:27007–20. DOI: https://doi.org/10.18632/oncotarget.8875
50. Roncarati R, Lupini L, Ravazzolo L, Brognara E, Venturi G, Bassi C, Pastore M, Grazi GL, Croce CM, Negrini M. The importance of microRNAs in RAS oncogenic activation in human cancer. Front Oncol. 2019;9:1–9. DOI: https://doi.org/10.3389/fonc.2019.00988
