Non-Coding RNA in Microglia Activation and Neuroinflammation in Alzheimer's Disease

J Inflamm Res. 2023 Sep 21:16:4165-4211. doi: 10.2147/JIR.S422114. eCollection 2023.

Abstract

Alzheimer's disease (AD) is a neurodegenerative disorder characterized by complex pathophysiological features. Amyloid plaques resulting from extracellular amyloid deposition and neurofibrillary tangles formed by intracellular hyperphosphorylated tau accumulation serve as primary neuropathological criteria for AD diagnosis. The activation of microglia has been closely associated with these pathological manifestations. Non-coding RNA (ncRNA), a versatile molecule involved in various cellular functions such as genetic information storage and transport, as well as catalysis of biochemical reactions, plays a crucial role in microglial activation. This review aims to investigate the regulatory role of ncRNAs in protein expression by directly targeting genes, proteins, and interactions. Furthermore, it explores the ability of ncRNAs to modulate inflammatory pathways, influence the expression of inflammatory factors, and regulate microglia activation, all of which contribute to neuroinflammation and AD. However, there are still significant controversies surrounding microglial activation and polarization. The categorization into M1 and M2 phenotypes may oversimplify the intricate and multifaceted regulatory processes in microglial response to neuroinflammation. Limited research has been conducted on the role of ncRNAs in regulating microglial activation and inducing distinct polarization states in the context of neuroinflammation. Moreover, the regulatory mechanisms through which ncRNAs govern microglial function continue to be refined. The current understanding of ncRNA regulatory pathways involved in microglial activation remains incomplete and may be influenced by spatial, temporal, and tissue-specific factors. Therefore, further in-depth investigations are warranted. In conclusion, there are ongoing debates and uncertainties regarding the activation and polarization of microglial cells, particularly concerning the categorization into M1 and M2 phenotypes. The study of ncRNA regulation in microglial activation and polarization, as well as its mechanisms, is still in its early stages and requires further investigation. However, this review offers new insights and opportunities for therapeutic approaches in AD. The development of ncRNA-based drugs may hold promise as a new direction in AD treatment.

Keywords: Alzheimer’s disease; circRNA; lncRNA; miRNA; microglia activation; neuroinflammation; non-coding RNA.

Publication types

  • Review

Grants and funding

This work was supported by the National Natural Science Foundation of China (Grant No. 82074046, 82004184); the Hunan Provincial “Shennong Talent” Project; the Natural Science Foundation of Hunan Province for Excellent Youth Project (Grant No.2023JJ20033); the Science and Technology Innovation Program of Hunan Province (Grant No.2023RC3166); Postgraduate Scientific Research Innovation Project of Hunan Province (Grant No.QL20220185); the Key Project for the Double First-Class Discipline of Integrating Traditional Chinese and Western Medicine in Hunan Province (Grant No.2021ZXYJH12).