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Review

Non-Coding RNAs in Myasthenia Gravis: From Immune Regulation to Personalized Medicine

by
Nicola Iacomino
1,†,
Maria Cristina Tarasco
1,2,†,
Alessia Berni
1,
Jacopo Ronchi
2,3,4,
Renato Mantegazza
1,
Paola Cavalcante
1,* and
Maria Foti
3,4,*
1
Neurology 4–Neuroimmunology and Neuromuscolar Diseases, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, Italy
2
Ph.D. Program in Neuroscience, University of Milano-Bicocca, 20900 Monza, Italy
3
Department of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy
4
BicOMICs, University of Milano-Bicocca, 20900 Monza, Italy
*
Authors to whom correspondence should be addressed.
These authors equally contributed to this work.
Cells 2024, 13(18), 1550; https://doi.org/10.3390/cells13181550 (registering DOI)
Submission received: 7 August 2024 / Revised: 6 September 2024 / Accepted: 10 September 2024 / Published: 14 September 2024

Abstract

Myasthenia gravis (MG) is an antibody-mediated autoimmune disorder characterized by altered neuromuscular transmission, which causes weakness and fatigability in the skeletal muscles. The etiology of MG is complex, being associated with multiple genetic and environmental factors. Over recent years, progress has been made in understanding the immunological alterations implicated in the disease, but the exact pathogenesis still needs to be elucidated. A pathogenic interplay between innate immunity and autoimmunity contributes to the intra-thymic MG development. Epigenetic changes are critically involved in both innate and adaptive immune response regulation. They can act as (i) pathological factors besides genetic predisposition and (ii) co-factors contributing to disease phenotypes or patient-specific disease course/outcomes. This article reviews the role of non-coding RNAs (ncRNAs) as epigenetic factors implicated in MG. Particular attention is dedicated to microRNAs (miRNAs), whose expression is altered in MG patients’ thymuses and circulating blood. The long ncRNA (lncRNA) contribution to MG, although not fully characterized yet, is also discussed. By summarizing the most recent and fast-growing findings on ncRNAs in MG, we highlight the therapeutic potential of these molecules for achieving immune regulation and their value as biomarkers for the development of personalized medicine approaches to improve disease care.
Keywords: autoimmunity; long non-coding RNAs; microRNAs; myasthenia gravis autoimmunity; long non-coding RNAs; microRNAs; myasthenia gravis

Share and Cite

MDPI and ACS Style

Iacomino, N.; Tarasco, M.C.; Berni, A.; Ronchi, J.; Mantegazza, R.; Cavalcante, P.; Foti, M. Non-Coding RNAs in Myasthenia Gravis: From Immune Regulation to Personalized Medicine. Cells 2024, 13, 1550. https://doi.org/10.3390/cells13181550

AMA Style

Iacomino N, Tarasco MC, Berni A, Ronchi J, Mantegazza R, Cavalcante P, Foti M. Non-Coding RNAs in Myasthenia Gravis: From Immune Regulation to Personalized Medicine. Cells. 2024; 13(18):1550. https://doi.org/10.3390/cells13181550

Chicago/Turabian Style

Iacomino, Nicola, Maria Cristina Tarasco, Alessia Berni, Jacopo Ronchi, Renato Mantegazza, Paola Cavalcante, and Maria Foti. 2024. "Non-Coding RNAs in Myasthenia Gravis: From Immune Regulation to Personalized Medicine" Cells 13, no. 18: 1550. https://doi.org/10.3390/cells13181550

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