Table 4 Main studies on microRNAs in obstructive sleep apnea syndrome (OSAS)/intermittent hypoxia (IH)

From: Pathophysiological mechanisms and therapeutic approaches in obstructive sleep apnea syndrome

MiRNA name

Expression in IH

Target gene

Original source

Quantification approach

Main findings

Reference

miR-26b-5p

Up

Unknown

Rat hippocampus

miRNA microarray and qRT‒PCR

miR-26b-5p and miR-207 could be involved in cognitive impairments

Gao et al. (2017)469

miR-207

Down

miR-155

Up

FOXO3a

Renal tissue and HK‐2 cells

RT‒qPCR

miR‐155 might be a positive regulator of the NLRP3 pathway to enhance renal injury

Wu et al. (2018)470

miR-664a-3p

Down

Unknown

Serum of OSAS patients

qRT‒PCR

Negative correlation of miR-664a-3p expression with AHI and maximum carotid intima-media thickness (CIMT) and positive correlation with the lowest oxygen saturation (LOS); miR-664a-3p as a candidate biomarker of atherosclerosis in OSAS

Li et al. (2018)473

miR-199-3p

Down

Unknown

Serum of OSAS patients

LNA oligonucleotide microarrays and qRT‒PCR

Involved in hypoxia, metabolism, and oxidative stress

Li et al. (2017)474

miR-107

miR-485-5p

Up

miR-574-5p

miR-130a

Up

GAX

Blood of OSAS patients; human umbilical vein endothelial cells

qRT‒PCR

miR-130a may contribute to the development of OSAS-associated pulmonary hypertension by downregulating the expression of GAX

An et al. (2017)684

miR-365

Down

IL-6

Hepatocyte, stellate cell, and macrophage cell lines; serum of OSAS patients

qRT‒PCR

miR-365 acts as an important trigger for the production of proinflammatory cytokines and activation of macrophages in OSAS patients

Schaefer et al. (2017)685

miR-185

Down

CoLA1

Lung tissue of dogs; COPD lung tissue; human primary pulmonary cells

qRT‒PCR

OSAS could inhibit miR-185 and promote CoLA1 expression leading to lung remodeling

Ding et al. (2016)686

miR-34a-5p

Up

Bcl-2

Human coronary artery endothelial cells

qRT‒PCR

miR‐34a‐5p activated beclin-1 through Bcl‐2 inhibition in IH and participated in IH-induced endothelial cell autophagy

Lv et al. (2019)687

miR-630

Down

Nrf2, AMP kinase, and tight junction pathways

Plasma of pediatric OSAS patients and human microvascular endothelial cells

miRNA microarrays and qRT‒PCR

miRNA-630 as a putative key mediator of endothelial dysfunction in children with underlying OSAS

Khalyfa et al. (2019)688

miR-145

Down

Smad3

Canines; human aortic tissue; vascular smooth muscle cells from rats

qRT‒PCR

OSAS could activate the miR-145/Smad3 signaling pathway to promote aortic fibrosis, apoptosis and sympathetic nerve sprouting, which cause aortic structural and autonomic remodeling

Yu et al. (2017)689

miR-146a-5p

Up

XIAP

H9c2 cells

qRT‒PCR

miR-146a-5p could aggravate IH-induced H9c2 cell injury by attenuating H9c2 viability and promoting its apoptosis by targeting XIAP

Lin et al. (2019)690

miR-30a

Up

Beclin-1

Mouse endothelial cells

RT‒qPCR

Upregulated miR-30a significantly reduced beclin-1 levels to attenuate endothelial cell autophagy in vitro and in vivo, which aggravated IH-induced endothelial cell injury

Bi et al. (2019)691

miR-31

Up

PKCε

H9c2 neonatal cardiomyocytes

qRT‒PCR

Upregulation of miR-31 decreased the mRNA and protein expression of PKCε to promote myocardial hypertrophy

Ren et al. (2018)692

miR-224-5p

Down

NLRP3

Mouse brain tissues and microglial BV2 mouse cells

qRT‒PCR

miR-224-5p reduces microglial inflammatory activation by regulating NLRP3 expression

Du et al. (2020)481

miR-218

Up

Robo1

Mice aortic endothelial cells

qRT‒PCR

Upregulated expression of miR-218 promotes IH-induced apoptosis in aortic endothelial cells targeting Robo1

Liu et al. (2017)693

miR-203

Down

SELENOP HIP/PAP

Human hepatocytes

qRT‒PCR

IH upregulated the levels of SELENOP in human hepatocytes to potentiate insulin resistance and upregulated the levels of HIP/PAP mRNAs to promote cell proliferation via a miR-203-mediated mechanism.

Uchiyama et al. (2017)694

miR-452

Down

RETN, TNF-α, and CCL2

Mouse adipocytes and human liposarcoma adipocytes

qRT‒PCR

IH downregulated miR-452, resulting in increased levels of RETN, TNFα, and CCL2, leading to insulin resistance

Uchiyama et al. (2019)695

miR-126a-3p

Down

HIF-1a

The blood, heart tissues, and abdominal aortas of rats; rat aortic smooth muscle cells

qRT‒PCR

IH decreased miR-126a-3p levels and increased HIF-1α expression, which promoted hypertension in the OSAS rat model

He et al. (2020)696

miR-320b

Down

USP37

Lung cancer tissues and lung cancer cells

qRT‒PCR

IH-induced miR-320b downregulation promoted the proliferation and invasion capabilities of lung cancer cells through a USP37-mediated mechanism

Li et al. (2021)697

miR-21

Up

Spry1/ERK/MMP-9, PTEN/PI3K/AKT and NF-κB pathways

Rat atrial tissues

RT‒qPCR

IH-induced upregulation of miR-21 expression promotes atrial remodeling and fibrosis

Zhang et al. (2018)698

miR-214-3p

Up

CTRP9

Cardiac tissue of IH mice

qRT‒PCR

Myocardial infarction + IH upregulated miR-214-3p, inhibited cardiac CTRP9 expression and exacerbated cardiac remodeling and heart failure

Du et al. (2020)699

miR-1249

miR-193

miR-218

miR-30B

Up

Unknown

Mouse aortic endothelial cell

qRT‒PCR

Different miRNA expression patterns could be induced by IH, in which downregulation of miR-193 was associated with the expression of autophagy- and apoptosis-related genes.

Liu et al. (2018)468

miR-16

miR-718

Down