Target intelligence / Profile preview

MicroRNA-122 (miR-122) (miR-122)

Target
miR-122
Molecular classification
MicroRNA, Non-coding RNA
01

Overview

MicroRNA-122 (miR-122) is a highly conserved, liver-specific non-coding RNA that accounts for approximately 70% of the total microRNA population in the adult liver (Jopling, 2012, Liver Int). It plays a pivotal role in maintaining hepatic phenotype and regulating diverse physiological processes, including cholesterol biosynthesis, fatty acid metabolism, and iron homeostasis (Esau et al., 2006, Cell Metab). miR-122 is uniquely required for the life cycle of the Hepatitis C virus (HCV); it binds to two sites in the 5' untranslated region of the viral RNA, providing stability and promoting replication (Jopling et al., 2005, Science). In oncology, miR-122 is frequently downregulated in hepatocellular carcinoma, where it functions as a tumor suppressor by inhibiting cell proliferation and invasion (Coulouarn et al., 2009, Hepatology). Therapeutic targeting of miR-122 primarily utilizes antisense oligonucleotides (antagomirs) like Miravirsen to sequester the microRNA, thereby inhibiting HCV replication or modulating metabolic pathways (Janssen et al., 2013, NEJM). However, long-term inhibition poses challenges due to its role in preventing malignant transformation in liver tissue (Hsu et al., 2012, J Clin Invest).

Other names
hsa-miR-122miR-122-5pLiver-specific microRNAMIR122MicroRNA 122
02

Mechanism of action

Antisense oligonucleotides (ASOs) or antagomirs bind to and sequester mature miR-122, preventing it from binding to its natural mRNA targets or the Hepatitis C virus (HCV) genome, thereby inhibiting viral replication and modulating host gene expression (Janssen et al., 2013, NEJM; van der Ree et al., 2017, Lancet).

03

Biological functions

Viral replicationLipid metabolismCholesterol homeostasisIron homeostasisTumor suppressionCell differentiation
04

Disease associations

Hepatitis CHepatocellular carcinomaNonalcoholic fatty liver diseaseHypercholesterolemiaLiver cirrhosis
05

Safety considerations

Potential for promoting hepatocarcinogenesis due to the loss of miR-122 tumor suppressor function (Hsu et al., 2012, J Clin Invest)Significant reductions in serum cholesterol (LDL and HDL)Potential off-target effects on iron metabolismInjection site reactions associated with antisense oligonucleotide delivery
06

Interacting drugs

Miravirsen

2 more in the full profile.

07

Biomarkers

Serum miR-122 levels (Thum, 2014, Nat Rev Drug Discov)HCV RNA viral loadSerum cholesterol levelsAlanine aminotransferase (ALT)

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