Part 1 obgyn notes Sri Lanka
    NOTES for part 1
    /
    pathology
    /
    6.Neoplasia
    /
    5.MicroRNAs (miRNAs)

    5.MicroRNAs (miRNAs)

    Owner
    U
    Untitled
    Verification
    Tags

    1. Definition & Core Features

    • miRNAs = microRNAs
    • Non-coding RNA molecules
    • Single-stranded
    • Approx. ~22 nucleotides long
    • Regulate gene expression post-transcriptionally
    • Act as negative regulators

    Mechanisms of action

    miRNAs inhibit gene expression by:

    1. Translation repression
    2. – ribosome cannot read mRNA efficiently

    3. mRNA cleavage/degradation
    4. – message is destroyed

    Memory hook:

    miRNAs = “micro managers” → either block the message or cut it.

    2. Why miRNAs matter in Cancer

    miRNAs regulate:

    • cell growth
    • differentiation
    • survival

    Dysregulation alters balance:

    Two main cancer-driving mechanisms:

    Mechanism A – Overactive miRNAs targeting tumor suppressor genes

    • ↑ miRNA activity
    • ↓ tumor suppressor gene expression
    • Removes brakes on cell proliferation/survival

    These cancer-promoting miRNAs are called:

    • OncomiRs

    Memory hook:

    OncomiRs = “overactive silencers of the good guys.”

    Mechanism B – Loss of miRNAs that normally inhibit oncogenes

    • ↓ miRNAs that restrain oncogene mRNA
    • ↑ oncogene protein levels
    • Presses accelerator on cell survival/growth

    Cancer analogy:

    Loss of TS-miRNAs = no guards → oncogenes run free.

    3. Key Gene Examples Regulated by miRNAs in Cancer

    Example 1 – BCL2

    • Anti-apoptotic protein
    • Loss/deletion of some miRNAs in:
      • leukemias
      • lymphomas
    • → ↑ BCL2 levels
    • Consequence: ↓ apoptosis → prolonged cancer cell survival

    Example 2 – RAS

    • Oncogene promoting proliferation
    • miRNA dysregulation contributes in:
      • lung tumors

    Example 3 – MYC

    • Proliferative oncogene
    • miRNA dysregulation in:
      • B-cell leukemias

    Memory hook:

    "RAS, MYC, BCL2 dance to the tune of miRNAs."

    4. Flow Summary: miRNAs → Cancer

    1. miRNAs are ~22 nt RNAs that regulate gene expression post-transcriptionally
      1. via:

      2. translation repression
      3. mRNA cleavage
    2. Pathway 1 – OncomiRs
      • ↑ miRNAs targeting tumor suppressors
      • ↓ tumor suppressor proteins
      • → cancer development
    3. Pathway 2 – Loss of tumor-suppressor miRNAs
      • ↓ miRNAs targeting oncogenes
      • ↑ oncogene proteins
      • → cancer development
    4. Example consequences:
      • ↑ BCL2 in leukemias/lymphomas
      • Dysregulation of RAS in lung tumors
      • Dysregulation of MYC in B-cell leukemias

    5. Summary Table – Compare Mechanisms

    Feature
    OncomiRs (↑ miRNAs vs TS genes)
    Loss of tumor-suppressor miRNAs (↓ miRNAs vs oncogenes)
    What changes?
    ↑ miRNAs targeting tumor suppressors
    ↓ miRNAs targeting oncogenes
    Molecular result
    ↓ tumor suppressor proteins
    ↑ oncogene proteins
    Cell-level effect
    Removes brakes
    Hits accelerator
    Example genes
    Conceptual: any tumor suppressor gene
    BCL2 ↑ anti-apoptosis; RAS ↑ growth signalling; MYC ↑ proliferation
    Tumors mentioned
    Conceptual – any with TS repression
    Leukemias/lymphomas (BCL2), lung tumors (RAS), B-cell leukemias (MYC)
    Memory hook
    “OncomiRs = overactive silencers of the good guys.”
    “RAS, MYC, BCL2 dance to the tune of miRNAs.”

    6. Final Take-Home

    • miRNAs = small but powerful gene expression regulators
    • Balanced miRNA signalling maintains normal control.
    • In cancer, the balance is flipped:
      • too much silencing of tumor suppressors
      • too little silencing of oncogenes
    • Net result:
      • subtle post-transcriptional regulation by tiny RNAs has a major tumor-promoting impact when dysregulated.

    If you'd like, I can now:

    ✔ convert this into an active recall sheet

    ✔ produce a Google Docs–ready version (white-text answer formatting)

    ✔ add clinical case MCQs on miRNA dysregulation