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Narrative review explores miRNA signalling versus conventional RNA therapeutics in metabolic dysfunction-associated steatotic liver disease

Narrative review explores miRNA signalling versus conventional RNA therapeutics in metabolic dysfunc…
Photo by CDC / Unsplash
Key Takeaway
Note that this narrative review lacks reported outcomes or safety data for miRNA signalling in steatotic liver disease.

This source is a narrative review focusing on miRNA signalling within the context of metabolic dysfunction-associated steatotic liver disease. The publication compares this mechanism against conventional RNA-based therapeutics but does not report a specific study population, sample size, or setting. Consequently, no primary or secondary outcomes were quantified in this document.

The authors do not provide pooled effect sizes, p-values, confidence intervals, or adverse event rates. Safety data, including tolerability and discontinuations, were not reported. The review does not establish causality or provide specific follow-up durations.

Because key details such as the population, intervention specifics, and main results are not reported, the practice relevance is not defined. The authors acknowledge these gaps, noting that the evidence is currently incomplete for direct clinical application.

Readers should interpret these findings as a qualitative overview rather than quantitative evidence. The review highlights the theoretical comparison between miRNA signalling and standard RNA therapies without providing data to support specific clinical decisions.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
MicroRNAs (miRNAs) are short non-coding RNA molecules that are involved in metabolic dysfunction-associated steatotic liver disease (MASLD) either by promoting or inhibiting the transition from hepatic steatosis to steatohepatitis/fibrosis or even hepatocellular carcinoma. Mechanistically, miRNAs regulate the progression of MASLD through intercellular communication within hepatic tissues or remote transport into the liver from extrahepatic tissue. In comparison with conventional RNA-based therapeutics, miRNAs show irreplaceable advantages for MASLD treatment, including reduced immunogenicity, enhanced therapeutic precision, and improved structural stability. This review systematically summarizes the assignable roles of miRNA-mediated intrahepatic or extrahepatic communication in MASLD, and evaluates the existing miRNA-targeting therapeutic strategies for MASLD.
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