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MicroRNAs in disease and health: aberrant regulation in lung cancer and association with genomic variation Urmo Võsa Recent discoveries have demonstrated that the lion's share of RNA transcribed from human genome is not encoding structural proteins but instead regulates the action of protein-coding genes. The most widely studied class of non-coding RNAs are microRNAs, small ~20 nucleotide long molecules which regulate the activity of genes by binding the targeted RNAs. MicroRNAs are important in most biological processes and are involved in pathogenesis of several diseases, for example cancers. They can serve as potential drug targets and biomarkers which could be used for earlier detection and better diagnosis. In this thesis, microRNA expression changes in non-small cell lung cancer were investigated. Cancer samples were collected from lung cancer patients and the expression levels of 858 microRNAs were measured. The analysis revealed 72 microRNAs with changed expression pattern in cancer which could be involved in the formation of tumor or serve as potential biomarkers. One microRNA showed association with patient post-operative survival. Because results of this and other similar studies are quite variable, systematic meta-analysis was conducted by special method enabling the comparison of ranked gene lists. Meta-analysis of twenty studies revealed the robust set of seven up- and eight down-regulated microRNAs in lung cancer. Variable positions in human genome influence the expression levels of thousands of RNAs. In this thesis, the hypothesis that variants mapping into microRNA binding sites may influence the expression of mRNAs via microRNA binding was tested. For that, variable genomic positions were intersected with bioinformatically predicted microRNA target sites. Several genes were prioritized in which those variants are likely to play regulatory role. However, there was no global overrepresentation of associations that agree with the logic of microRNA action mechanism, suggesting that additional mechanisms may be involved in this process. This thesis widened our knowledge about microRNA aberrations in lung cancer, helped to systematize the previous knowledge and connected the regulatory potential of microRNAs with normal genetic variation.