Expression of Circulating miR-21 and -29 and their Association with Myocardial Fibrosis in Hypertrophic Cardiomyopathy

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BACKGROUND: Hypertrophic Cardiomyopathy (HCM) is characterized by myocardial hypertrophy, fibrosis, and sarcomeric disarray.

OBJECTIVE: To evaluate the expression levels of circulating miR-21 and -29 in patients with HCM and their association with clinical characteristics and myocardial fibrosis.

METHODS: In this case-control study, 27 subjects with HCM, 13 subjects with hypertensive cardiomyopathy, and 10 control subjects were enrolled. Evaluation of patients' functional capacity was made by the six-minute walk test. Echocardiographic measurements of left ventricle systolic and diastolic function were conducted. Cardiac magnetic resonance late gadolinium enhancement (LGE) -through a semiquantitative evaluation- was used in the assessment of myocardial fibrosis extent in HCM patients. The expression of miR-21 and -29 in peripheral blood samples of all patients was measured via the method of quantitative reverse transcription polymerase chain reaction.

RESULTS: Circulating levels of miR-21 were higher in both hypertensive and HCM (p<0.001) compared to controls, while expression of miR-29 did not differ between the three studied groups. In patients with HCM and LGE-detected myocardial fibrosis in more than 4 out of 17 myocardial segments, delta CT miR-21 values were lower than in patients with myocardial LGE in 3 or fewer myocardial segments (2.71 ± 1.06 deltaCT vs. 3.50 ± 0.55 deltaCT, p=0.04), indicating the higher expression of circulating miR-21 in patients with more extensive myocardial fibrosis.

CONCLUSION: MiR-21 was overexpressed in patients with HCM and hypertensive cardiomyopathy. Importantly, in patients with HCM, more extensive myocardial fibrosis was associated with higher levels of miR-21.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Current medicinal chemistry - (2024) vom: 30. Jan.

Sprache:

Englisch

Beteiligte Personen:

Angelopoulos, Andreas [VerfasserIn]
Oikonomou, Evangelos [VerfasserIn]
Antonopoulos, Alexios [VerfasserIn]
Theofilis, Panagiotis [VerfasserIn]
Zisimos, Konstantinos [VerfasserIn]
Katsarou, Ourania [VerfasserIn]
Gazouli, Maria [VerfasserIn]
Lazaros, George [VerfasserIn]
Papanikolaou, Paraskevi [VerfasserIn]
Siasos, Gerasimos [VerfasserIn]
Tousoulis, Dimitrios [VerfasserIn]
Tsioufis, Konstantinos [VerfasserIn]
Vlachopoulos, Charalambos [VerfasserIn]

Links:

Volltext

Themen:

Hypertrophic cardiomyopathy
Journal Article
MiR-21
MiR-29
Myocardial fibrosis.

Anmerkungen:

Date Revised 01.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.2174/0109298673286017240103073130

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367886944