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Published on: July 5, 2021
MicroRNAs and cardiac conduction
M V G Latronico1, G Condorelli
1Scientific and Technology Pole, Casa di Cura MultiMedica-IRCCS, via Gaudenzio Fantoli 16/15, Milan, Italy.
Insights
Cardiac ion channel regulation is vital for heart function. MicroRNAs offer a new understanding of how these channels are controlled and how their dysfunction leads to heart disease.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Cardiac Electrophysiology
Background:
- Heart ion channel function is dynamically regulated by physiological and pathological states.
- Existing knowledge on ion channel control mechanisms, particularly during disease, is incomplete.
- Adverse stress can lead to arrhythmogenic channel remodeling via regulatory pathways.
Purpose of the Study:
- To explore the role of microRNA-mediated posttranscriptional control in cardiac electrophysiology.
- To elucidate how these novel regulators contribute to cardiac pathology.
- To highlight recent discoveries in microRNA regulation of cardiac ion channels.
Main Methods:
- Review of recent discoveries in microRNA-mediated posttranscriptional regulation.
- Analysis of microRNA involvement in cardiac electrophysiology.
- Investigation of microRNA roles in cardiac disease pathways.
Main Results:
- MicroRNAs represent a significant layer of posttranscriptional control for cardiac ion channels.
- Dysregulation of microRNA pathways is implicated in arrhythmogenic channel remodeling.
- These regulators are involved in both normal cardiac electrophysiology and disease pathogenesis.
Conclusions:
- MicroRNA-mediated control is a crucial, recently identified mechanism in cardiovascular biology.
- Understanding microRNA roles is essential for deciphering cardiac electrophysiology and pathology.
- Targeting microRNAs may offer new therapeutic strategies for heart rhythm disorders.
Abstract:
Heart ion-channel function and expression are continuously being regulated on the basis of the hemodynamic state of the cardiovascular system, the neurohumoral milieu and the properties of the ongoing ionic fluxes. These homeostatic forces act through multiple mechanisms at transcriptional, translational and post-translational levels. Of clinical importance is the fact that with adverse stress these regulatory mechanisms can produce arrhythmogenic channel remodelling. Although a great deal is known about the functionality of ion channels and the generation of the action potential, much less is known about the underlying controlling mechanisms and how these become derailed during disease. microRNA-mediated posttranscriptional control is a very recent addition to cardiovascular biology. Here, we outline discoveries pertaining to these new regulators and how they might be involved in cardiac electrophysiology and pathology.
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