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Digital PCR for Quantifying Circulating MicroRNAs in Acute Myocardial Infarction and Cardiovascular Disease
Published on: July 3, 2018
microRNA-based diagnostics and therapy in cardiovascular disease-Summing up the facts
Christian Schulte1, Tanja Zeller1
11 Department of General and Interventional Cardiology, University Heart Center Hamburg Eppendorf, 20246 Hamburg, Germany ; 2 German Center for Cardiovascular Research (DZHK), Partner Site Hamburg/Lübeck/Kiel, Hamburg, Germany.
Abstract:
Circulating microRNAs (miRNAs) are discussed as potential disease-specific biomarkers in cardiovascular disease. Their diagnostic value has been examined in numerous studies and animal models with respect to coronary artery disease (CAD) and myocardial infarction (MI) and the prognostic abilities of circulating miRNAs in risk stratification of future disease have been evaluated. Various miRNAs are described to complement protein-based biomarkers or classical risk factors in the diagnosis of CAD or MI and even represent potential new biomarkers in the discrimination of unstable angina pectoris (UAP). Signatures consisting of sets of multiple miRNAs seem to improve the predictive power compared to single miRNAs. Furthermore, the emerging field of miRNA-based therapeutics has reached cardiovascular research. The first promising in vitro results are raising hope for future clinical application. However, methods and material used for RNA isolation, miRNA detection and normalization steps still lack ways of standardization and need to be considered carefully. This article reviews the current knowledge of miRNAs in cardiovascular disease focusing on CAD and MI and will provide an overview regarding the use of circulating miRNAs as biomarkers and potential therapeutic targets in the field of CAD.
Insights
Circulating microRNAs (miRNAs) show promise as biomarkers for diagnosing cardiovascular diseases like coronary artery disease (CAD) and myocardial infarction (MI). Research also explores their therapeutic potential, though standardization is needed.
Area of Science:
- Cardiovascular Disease Research
- Molecular Diagnostics
- Biomarker Discovery
Background:
- Circulating microRNAs (miRNAs) are investigated as disease-specific biomarkers in cardiovascular disease.
- Numerous studies have evaluated their diagnostic and prognostic value in coronary artery disease (CAD) and myocardial infarction (MI).
- miRNAs may complement existing biomarkers for diagnosing conditions like unstable angina pectoris (UAP).
Purpose of the Study:
- To review current knowledge on circulating miRNAs in cardiovascular disease, focusing on CAD and MI.
- To provide an overview of miRNAs as potential biomarkers for CAD and MI.
- To explore the emerging role of miRNAs in cardiovascular therapeutics.
Main Methods:
- Review of existing literature and studies on circulating miRNAs in cardiovascular disease.
- Analysis of diagnostic and prognostic capabilities of miRNAs in CAD and MI.
- Evaluation of miRNA-based therapeutic strategies in cardiovascular research.
Main Results:
- Circulating miRNAs show potential as disease-specific biomarkers for CAD and MI.
- Combinations of miRNAs (signatures) may offer improved predictive power over single miRNAs.
- Early in vitro results suggest potential for miRNA-based cardiovascular therapeutics.
Conclusions:
- Circulating miRNAs are promising biomarkers for diagnosing and stratifying risk in cardiovascular diseases like CAD and MI.
- miRNA signatures may enhance diagnostic accuracy.
- While therapeutic applications are emerging, standardization of methods for RNA isolation, detection, and normalization is crucial for clinical translation.
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