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Published on: June 15, 2018
Circulating miRNA29 family expression levels in patients with essential hypertension as potential markers for left
Yuqing Huang1, Songtao Tang2, Cheng Huang1
1a Department of Cardiology , Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Disease, Guangdong General Hospital, Guangdong Academy of Medical Sciences, School of Medicine, South China University of Technology , Guangzhou , China.
Insights
Elevated levels of circulating microRNAs (miRs) miR-29a, miR-29b, and miR-29c were observed in patients with essential hypertension. These miRs show potential as non-invasive biomarkers for hypertension-related target-organ damage.
Area of Science:
- Cardiovascular Research
- Molecular Biology
- Biomarker Discovery
Background:
- Hypertension poses a significant risk for cardiovascular diseases.
- Target-organ damage (TOD) in hypertension lacks specific diagnostic biomarkers.
- MicroRNAs (miRs) are increasingly recognized for their role in cardiovascular pathogenesis.
Purpose of the Study:
- To identify and validate circulating miRs as novel biomarkers for TOD in essential hypertension.
- To assess the expression levels of miR-29a, miR-29b, and miR-29c in hypertensive patients.
- To correlate miR expression with blood pressure and echocardiographic parameters.
Main Methods:
- Quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) to measure miR-29a, miR-29b, and miR-29c expression.
- Analysis of 54 untreated essential hypertension patients and 30 healthy controls.
- Echocardiography and ambulatory blood pressure monitoring to assess TOD and hypertension severity.
Main Results:
- Hypertensive patients exhibited significantly higher expression of miR-29a, miR-29b, and miR-29c compared to healthy individuals.
- Elevated miR-29 family expression was also noted in hypertensive patients with left ventricular hypertrophy (LVH).
- Significant positive correlations were found between miR-29 levels and various blood pressure parameters (SBP, DBP, PP) and left ventricular mass index (LVMI).
Conclusions:
- The miR-29 family (miR-29a, miR-29b, miR-29c) shows promise as potential non-invasive biomarkers.
- These circulating miRs may aid in diagnosing hypertension and its associated target-organ damage.
- Further research is warranted to fully establish their clinical utility.
Objectives:
The role of microRNAs (miRs,miRNAs) in the pathogenesis of cardiovascular diseases such as hypertension, as well as their diagnostic potential, has recently attracted much attention. However, target-organ damage (TOD) of hypertension remains a substantial challenge due to the lack of specific biomarkers. The present study was undertaken to identify and validate the potential of circulating miRs as novel biomarkers for TOD.
Methods:
We assessed the expression levels of miR-29a, miR-29b, and miR-29c in 54 patients with untreated essential hypertension and 30 healthy individuals. All patients underwent two-dimensional echocardiography, office, and ambulatory blood pressure monitoring. Quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) was used to evaluate the expression of selected miRs. The expression level of miR-29a, miR-29b, and miR-29c correlations between blood pressure and echocardiography parameters were assessed using the Spearman correlation coefficient.
Results:
We observed higher expression levels of miR-29a (31.50 ± 3.90 vs 26.55 ± 1.74; p < 0.001), miR-29b (32.31 ± 2.85vs 27.21 ± 1.59; p < 0.001), and miR-29c (31.13 ± 3.42 vs 25.96 ± 1.88; p < 0.001) in hypertensive patients compared with healthy control individuals. In hypertension patients, 25 patients were left ventricular hypertrophy (LVH), miR-29a (32.82 ± 4.06 vs 30.07 ± 3.68; p = 0.012), miR-29b (33.27 ± 2.84 vs 30.71 ± 3.04; p = 0.02), and miR-29c (32.33 ± 3.52 vs 29.55 ± 3.46; p = 0.005) in LVH patients compared with nLVH patients. We found miR-29a, miR-29b, and miR-29c expression levels showed significant positive correlations with office SBP (p = 0.579, p < 0.001; r = 0.576, p < 0.001; r = 0.598, p < 0.001), office DBP (p = 0.243, p = 0.026; r = 0.304, p = 0.005; r = 0.287, p = 0.008), office PP(r = 0.49, p < 0.001; r = 0.442, p < 0.001; r = 0.479, p < 0.001), 24 h mean SBP(p = 0.511, p < 0.001; r = 0.6, p < 0.001; r = 0.533, p < 0.001), 24 h mean DBP (p = 0. 304, p = 0.005; r = 0.283, p = 0.009; r = 0.340, p = 0.002), and 24 h mean PP (p = 0.385, p < 0.001; r = 0. 506, p < 0.001; r = 0.386, p < 0.001), respectively. The expression levels of miR-29a, miR-29b, and miR-29c were positively related to LVMI (r = 0.65, p < 0.001; r = 0.715, p < 0.001; r = 0.654, p < 0.001), respectively.
Conclusion:
Circulating the miR-29 family may possibly represent potential non-invasive markers of hypertension and TOD in essential hypertensive patients.
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