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MicroRNAs Association in the Cardiac Hypertrophy Secondary to Complex Congenital Heart Disease in Children
Ma C Sánchez-Gómez1,2, K A García-Mejía1, M Pérez-Díaz Conti3
1Laboratory of Developmental Biology Research and Experimental Teratogenicity, Children's Hospital of Mexico Federico Gomez (HIMFG), CP 06720, Mexico City, Mexico.
Insights
Early diagnosis of congenital heart disease (CHD) is crucial. Specific microRNAs (miRNAs) in cardiac tissue and plasma show promise as biomarkers for diagnosing cardiac hypertrophy (CH) in infants with CHD.
Area of Science:
- Cardiology
- Molecular Biology
- Pediatrics
Background:
- Complex congenital heart disease (CHD) causes ventricular pressure overload, leading to cardiac hypertrophy (CH), myocardial dysfunction, and increased mortality risk.
- Early diagnosis and surgical intervention in infants with CHD are critical for survival.
Purpose of the Study:
- To investigate the expression of 11 adult CH-specific microRNAs (miRNAs) in pediatric cardiac tissue and plasma.
- To identify potential miRNA biomarkers for early diagnosis of CH in infants with CHD.
Main Methods:
- Analysis of miRNA expression in cardiac tissue and plasma from children with CH secondary to CHD.
- Comparison of miRNA profiles with those from healthy children.
Main Results:
- A specific miRNA expression profile (miRNAs 1, 18b, 21, 23b, 133a, 195, and 208b) was identified in the cardiac tissue of children with CHD.
- miRNAs 21, 23a, 23b, and 24 were identified as potential specific biomarkers for diagnosing CH in infants with CHD.
Conclusions:
- Cardiac hypertrophy secondary to CHD in children exhibits distinct mechanisms compared to adult hypertrophy.
- Identified miRNAs hold potential as biomarkers for the early detection of CH in pediatric CHD patients, offering new research avenues.
Abstract:
Complex congenital heart disease (CHD) affects cardiac blood flow, generating a pressure overload in the compromised ventricles and provoking hypertrophy that over time will induce myocardial dysfunction and cause a potential risk of imminent death. Therefore, the early diagnosis of complex CHD is paramount during the first year of life, with surgical treatment of patients favoring survival. In the present study, we analyzed cardiac tissue and plasma of children with cardiac hypertrophy (CH) secondary to CHD for the expression of 11 miRNAs specific to CH in adults. The results were compared with the miRNA expression patterns in tissue and blood of healthy children. In this way, we determined that miRNAs 1, 18b, 21, 23b, 133a, 195, and 208b constitute the expression profile of the cardiac tissue of children with CHD. Meanwhile, miRNAs 21, 23a, 23b, and 24 can be considered specific biomarkers for the diagnosis of CH in infants with CHD. These results suggest that CH secondary to CHD in children differs in its mechanism from that described for adult hypertrophy, offering a new perspective to study the development of this pathology and to determine the potential of hypertrophic miRNAs to be biomarkers for early CH.
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