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Updated: Feb 4, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Emerging Role of mTOR Signaling-Related miRNAs in Cardiovascular Diseases
Arun Samidurai1, Rakesh C Kukreja1, Anindita Das1
1Pauley Heart Center, Department of Internal Medicine, Division of Cardiology, Virginia Commonwealth University, Richmond, VA 23298, USA.
Abstract:
Mechanistic/mammalian target of rapamycin (mTOR), an atypical serine/threonine kinase of the phosphoinositide 3-kinase- (PI3K-) related kinase family, elicits a vital role in diverse cellular processes, including cellular growth, proliferation, survival, protein synthesis, autophagy, and metabolism. In the cardiovascular system, the mTOR signaling pathway integrates both intracellular and extracellular signals and serves as a central regulator of both physiological and pathological processes. MicroRNAs (miRs), a class of short noncoding RNA, are an emerging intricate posttranscriptional modulator of critical gene expression for the development and maintenance of homeostasis across a wide array of tissues, including the cardiovascular system. Over the last decade, numerous studies have revealed an interplay between miRNAs and the mTOR signaling circuit in the different cardiovascular pathophysiology, like myocardial infarction, hypertrophy, fibrosis, heart failure, arrhythmia, inflammation, and atherosclerosis. In this review, we provide a comprehensive state of the current knowledge regarding the mechanisms of interactions between the mTOR signaling pathway and miRs. We have also highlighted the latest advances on mTOR-targeted therapy in clinical trials and the new perspective therapeutic strategies with mTOR-targeting miRs in cardiovascular diseases.
Insights
The mammalian target of rapamycin (mTOR) pathway and microRNAs (miRs) interact in cardiovascular diseases. This review details their interplay and therapeutic strategies targeting mTOR and miRs for heart conditions.
Area of Science:
- Molecular Biology
- Cardiovascular Biology
- RNA Biology
Background:
- The mechanistic/mammalian target of rapamycin (mTOR) pathway regulates crucial cellular functions like growth, proliferation, and metabolism.
- MicroRNAs (miRs) are key posttranscriptional regulators of gene expression vital for cardiovascular homeostasis.
- The mTOR pathway is a central regulator in cardiovascular physiology and pathology, integrating various signals.
Purpose of the Study:
- To review the intricate mechanisms of interaction between the mTOR signaling pathway and miRs in cardiovascular pathophysiology.
- To summarize current knowledge on the interplay between mTOR and miRs in various heart diseases.
- To highlight advances in mTOR-targeted therapies and novel miR-based strategies for cardiovascular diseases.
Main Methods:
- Comprehensive literature review of studies investigating the mTOR-miR axis in cardiovascular diseases.
- Analysis of existing research on the roles of mTOR and miRs in myocardial infarction, hypertrophy, fibrosis, heart failure, arrhythmia, inflammation, and atherosclerosis.
- Evaluation of current clinical trials and emerging therapeutic strategies involving mTOR and miRs.
Main Results:
- Numerous studies demonstrate a significant interplay between miRNAs and the mTOR signaling circuit in diverse cardiovascular pathologies.
- The mTOR pathway and miRs are intricately linked, influencing processes such as cell growth, survival, and inflammation in the heart.
- Both mTOR and miRs represent promising therapeutic targets for managing cardiovascular diseases.
Conclusions:
- The interaction between the mTOR pathway and miRs is critical in cardiovascular health and disease.
- Understanding this crosstalk opens avenues for novel therapeutic strategies targeting both mTOR and miRs.
- Future research and clinical trials focusing on mTOR-miRs hold promise for treating cardiovascular diseases effectively.
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