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miRNA Polymorphisms and Risk of Cardio-Cerebrovascular Diseases: A Systematic Review and Meta-Analysis
Milad Bastami1, Jalal Choupani2, Zahra Saadatian3
1Department of Medical Genetics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz 5166614766, Iran. mi.bastami@live.com.
Insights
MicroRNA (miRNA) polymorphisms play a role in cardio-cerebrovascular diseases (CCDs). Specifically, miR-146a rs2910164 and miR-499 rs3746444 are associated with increased CCD risk, particularly coronary artery disease.
Area of Science:
- Genetics
- Cardiology
- Neurology
Background:
- MicroRNAs (miRNAs) are increasingly recognized for their role in cardio-cerebrovascular diseases (CCDs).
- Associations between miRNA polymorphisms and CCD risk require comprehensive evaluation due to inconclusive prior studies.
Purpose of the Study:
- To conduct a systematic review and meta-analysis on the association between miRNA polymorphisms and CCD susceptibility.
- To clarify the role of specific miRNA polymorphisms in the risk of developing CCDs.
Main Methods:
- Systematic literature search of PubMed, Embase, Scopus, and Web of Science.
- Meta-analysis of eligible studies using odds ratios and 95% confidence intervals.
- Evaluation of 31 miRNA polymorphisms across 51 articles, with detailed analysis of six polymorphisms.
Main Results:
- Six miRNA polymorphisms were meta-analyzed; miR-146a rs2910164, miR-149 rs2292832, miR-149 rs71428439, miR-196a2 rs11614913, and miR-218 rs11134527 showed no association with overall CCD risk.
- miR-499 rs3746444 was significantly associated with CCD risk.
- Subgroup analyses indicated rs2910164 and rs3746444 were specifically linked to cardiovascular diseases (CVDs), especially coronary artery disease (CAD).
Conclusions:
- The findings suggest that miR-146a rs2910164 and miR-499 rs3746444 may influence susceptibility to CCDs.
- These specific miRNA polymorphisms, particularly miR-499 rs3746444, are implicated in the risk of developing CAD.
Abstract:
Recently extensive focus has been concentrated on the role of miRNAs in the initiation and progression of cardio-cerebrovascular diseases (CCDs) which constitute a range of conditions including cardiovascular diseases (CVDs, especially coronary artery disease (CAD)), congenital heart disease (CHD) and cerebrovascular diseases (CBVDs, especially the ischemic stroke (IS)). An increasing number of studies are evaluating the association between different miRNA polymorphisms and risk of CCDs, but results have been inconclusive. This study represents a comprehensive systematic review and meta-analysis of the association between miRNA polymorphisms and risk of CCDs. PubMed, Embase, Scopus, and Web of Science were queried to identify eligible articles. Odds ratios and 95% confidence intervals were used to assess the association of miRNA polymorphisms with CCD susceptibility. A total of 51 eligible articles evaluating the association of 31 miRNA polymorphisms were identified. Meta-analysis was performed for six miRNA polymorphisms. miR-146a rs2910164 (30 studies: 13,186 cases/14,497 controls), miR-149 rs2292832 (Nine studies: 4116 cases/3511 controls), miR-149 rs71428439 (Three studies: 1556 cases/1567 controls), miR-196a2 rs11614913 (20 studies: 10,144 cases/10,433 controls), miR-218 rs11134527 (Three studies: 2,322 cases/2,754 controls) were not associated with overall CCD. miR-499 rs3746444 was associated with CCD (20 studies: 9564 cases/8876 controls). In the subgroups, rs2910164 and rs3746444 were only associated with CVDs, especially CAD. In conclusion, the results support the existence of a role for miR-146a rs2910164 and miR-499 rs3746444 in determining susceptibility to CCDs, especially CAD.
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