The relevance of microRNA in post-infarction left ventricular remodelling and heart failure
Mieczysław Dutka1, Rafał Bobiński2, Jan Korbecki2
1Department of Biochemistry and Molecular Biology, University of Bielsko-Biala, Faculty of Health Sciences, Willowa St. 2, 43-309, Bielsko-Biała, Poland. mdutka@ath.bielsko.pl.
Abstract:
Myocardial infarction and post-infarction left ventricular remodelling involve a high risk of morbidity and mortality. For this reason, ongoing research is being conducted in order to learn the mechanisms of unfavourable left ventricular remodelling following a myocardial infarction. New biomarkers are also being sought that would allow for early identification of patients with a high risk of post-infarction remodelling and dysfunction of the left ventricle. In recent years, there has been ever more experimental data that confirms the significance of microRNA in cardiovascular diseases. It has been confirmed that microRNAs are stable in systemic circulation, and can be directly measured in patients' blood. It has been found that significant changes occur in the concentrations of various types of microRNA in myocardial infarction and heart failure patients. Various types of microRNA are also currently being intensively researched in terms of their usefulness as markers of cardiomyocyte necrosis, and predictors of the post-infarction heart failure development. This paper is a summary of the current knowledge on the significance of microRNA in post-infarction left ventricular remodelling and heart failure.
Insights
MicroRNAs show promise as early biomarkers for predicting adverse left ventricular remodelling and heart failure after myocardial infarction. Research highlights their stability in circulation and altered levels in patients, aiding risk stratification.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Biomarker Discovery
Background:
- Myocardial infarction (MI) and subsequent left ventricular (LV) remodelling pose significant morbidity and mortality risks.
- Identifying patients at high risk for adverse LV remodelling and dysfunction post-MI is crucial for timely intervention.
- MicroRNAs (miRNAs) are increasingly recognized for their critical roles in cardiovascular diseases.
Purpose of the Study:
- To summarize current knowledge on the significance of microRNAs in post-infarction LV remodelling.
- To explore the potential of miRNAs as early biomarkers for identifying high-risk patients.
- To review the role of miRNAs in predicting the development of heart failure after MI.
Main Methods:
- Literature review of experimental data and clinical studies on microRNAs in cardiovascular diseases.
- Analysis of research on miRNA stability in systemic circulation and their detectability in blood.
- Examination of studies reporting changes in miRNA concentrations in MI and heart failure patients.
Main Results:
- MicroRNAs are stable in circulation and measurable in patient blood, indicating their potential as accessible biomarkers.
- Significant alterations in specific miRNA concentrations are observed in patients with myocardial infarction and heart failure.
- MicroRNAs are being investigated as potential markers for cardiomyocyte necrosis and predictors of post-infarction heart failure.
Conclusions:
- MicroRNAs hold significant potential as valuable biomarkers for assessing post-infarction left ventricular remodelling.
- Further research into microRNAs could lead to improved early detection and management strategies for heart failure post-MI.
- MicroRNA profiling may offer a novel approach for risk stratification in patients following myocardial infarction.
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