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.

Heart Failure Reviews
|February 3, 2019
PubMed

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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