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[Association between plasma microRNA-29a and left ventricular hypertrophy in patients with hypertension]
1Department of Cardiology, People's Liberition Army General Hospital, Beijing 100853, China.
Abstract:
Objective: Previous studies have shown that plasma microRNA-29a (miRNA-29a) is associated with myocardial fibrosis and the degree of cardiac hypertrophy in patients with hypertrophic cardiomyopathy. However, the relationship between plasma miRNA-29a and hypertensive left ventricular hypertrophy (LVH) has not yet been reported. So the purpose of this study is to investigate the relationship between the plasma miRNA-29a and hypertensive LVH. Method: Enrolled 168 hypertensive patients and classified the patients into 2 groups: those with LVH (LVH group, n=41) and those without LVH (NLVH group, n=127). All patients underwent echocardiography examination. Left ventricular mass index (LVMI) was calculated by interventricular septal thickness (IVSd), left ventricular posterior wall thickness(LVPWTd), left ventricular end diastolic dimension (LVEDD) and left ventricular mass index (LVMI) were obtained. Plasma levels of miRNA-29a were assessed by quantitative real-time polymerase chain reaction (qRT-PCR). The relationship between plasma miRNA-29a levels and LVH was analyzed. Results: Plasma miRNA-29a was significantly higher in LVH group than in NLVH group (0.52±0.10 vs. 0.37±0.07, t=9.788, P<0.01) . Pearson correlation analysis evidenced a positive correlation between plasma miRNA-29a levels and IVSd(R=0.459, P<0.01), LVPWTd (R=0.398, P<0.01), and LVMI (R=0.745, P<0.01). After adjustment for gender, age, systolic blood pressure, diastolic blood pressure, body mass index, hypertension duration, antihypertensive drugs, multiple regression analysis showed that there were still positive correlations between plasma miRNA-29a level and IVSd (β=0.535, P<0.01), LVPWTd (β=0.085, P<0.01), and LVMI (β=0.806, P<0.01). Conclusion: Plasma miRNA-29a level is positively associated with LVH in hypertensive patients, and future studies are warranted to explore if miRNA-29a could be used as a potential biomarker for LVH assessment in hypertensive patients.
Insights
Plasma microRNA-29a (miRNA-29a) is elevated in hypertensive patients with left ventricular hypertrophy (LVH). This finding suggests miRNA-29a may serve as a potential biomarker for assessing LVH in hypertension.
Area of Science:
- Cardiology
- Molecular Biology
- Biomarkers
Background:
- Plasma microRNA-29a (miRNA-29a) is linked to myocardial fibrosis and cardiac hypertrophy in hypertrophic cardiomyopathy.
- The association between plasma miRNA-29a and hypertensive left ventricular hypertrophy (LVH) remains uninvestigated.
Purpose of the Study:
- To investigate the relationship between plasma miRNA-29a levels and LVH in hypertensive patients.
Main Methods:
- 168 hypertensive patients were classified into LVH (n=41) and non-LVH (NLVH, n=127) groups.
- Echocardiography was used to assess left ventricular mass index (LVMI), interventricular septal thickness (IVSd), and left ventricular posterior wall thickness (LVPWTd).
- Plasma miRNA-29a levels were quantified using quantitative real-time polymerase chain reaction (qRT-PCR).
Main Results:
- Plasma miRNA-29a levels were significantly higher in the LVH group compared to the NLVH group (0.52±0.10 vs. 0.37±0.07, P<0.01).
- Positive correlations were observed between plasma miRNA-29a levels and IVSd (R=0.459, P<0.01), LVPWTd (R=0.398, P<0.01), and LVMI (R=0.745, P<0.01).
- Multiple regression analysis confirmed positive correlations between plasma miRNA-29a and IVSd (β=0.535, P<0.01), LVPWTd (β=0.085, P<0.01), and LVMI (β=0.806, P<0.01) after adjustments.
Conclusions:
- Plasma miRNA-29a levels are positively associated with LVH in hypertensive patients.
- Further research is needed to determine if miRNA-29a can be utilized as a biomarker for LVH assessment in hypertensive individuals.
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