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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
The role of microRNAs in congenital heart disease
Orsolya Nagy1, Sándor Baráth1, Anikó Ujfalusi1
1Department of Laboratory Medicine, Faculty of Medicine, University of Debrecen, Hungary.
Insights
Congenital heart diseases (CHDs) are linked to microRNA (miR) expression changes. Understanding miRs
Area of Science:
- Developmental Biology
- Genetics and Epigenetics
- Cardiovascular Research
Background:
- Congenital heart diseases (CHDs) are the primary inherited cause of infant mortality, involving structural heart and blood vessel anomalies.
- Improved treatments have increased CHD patient lifespan, necessitating deeper understanding of disease mechanisms for better diagnosis and prognosis.
- While genetic factors are known, epigenetic changes, particularly microRNAs (miRs), are increasingly recognized in CHD development.
Purpose of the Study:
- To review the current understanding of microRNAs' (miRs) role in cardiac development.
- To discuss the causative involvement of miRs in congenital heart diseases (CHDs).
- To highlight the potential of miRs as diagnostic markers and therapeutic targets for CHDs.
Main Methods:
- Review of existing scientific literature and experimental data.
- Analysis of studies investigating microRNA expression in cardiac development and CHDs.
- Synthesis of evidence linking miRs to cardiovascular disease pathogenesis.
Main Results:
- MicroRNAs (miRs) play a crucial role in regulating gene expression during complex cardiac tissue formation.
- Altered miR expression levels are associated with various human cardiovascular diseases, including congenital heart diseases (CHDs).
- Experimental models provide evidence for the link between miRs and heart development anomalies.
Conclusions:
- MicroRNAs (miRs) are significant regulators of heart development and are implicated in the etiology of congenital heart diseases (CHDs).
- The correlation between miRs and heart development suggests their potential as diagnostic biomarkers for cardiovascular diseases.
- Further research into miRs is crucial for advancing personalized management and treatment strategies for CHD patients.
Abstract:
Congenital heart diseases (CHDs) are the leading inherited cause of perinatal and infant mortality. CHD refers to structural anomalies of the heart and blood vessels that arise during cardiac development and represents a broad spectrum of malformations, including septal and valve defects, lesions affecting the outflow tract and ventricules. Advanced treatment strategies have greatly improved life expectancy and led to expanded population of adult patients with CHD. Thus, a better understanding of the pathogenesis and molecular mechanisms underlying CHDs is essential to improve the diagnosis and prognosis of patients. The etiology of CHD is largely unknown, genetic and environmental factors may contribute to the disease. In addition to the mutations affecting genomic DNA, epigenetic changes are being increasingly acknowledged as key factors in the development and progression of CHDs. The posttranscriptional regulation of gene expression by microRNAs (miRs) controls the highly complex multi-cell lineage process of cardiac tissue formation. In recent years, multiplex experimental models have provided evidence that changes in expression levels of miRs are associated with human cardiovascular disease, including CHD. The newly described correlations between miRs and heart development suggest the potential importance of miRs as diagnostic markers in human cardiovascular diseases. In the future, more intensive research is likely to be carried out to clarify their contribution to personalized management and treatment of CHD patients. In this paper, we discuss the current knowledge on the causative role of miRs in cardiac development and CHDs.
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