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Expression of microRNAs (133b and 138) and Correlation with Echocardiographic Parameters in Patients with Alcoholic
Leiliandry de Araújo Melo1, Maria Mariana Barros Melo da Silveira1, Isabelle Cecília de Vasconcellos Piscoya1
1Faculdade de Ciencias Medicas/ Universidade de Pernambuco - FCM/UPE, Recife, Pernambuco, Brazil.
Introduction:
Alcoholic Cardiomyopathy (ACM) is a disease with a difficult diagnosis. The real mechanisms related to its pathophysiology are not fully understood.
Objective:
The aims of this study were to investigate whether miR-133b and miR-138 could be associated with ACM.
Methods:
Forty-four patients were included comprising 24 with ACM and 20 with cardiomyopathies of different etiologies (control group). Real-time PCR was performed to verify the relative expression among the studied groups. In the statistical analysis, the quantitative variables t-student Mann- Whitney and correlation of Pearson tests were carried out, while the qualitative variable comprised the chi-square test, with p<0.05 being considered statistically significant.
Results:
There was no association between clinical and sociodemographic characteristics of the groups. The patients with ACM presented downregulation of miR-133b in comparison with control patients (p=0.004). On the other hand, for the miR-138, there was no association when the ACM group was compared with the control group. The presence of miR-133b among cases and controls was not correlated with any of the echocardiographic parameters. However, the increase in the expression of miR-138 was correlated with an increase in the ejection fraction (r=0.28, p=0.01) and the diameter of the left atrium (r=0.23, p=0.04) in patients with ACM.
Conclusion:
The downregulation of miR-133b might be a marker for ACM and, in addition, miR- 138 could be used to correlate the increase in ejection fraction with and normalization of the diameter of the left atrium diameter in patients with this disease.
Insights
Downregulation of miR-133b may indicate Alcoholic Cardiomyopathy (ACM). miR-138 correlates with improved ejection fraction and left atrium diameter in ACM patients, suggesting potential diagnostic and prognostic value.
Area of Science:
- Cardiology
- Molecular Biology
- Biomarkers
Background:
- Alcoholic Cardiomyopathy (ACM) presents diagnostic challenges.
- The precise pathophysiological mechanisms of ACM remain incompletely understood.
Purpose of the Study:
- To investigate the potential association of miR-133b and miR-138 with Alcoholic Cardiomyopathy.
- To explore the role of these microRNAs in ACM pathophysiology.
Main Methods:
- Real-time PCR was employed to assess the relative expression of miR-133b and miR-138.
- Statistical analyses included t-student, Mann-Whitney, Pearson correlation, and chi-square tests (p<0.05 significance).
- Forty-four patients were analyzed: 24 with ACM and 20 in a control group with other cardiomyopathies.
Main Results:
- Patients with ACM exhibited significant downregulation of miR-133b compared to controls (p=0.004).
- No significant association was found for miR-138 between the ACM and control groups.
- In ACM patients, increased miR-138 expression correlated with enhanced ejection fraction (r=0.28, p=0.01) and left atrium diameter (r=0.23, p=0.04).
Conclusions:
- Downregulation of miR-133b may serve as a potential diagnostic biomarker for ACM.
- miR-138 shows potential for correlating with improved ejection fraction and normalized left atrium diameter in ACM patients.
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