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Updated: Jan 6, 2026

Non-invasive Assessment of Microvascular and Endothelial Function
Published on: January 29, 2013
Circulating miR-21 levels in hypertensive patients with asymptomatic organ damage
Erkan Yildirim1, Emrah Ermis1, Samir Allahverdiyev1
1Department of Cardiology.
Insights
Hypertension (HT) can cause asymptomatic organ damage (AOD). This study found that plasma microRNA-21 (miR-21) levels were higher in hypertensive patients with AOD, suggesting miR-21 may indicate organ damage.
Area of Science:
- Cardiovascular Disease Research
- Biomarker Discovery
- Molecular Cardiology
Background:
- Hypertension (HT) is a major cardiovascular disease risk factor.
- Asymptomatic organ damage (AOD) is a critical complication of HT.
- Early detection of AOD is crucial for managing HT.
Purpose of the Study:
- To compare plasma microRNA-21 (miR-21) levels and AOD markers (carotid intima-media thickness [CIMT], microalbuminuria [MAU]) between hypertensive patients and healthy controls.
- To evaluate plasma miR-21 levels in hypertensive patients with and without AOD.
- To explore the relationship between plasma miR-21 and indicators of organ damage in HT.
Main Methods:
- Cross-sectional observational study design.
- Inclusion of 32 hypertensive patients and 32 healthy controls.
- Measurement of plasma miR-21, CIMT, MAU, and C-reactive protein.
Main Results:
- Plasma miR-21 levels were significantly correlated with systolic and diastolic blood pressure, MAU, C-reactive protein, and CIMT.
- Hypertensive patients with AOD exhibited significantly higher levels of CIMT, miR-21, and MAU compared to those without AOD.
- Elevated plasma miR-21 levels were observed in hypertensive patients with AOD.
Conclusions:
- Plasma miR-21 is a potential biomarker for detecting asymptomatic organ damage in hypertensive patients.
- Increased miR-21 levels are associated with established markers of organ damage in hypertension.
- Further research is warranted to elucidate the role of miR-21 in HT-related cardiovascular complications.
Abstract:
As a modifiable risk factor for cardiovascular disease, presence of hypertension (HT) necessitates the awareness of asymptomatic organ damage (AOD). The aim of this study was to measure plasma micro RNA-21 (miR-21) and the parameters that reflect AOD such as carotid intima-media thickness (CIMT), microalbuminuria (MAU) in hypertensive patients compared with healthy controls. In addition, the aim of this study was to evaluate plasma miR-21 levels in HT patients with AOD.This study was designed as a cross-sectional observational study. The study includes 2 groups: 32 patients with HT and 32 healthy controls. First, we compared these 2 groups. Then, to underline the relationship between plasma miR-21 and HT, hypertensive patients were divided into 2 groups: with AOD and without AOD.Sixteen patients with HT had AOD. MiR-21 levels significantly correlated with clinical systolic and diastolic blood pressure, MAU, C-reactive protein, and CIMT. CIMT, miR-21, and MAU levels were significantly higher in patients with AOD.Our study showed increased miR-21 levels in HT patients with AOD.
Related Concept Videos
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension and Regulation of Blood Pressure
Hypertension II: Pathophysiology
Hypertension I: Introduction
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

