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Updated: Oct 24, 2025

Digital PCR for Quantifying Circulating MicroRNAs in Acute Myocardial Infarction and Cardiovascular Disease
Published on: July 3, 2018
Exploring diagnostic and prognostic predictive values of microRNAs for acute myocardial infarction: A
Gien-Kuo Lee1,2,3, Yen-Ping Hsieh4, Shang-Wei Hsu1
1Department of Healthcare Administration, Asia University, Taichung, Taiwan.
Objective:
Previous investigations yielded inconsistent results for diagnostic and prognostic predictive values of MicroRNAs (miRNAs) for acute myocardial infarction (AMI).
Methods And Results:
We systematically searched on PubMed and Web of Science for articles explored association of miRNAs and AMI published from January 1989 to March 2019. For diagnostic studies, a summary of sensitivity, specificity, positive likelihood ratios (PLR), negative likelihood ratios (NLR), and diagnostic odds ratio (DOR), which indicated the accuracy of microRNAs in the differentiation of AMI and no AMI, were calculated from the true positive (TP), true negative (TN), false positive (FP), and false negative (FN) of each study. In addition, the summary receive-operating characteristics (SROC) curve was constructed to summarize the TP and FP rates. For follow-up study, we computed hazard ratios (HRs) and 95% confidence intervals (CIs) for individual clinical outcomes. The meta-analysis showed a sensitivity [0.72 (95% CI: 0.61--0.81)] and specificity [0.88 (95% CI: 0.79--0.94)] of miR-1 for AMI. In addition, miR-133 showed a sensitivity [0.73 (95% CI: 0.55--0.85)] and specificity [0.88 (95% CI: 0.74--0.95)] for AMI. Moreover, the present study showed a sensitivity [0.83 (95% CI: 0.74--0.89)] and specificity [0.96 (95% CI: 0.82--0.99)] of miR-208 for AMI. A significant association was found between miR-208 and mortality after AMI (HR 1.09, 95% CI 1.01--1.18). It also indicated a sensitivity [0.84 (95% CI: 0.70--0.92)] and specificity [0.97 (95% CI: 0.87--0.99)] of miR-499 for AMI.
Conclusions:
Circulating miR-1, miR-133, miR-208, and miR-499 showed diagnostic values in AMI.
Insights
MicroRNAs (miRNAs) show diagnostic potential for acute myocardial infarction (AMI). Specific miRNAs like miR-1, miR-133, miR-208, and miR-499 demonstrate significant accuracy in diagnosing AMI, with miR-208 also linked to post-AMI mortality.
Area of Science:
- Biochemistry
- Molecular Biology
- Cardiology
Background:
- MicroRNAs (miRNAs) are small non-coding RNAs with regulatory roles.
- Previous studies on miRNA diagnostic and prognostic values for acute myocardial infarction (AMI) have yielded inconsistent results.
- Biomarkers for early and accurate diagnosis of AMI are crucial for timely intervention and improved patient outcomes.
Purpose of the Study:
- To systematically evaluate the diagnostic and prognostic predictive values of specific microRNAs for acute myocardial infarction (AMI).
- To consolidate existing evidence through meta-analysis to provide a clearer understanding of miRNA utility in AMI.
- To identify reliable miRNA biomarkers for AMI diagnosis and prognosis.
Main Methods:
- Systematic literature search on PubMed and Web of Science for studies on miRNAs and AMI (1989-2019).
- Meta-analysis of diagnostic accuracy studies, calculating sensitivity, specificity, PLR, NLR, and DOR.
- Construction of summary receiver-operating characteristic (SROC) curves.
- Meta-analysis of follow-up studies to compute hazard ratios (HRs) and confidence intervals (CIs) for prognostic values.
Main Results:
- miR-1 demonstrated a sensitivity of 0.72 and specificity of 0.88 for AMI diagnosis.
- miR-133 showed a sensitivity of 0.73 and specificity of 0.88 for AMI.
- miR-208 exhibited high diagnostic accuracy with sensitivity of 0.83 and specificity of 0.96 for AMI.
- miR-208 was significantly associated with increased mortality after AMI (HR 1.09).
- miR-499 presented a sensitivity of 0.84 and specificity of 0.97 for AMI diagnosis.
Conclusions:
- Circulating miR-1, miR-133, miR-208, and miR-499 possess significant diagnostic value for acute myocardial infarction (AMI).
- miR-208 also holds prognostic significance, indicating a potential role in predicting mortality post-AMI.
- These miRNAs represent promising biomarkers for the clinical management of AMI.
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