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.

Medicine
|August 16, 2021
PubMed
Abstract

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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