MicroRNAs and cardiac fibrosis: A comprehensive update on mechanisms and consequences

Zekihan Gocer1, Alperen Elek2, Halil Caska3

  • 1Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.

PubMed

Insights

MicroRNAs (miRNAs) play a crucial role in cardiac fibrosis, a condition causing heart failure. Understanding miRNA regulation offers new therapeutic targets for treating this widespread public health burden.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Regenerative Medicine

Background:

  • Fibrosis, an overactivation of fibroblasts, impairs tissue regeneration, particularly in cardiac muscle.
  • Cardiac fibrosis leads to excessive extracellular matrix buildup, potentially causing arrhythmias and heart failure.
  • MicroRNAs (miRNAs) are small non-coding RNAs implicated in maintaining tissue homeostasis.

Purpose of the Study:

  • To review the current understanding of miRNA involvement in myocardial fibrosis.
  • To highlight miRNA modulation of cardiac fibrosis and identify potential therapeutic targets.

Main Methods:

  • Comprehensive literature review of recent studies on miRNAs and cardiac fibrosis.
  • Analysis of miRNA roles in regulating extracellular matrix deposition and TGF-beta signaling.
  • Identification of miRNA targets relevant to therapeutic interventions.

Main Results:

  • Evidence shows miRNAs are significantly altered in myocardial fibrosis.
  • Specific miRNAs regulate the TGF-beta signaling pathway, a key factor in fibrosis.
  • miRNAs demonstrate potential for both diagnostic and therapeutic applications in cardiac fibrosis.

Conclusions:

  • miRNAs are critical regulators of myocardial fibrosis.
  • Targeting specific miRNAs presents a promising therapeutic strategy for cardiac fibrosis.
  • Further research into miRNA mechanisms can advance treatments for heart failure.

Related Concept Videos

Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
9
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
14
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
14