miR-130a expression is related to aortic dilation in bicuspid aortic valve children

Borja Antequera-González1, Rosa Collell-Hernández2, Neus Martínez-Micaelo1

  • 1Group of Cardiovascular Research, Pere Virgili Health Research Institute (IISPV), Universitat Rovira i Virgili, 43204, Reus, Spain.

Pediatric Research
|January 25, 2024
PubMed

Insights

Lower miR-130a plasma levels in children with bicuspid aortic valve (BAV) disease indicate aortic dilation. This finding may help identify high-risk pediatric BAV patients for better care planning.

Area of Science:

  • Cardiovascular Research
  • Pediatric Cardiology
  • Molecular Biology

Background:

  • Bicuspid aortic valve (BAV) disease affects 0.5-2% of the population, potentially causing fatal aortic dilation.
  • While adult biomarkers exist, none have been validated in pediatric BAV patients.
  • This study investigates four candidate microRNAs (miRNAs) in children with BAV and aortic dilation.

Purpose of the Study:

  • To evaluate plasma levels of miR-122, miR-130a, miR-486, and miR-718 in a pediatric cohort with BAV.
  • To determine if these miRNAs correlate with aortic dilation in children.
  • To explore the functional pathways associated with identified miRNAs.

Main Methods:

  • Eighty participants aged 4-17 years were enrolled, with 40% of BAV patients exhibiting aortic dilation (z score >2).
  • Plasma samples were analyzed using RT-qPCR to quantify four specific miRNAs.
  • Functional and enrichment analyses were performed for miR-130a.

Main Results:

  • Plasma miR-130a levels were significantly lower in BAV patients with aortic dilation compared to non-dilated BAV patients and healthy controls.
  • miR-130a expression showed an inverse correlation with ascending aorta and aortic root z scores.
  • Enrichment analysis indicated that miR-130a targets are involved in the TGFβ signaling pathway.

Conclusions:

  • Decreased plasma miR-130a expression is associated with aortic dilation in pediatric BAV patients.
  • miR-130a may serve as a valuable biomarker for differentiating risk levels in children with BAV.
  • This research is the first to analyze miRNA patterns in pediatric BAV patients with aortic dilation, aiding in risk stratification and care planning.
Abstract

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