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Published on: September 12, 2017
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.
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.
Background:
Bicuspid aortic valve disease (BAV) is present in 0.5-2% of the population and can promote aortic dilation, eventually leading to fatal consequences. Although some biomarkers have been proposed in adults, no studies have tested these candidates in children. We aimed to evaluate four miRNAs previously described to be related to BAV disease and aortic dilation in adults in a paediatric cohort.
Methods:
Eighty participants ≤17 years old (4-17; mean 12) were included. From the BAV group, 40% had a dilated aorta (z score >2). RT‒qPCR were performed in plasma samples to quantify miR-122, miR-130a, miR-486, and miR-718 using the delta-delta Ct method. Functional and enrichment analyses of miR-130a were also performed.
Results:
miR-130a expression in plasma was found to be significantly lower in BAV patients with a dilated aorta versus nondilated patients (p = 0.008) and healthy TAV controls (p = 0.004). Furthermore, miR-130a expression in plasma was inversely correlated with ascending aorta (r = 0.318, p = 0.004) and aortic root z scores (r = 0.322; p = 0.004). Enrichment analysis showed that miR-130a target genes are related to the TGFβ signalling pathway.
Conclusions:
miR-130a expression in plasma is decreased in aortic-dilated BAV children compared to nondilated BAV children, helping differentiate low- to high-risk patients.
Impact:
miR-130a expression in plasma is related to aortic dilation in bicuspid aortic valve (BAV) children. To our knowledge, this is the first study that analyses miRNA patterns in bicuspid aortic valve children with aortic dilation. miR-130a expression in plasma could be a biomarker in order to help differentiate low-to high-risk BAV children, which is vitally important for advanced care planning.
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