Evaluation of MicroRNA 145 and MicroRNA 155 as Markers of Cardiovascular Risk in Chronic Kidney Disease

Amit Kumar1, G Priyadarshini1, Sreejith Parameswaran2

  • 1Department of Biochemistry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Cureus
|September 9, 2024
PubMed

Insights

Chronic kidney disease (CKD) is linked to lower levels of microRNA 145 and microRNA 155, alongside increased endothelial dysfunction. These findings suggest a higher cardiovascular disease risk in CKD patients.

Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Molecular Biology

Background:

  • Chronic kidney disease (CKD) involves progressive renal function decline and structural damage.
  • Vascular calcification is a significant complication of CKD.
  • MicroRNAs (miRNAs) are implicated in the pathogenesis of cardiovascular disease and CKD.

Purpose of the Study:

  • To compare biomarkers of endothelial dysfunction, 25-hydroxyvitamin D (25(OH)D), intact parathyroid hormone (iPTH), miRNA 155, and miRNA 145 between CKD patients and controls.

Main Methods:

  • Sixty CKD patients and 60 controls were enrolled.
  • Brachial artery flow-mediated dilatation (FMD) was assessed.
  • Serum levels of ADMA, miRNA 145, and miRNA 155 were quantified.

Main Results:

  • CKD patients exhibited lower serum levels of miRNA 145, miRNA 155, 25(OH)D, and FMD compared to controls.
  • CKD patients showed significantly higher serum ADMA and iPTH levels.
  • Negative associations were found between miRNA 145/155, FMD, 25(OH)D and ADMA/iPTH; positive correlations with eGFR.

Conclusions:

  • Reduced levels of miRNA 145 and miRNA 155, coupled with heightened endothelial dysfunction, correlate with CKD severity.
  • These factors indicate an elevated risk of cardiovascular disease in individuals with CKD.