MicroRNAs in cardiac arrhythmias: Mechanisms, biomarkers, and therapeutic frontiers

Apurva Popat1, Geethu Jnaneswaran1, Srinivasulu Yerukala Sathipati2

  • 1Department of Internal Medicine, Marshfield Clinic Health System, Marshfield, Wisconsin.

Heart Rhythm
|May 31, 2025
PubMed

Insights

MicroRNAs (miRNAs) are key regulators of cardiac arrhythmias. Novel circulating miRNA signatures show promise as noninvasive biomarkers for early risk assessment and personalized treatment of heart rhythm disorders.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Biomarkers

Background:

  • MicroRNAs (miRNAs) are critical regulators of cardiac function, impacting electrical remodeling, ion channel activity, and fibrosis.
  • Dysregulation of specific miRNAs (e.g., miR-1, miR-21, miR-328) is implicated in the development of cardiac arrhythmias (arrhythmogenesis).

Purpose of the Study:

  • To explore the role of circulating miRNAs as biomarkers for cardiac arrhythmias, specifically postoperative atrial fibrillation.
  • To identify novel miRNA signatures for early risk assessment and potential therapeutic targets in cardiovascular disease.

Main Methods:

  • Analysis of circulating miRNA signatures, including hsa-miR-96-5p and hsa-miR-184, in patients undergoing coronary artery bypass grafting.
  • Biological pathway analysis to identify targeted signaling pathways (e.g., MAPK, TGF-β).
  • Review of miRNA-based therapeutic strategies, including inhibitors and mimics with advanced delivery systems.

Main Results:

  • Novel circulating miRNA signatures (hsa-miR-96-5p, hsa-miR-184) demonstrate high predictive accuracy for postoperative atrial fibrillation.
  • Identified miRNAs target key pathways involved in cardiac remodeling and inflammation.
  • These miRNAs function as noninvasive biomarkers for early detection and risk stratification.

Conclusions:

  • Circulating miRNAs represent promising noninvasive biomarkers for the early assessment and management of cardiac arrhythmias.
  • miRNA-based diagnostics and therapeutics offer transformative potential for personalized cardiovascular medicine.
  • Further research into miRNA delivery and specificity is crucial for clinical translation.

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