The Role of MicroRNAs in Dilated Cardiomyopathy: New Insights for an Old Entity

Dilated cardiomyopathy (DCM) is a clinical diagnosis characterized by left ventricular or biventricular dilation and systolic dysfunction. In most cases, DCM is progressive, leading to heart failure (HF) and death. This cardiomyopathy has been considered a common and final phenotype of several entit...

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Main Authors: Elena Alonso-Villa, Fernando Bonet, Francisco Hernandez-Torres, Óscar Campuzano, Georgia Sarquella-Brugada, Maribel Quezada-Feijoo, Mónica Ramos, Alipio Mangas, Rocío Toro
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/21/13573
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author Elena Alonso-Villa
Fernando Bonet
Francisco Hernandez-Torres
Óscar Campuzano
Georgia Sarquella-Brugada
Maribel Quezada-Feijoo
Mónica Ramos
Alipio Mangas
Rocío Toro
author_facet Elena Alonso-Villa
Fernando Bonet
Francisco Hernandez-Torres
Óscar Campuzano
Georgia Sarquella-Brugada
Maribel Quezada-Feijoo
Mónica Ramos
Alipio Mangas
Rocío Toro
author_sort Elena Alonso-Villa
collection DOAJ
description Dilated cardiomyopathy (DCM) is a clinical diagnosis characterized by left ventricular or biventricular dilation and systolic dysfunction. In most cases, DCM is progressive, leading to heart failure (HF) and death. This cardiomyopathy has been considered a common and final phenotype of several entities. DCM occurs when cellular pathways fail to maintain the pumping function. The etiology of this disease encompasses several factors, such as ischemia, infection, autoimmunity, drugs or genetic susceptibility. Although the prognosis has improved in the last few years due to red flag clinical follow-up, early familial diagnosis and ongoing optimization of treatment, due to its heterogeneity, there are no targeted therapies available for DCM based on each etiology. Therefore, a better understanding of the mechanisms underlying the pathophysiology of DCM will provide novel therapeutic strategies against this cardiac disease and their different triggers. MicroRNAs (miRNAs) are a group of small noncoding RNAs that play key roles in post-transcriptional gene silencing by targeting mRNAs for translational repression or, to a lesser extent, degradation. A growing number of studies have demonstrated critical functions of miRNAs in cardiovascular diseases (CVDs), including DCM, by regulating mechanisms that contribute to the progression of the disease. Herein, we summarize the role of miRNAs in inflammation, endoplasmic reticulum (ER) stress, oxidative stress, mitochondrial dysfunction, autophagy, cardiomyocyte apoptosis and fibrosis, exclusively in the context of DCM.
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spelling doaj.art-90ca7389ad324eb79ebe6b4d61bdd68d2023-11-24T05:10:08ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-11-0123211357310.3390/ijms232113573The Role of MicroRNAs in Dilated Cardiomyopathy: New Insights for an Old EntityElena Alonso-Villa0Fernando Bonet1Francisco Hernandez-Torres2Óscar Campuzano3Georgia Sarquella-Brugada4Maribel Quezada-Feijoo5Mónica Ramos6Alipio Mangas7Rocío Toro8Research Unit, Biomedical Research and Innovation Institute of Cadiz (INiBICA), Puerta del Mar University Hospital, 11009 Cádiz, SpainResearch Unit, Biomedical Research and Innovation Institute of Cadiz (INiBICA), Puerta del Mar University Hospital, 11009 Cádiz, SpainMedina Foundation, Technology Park of Health Sciences, 18016 Granada, SpainCardiology Service, Hospital Josep Trueta, University of Girona, 17007 Girona, SpainMedical Science Department, School of Medicine, University of Girona, 17003 Girona, SpainCardiology Department, Hospital Central de la Cruz Roja, 28003 Madrid, SpainCardiology Department, Hospital Central de la Cruz Roja, 28003 Madrid, SpainResearch Unit, Biomedical Research and Innovation Institute of Cadiz (INiBICA), Puerta del Mar University Hospital, 11009 Cádiz, SpainResearch Unit, Biomedical Research and Innovation Institute of Cadiz (INiBICA), Puerta del Mar University Hospital, 11009 Cádiz, SpainDilated cardiomyopathy (DCM) is a clinical diagnosis characterized by left ventricular or biventricular dilation and systolic dysfunction. In most cases, DCM is progressive, leading to heart failure (HF) and death. This cardiomyopathy has been considered a common and final phenotype of several entities. DCM occurs when cellular pathways fail to maintain the pumping function. The etiology of this disease encompasses several factors, such as ischemia, infection, autoimmunity, drugs or genetic susceptibility. Although the prognosis has improved in the last few years due to red flag clinical follow-up, early familial diagnosis and ongoing optimization of treatment, due to its heterogeneity, there are no targeted therapies available for DCM based on each etiology. Therefore, a better understanding of the mechanisms underlying the pathophysiology of DCM will provide novel therapeutic strategies against this cardiac disease and their different triggers. MicroRNAs (miRNAs) are a group of small noncoding RNAs that play key roles in post-transcriptional gene silencing by targeting mRNAs for translational repression or, to a lesser extent, degradation. A growing number of studies have demonstrated critical functions of miRNAs in cardiovascular diseases (CVDs), including DCM, by regulating mechanisms that contribute to the progression of the disease. Herein, we summarize the role of miRNAs in inflammation, endoplasmic reticulum (ER) stress, oxidative stress, mitochondrial dysfunction, autophagy, cardiomyocyte apoptosis and fibrosis, exclusively in the context of DCM.https://www.mdpi.com/1422-0067/23/21/13573dilated cardiomyopathymicroRNAinflammationreticulum endoplasmic stressoxidative stressapoptosis
spellingShingle Elena Alonso-Villa
Fernando Bonet
Francisco Hernandez-Torres
Óscar Campuzano
Georgia Sarquella-Brugada
Maribel Quezada-Feijoo
Mónica Ramos
Alipio Mangas
Rocío Toro
The Role of MicroRNAs in Dilated Cardiomyopathy: New Insights for an Old Entity
International Journal of Molecular Sciences
dilated cardiomyopathy
microRNA
inflammation
reticulum endoplasmic stress
oxidative stress
apoptosis
title The Role of MicroRNAs in Dilated Cardiomyopathy: New Insights for an Old Entity
title_full The Role of MicroRNAs in Dilated Cardiomyopathy: New Insights for an Old Entity
title_fullStr The Role of MicroRNAs in Dilated Cardiomyopathy: New Insights for an Old Entity
title_full_unstemmed The Role of MicroRNAs in Dilated Cardiomyopathy: New Insights for an Old Entity
title_short The Role of MicroRNAs in Dilated Cardiomyopathy: New Insights for an Old Entity
title_sort role of micrornas in dilated cardiomyopathy new insights for an old entity
topic dilated cardiomyopathy
microRNA
inflammation
reticulum endoplasmic stress
oxidative stress
apoptosis
url https://www.mdpi.com/1422-0067/23/21/13573
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