Circulating microRNA‐29‐5p can add to the discrimination between dilated cardiomyopathy and ischaemic heart disease

Abstract Aims Heart failure describes a large and heterogeneous spectrum of underlying cardiac diseases. MicroRNAs (miRs) are small non‐coding RNAs that in recent years have been shown to play an important role in the pathogenesis of heart failure. Cardiac magnetic resonance imaging is a powerful im...

Full description

Bibliographic Details
Main Authors: Martin Brundin, Dick Wågsäter, Urban Alehagen, Carl‐Johan Carlhäll
Format: Article
Language:English
Published: Wiley 2021-10-01
Series:ESC Heart Failure
Subjects:
Online Access:https://doi.org/10.1002/ehf2.13458
_version_ 1818738078130372608
author Martin Brundin
Dick Wågsäter
Urban Alehagen
Carl‐Johan Carlhäll
author_facet Martin Brundin
Dick Wågsäter
Urban Alehagen
Carl‐Johan Carlhäll
author_sort Martin Brundin
collection DOAJ
description Abstract Aims Heart failure describes a large and heterogeneous spectrum of underlying cardiac diseases. MicroRNAs (miRs) are small non‐coding RNAs that in recent years have been shown to play an important role in the pathogenesis of heart failure. Cardiac magnetic resonance imaging is a powerful imaging modality for the evaluation of cardiac characteristics in heart failure. In this study, we sought to compare heart failure patients with a diagnosis of either idiopathic dilated cardiomyopathy (DCM) or ischaemic heart disease (IHD), in the context of serum levels of certain miRs and also magnetic resonance imaging parameters of cardiac structure and function. Methods and results A total of 135 subjects were studied: 53 patients with DCM (age: 59 ± 12 years, mean ± SD), 34 patients with IHD (66 ± 9 years), and 48 controls (64 ± 5 years). The participants underwent baseline medical examination, blood sampling, and a cardiac magnetic resonance imaging examination at 3 Tesla (Philips Ingenia). The serum levels of seven different miRs were analysed and assessed: 16‐5p, 21‐5p, 29‐5p, 133a‐3p, 191‐5p, 320a, and 423‐5p, all of which have been demonstrated to play potential roles in the pathogenesis of heart failure. The patients in the DCM and IHD groups had left ventricles that had larger end‐diastolic volume (P < 0.001), larger mass (P < 0.001), and lower ejection fraction (P < 0.001) compared with controls. Serum levels of miR‐29‐5p were increased in DCM compared with IHD (P < 0.005) and serum levels of miR‐320a were elevated in DCM compared with healthy controls (P < 0.05). There was no significant association between miR levels and magnetic resonance imaging parameters of left ventricular structure and function. Conclusions Circulating miR‐320a can add to the discrimination between patients with DCM and healthy controls and circulating miR‐29‐5p can add to the discrimination between DCM and IHD.
first_indexed 2024-12-18T01:03:13Z
format Article
id doaj.art-b79fcfcbc5ac468d819993741e740bba
institution Directory Open Access Journal
issn 2055-5822
language English
last_indexed 2024-12-18T01:03:13Z
publishDate 2021-10-01
publisher Wiley
record_format Article
series ESC Heart Failure
spelling doaj.art-b79fcfcbc5ac468d819993741e740bba2022-12-21T21:26:18ZengWileyESC Heart Failure2055-58222021-10-01853865387410.1002/ehf2.13458Circulating microRNA‐29‐5p can add to the discrimination between dilated cardiomyopathy and ischaemic heart diseaseMartin Brundin0Dick Wågsäter1Urban Alehagen2Carl‐Johan Carlhäll3Department of Clinical Physiology, Department of Health, Medicine and Caring Sciences Linköping University Linköping SwedenDivision of Drug Research, Department of Biomedical and Clinical Sciences Linköping University Linköping SwedenUnit of Cardiovascular Sciences, Department of Health, Medicine and Caring Sciences Linköping University Linköping SwedenDepartment of Clinical Physiology, Department of Health, Medicine and Caring Sciences Linköping University Linköping SwedenAbstract Aims Heart failure describes a large and heterogeneous spectrum of underlying cardiac diseases. MicroRNAs (miRs) are small non‐coding RNAs that in recent years have been shown to play an important role in the pathogenesis of heart failure. Cardiac magnetic resonance imaging is a powerful imaging modality for the evaluation of cardiac characteristics in heart failure. In this study, we sought to compare heart failure patients with a diagnosis of either idiopathic dilated cardiomyopathy (DCM) or ischaemic heart disease (IHD), in the context of serum levels of certain miRs and also magnetic resonance imaging parameters of cardiac structure and function. Methods and results A total of 135 subjects were studied: 53 patients with DCM (age: 59 ± 12 years, mean ± SD), 34 patients with IHD (66 ± 9 years), and 48 controls (64 ± 5 years). The participants underwent baseline medical examination, blood sampling, and a cardiac magnetic resonance imaging examination at 3 Tesla (Philips Ingenia). The serum levels of seven different miRs were analysed and assessed: 16‐5p, 21‐5p, 29‐5p, 133a‐3p, 191‐5p, 320a, and 423‐5p, all of which have been demonstrated to play potential roles in the pathogenesis of heart failure. The patients in the DCM and IHD groups had left ventricles that had larger end‐diastolic volume (P < 0.001), larger mass (P < 0.001), and lower ejection fraction (P < 0.001) compared with controls. Serum levels of miR‐29‐5p were increased in DCM compared with IHD (P < 0.005) and serum levels of miR‐320a were elevated in DCM compared with healthy controls (P < 0.05). There was no significant association between miR levels and magnetic resonance imaging parameters of left ventricular structure and function. Conclusions Circulating miR‐320a can add to the discrimination between patients with DCM and healthy controls and circulating miR‐29‐5p can add to the discrimination between DCM and IHD.https://doi.org/10.1002/ehf2.13458microRNABiomarkerHeart failureCardiomyopathymiRNA‐29‐5pmiRNA‐320a
spellingShingle Martin Brundin
Dick Wågsäter
Urban Alehagen
Carl‐Johan Carlhäll
Circulating microRNA‐29‐5p can add to the discrimination between dilated cardiomyopathy and ischaemic heart disease
ESC Heart Failure
microRNA
Biomarker
Heart failure
Cardiomyopathy
miRNA‐29‐5p
miRNA‐320a
title Circulating microRNA‐29‐5p can add to the discrimination between dilated cardiomyopathy and ischaemic heart disease
title_full Circulating microRNA‐29‐5p can add to the discrimination between dilated cardiomyopathy and ischaemic heart disease
title_fullStr Circulating microRNA‐29‐5p can add to the discrimination between dilated cardiomyopathy and ischaemic heart disease
title_full_unstemmed Circulating microRNA‐29‐5p can add to the discrimination between dilated cardiomyopathy and ischaemic heart disease
title_short Circulating microRNA‐29‐5p can add to the discrimination between dilated cardiomyopathy and ischaemic heart disease
title_sort circulating microrna 29 5p can add to the discrimination between dilated cardiomyopathy and ischaemic heart disease
topic microRNA
Biomarker
Heart failure
Cardiomyopathy
miRNA‐29‐5p
miRNA‐320a
url https://doi.org/10.1002/ehf2.13458
work_keys_str_mv AT martinbrundin circulatingmicrorna295pcanaddtothediscriminationbetweendilatedcardiomyopathyandischaemicheartdisease
AT dickwagsater circulatingmicrorna295pcanaddtothediscriminationbetweendilatedcardiomyopathyandischaemicheartdisease
AT urbanalehagen circulatingmicrorna295pcanaddtothediscriminationbetweendilatedcardiomyopathyandischaemicheartdisease
AT carljohancarlhall circulatingmicrorna295pcanaddtothediscriminationbetweendilatedcardiomyopathyandischaemicheartdisease