Plasma microrna expression profile for reduced ejection fraction in dilated cardiomyopathy
Abstract The left ventricular (LV) ejection fraction (EF) is key to prognosis in dilated cardiomyopathy (DCM). Circulating microRNAs have emerged as reliable biomarkers for heart diseases, included DCM. Clinicians need improved tools for greater clarification of DCM EF categorization, to identify hi...
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2021
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oai:doaj.org-article:3173b84637b34777ad172d9eb4068d7e2021-12-02T18:15:24ZPlasma microrna expression profile for reduced ejection fraction in dilated cardiomyopathy10.1038/s41598-021-87086-12045-2322https://doaj.org/article/3173b84637b34777ad172d9eb4068d7e2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87086-1https://doaj.org/toc/2045-2322Abstract The left ventricular (LV) ejection fraction (EF) is key to prognosis in dilated cardiomyopathy (DCM). Circulating microRNAs have emerged as reliable biomarkers for heart diseases, included DCM. Clinicians need improved tools for greater clarification of DCM EF categorization, to identify high-risk patients. Thus, we investigated whether microRNA profiles can categorize DCM patients based on their EF. 179-differentially expressed circulating microRNAs were screened in two groups: (1) non-idiopathic DCM; (2) idiopathic DCM. Then, 26 microRNAs were identified and validated in the plasma of ischemic-DCM (n = 60), idiopathic-DCM (n = 55) and healthy individuals (n = 44). We identified fourteen microRNAs associated with echocardiographic variables that differentiated idiopathic DCM according to the EF degree. A predictive model of a three-microRNA (miR-130b-3p, miR-150-5p and miR-210-3p) combined with clinical variables (left bundle branch block, left ventricle end-systolic dimension, lower systolic blood pressure and smoking habit) was obtained for idiopathic DCM with a severely reduced-EF. The receiver operating characteristic curve analysis supported the discriminative potential of the diagnosis. Bioinformatics analysis revealed that miR-150-5p and miR-210-3p target genes might interact with each other with a high connectivity degree. In conclusion, our results revealed a three-microRNA signature combined with clinical variables that highly discriminate idiopathic DCM categorization. This is a potential novel prognostic biomarker with high clinical value.Maria Calderon-DominguezThalía BelmonteMaribel Quezada-FeijooMónica RamosJuan Calderon-DominguezOscar CampuzanoAlipio MangasRocio ToroNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-15 (2021) |
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Medicine R Science Q Maria Calderon-Dominguez Thalía Belmonte Maribel Quezada-Feijoo Mónica Ramos Juan Calderon-Dominguez Oscar Campuzano Alipio Mangas Rocio Toro Plasma microrna expression profile for reduced ejection fraction in dilated cardiomyopathy |
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Abstract The left ventricular (LV) ejection fraction (EF) is key to prognosis in dilated cardiomyopathy (DCM). Circulating microRNAs have emerged as reliable biomarkers for heart diseases, included DCM. Clinicians need improved tools for greater clarification of DCM EF categorization, to identify high-risk patients. Thus, we investigated whether microRNA profiles can categorize DCM patients based on their EF. 179-differentially expressed circulating microRNAs were screened in two groups: (1) non-idiopathic DCM; (2) idiopathic DCM. Then, 26 microRNAs were identified and validated in the plasma of ischemic-DCM (n = 60), idiopathic-DCM (n = 55) and healthy individuals (n = 44). We identified fourteen microRNAs associated with echocardiographic variables that differentiated idiopathic DCM according to the EF degree. A predictive model of a three-microRNA (miR-130b-3p, miR-150-5p and miR-210-3p) combined with clinical variables (left bundle branch block, left ventricle end-systolic dimension, lower systolic blood pressure and smoking habit) was obtained for idiopathic DCM with a severely reduced-EF. The receiver operating characteristic curve analysis supported the discriminative potential of the diagnosis. Bioinformatics analysis revealed that miR-150-5p and miR-210-3p target genes might interact with each other with a high connectivity degree. In conclusion, our results revealed a three-microRNA signature combined with clinical variables that highly discriminate idiopathic DCM categorization. This is a potential novel prognostic biomarker with high clinical value. |
format |
article |
author |
Maria Calderon-Dominguez Thalía Belmonte Maribel Quezada-Feijoo Mónica Ramos Juan Calderon-Dominguez Oscar Campuzano Alipio Mangas Rocio Toro |
author_facet |
Maria Calderon-Dominguez Thalía Belmonte Maribel Quezada-Feijoo Mónica Ramos Juan Calderon-Dominguez Oscar Campuzano Alipio Mangas Rocio Toro |
author_sort |
Maria Calderon-Dominguez |
title |
Plasma microrna expression profile for reduced ejection fraction in dilated cardiomyopathy |
title_short |
Plasma microrna expression profile for reduced ejection fraction in dilated cardiomyopathy |
title_full |
Plasma microrna expression profile for reduced ejection fraction in dilated cardiomyopathy |
title_fullStr |
Plasma microrna expression profile for reduced ejection fraction in dilated cardiomyopathy |
title_full_unstemmed |
Plasma microrna expression profile for reduced ejection fraction in dilated cardiomyopathy |
title_sort |
plasma microrna expression profile for reduced ejection fraction in dilated cardiomyopathy |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/3173b84637b34777ad172d9eb4068d7e |
work_keys_str_mv |
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1718378385406689280 |