Implications of cardiac markers in risk-stratification and management for COVID-19 patients DOI Creative Commons
Pengping Li, Wei Wu, Tingting Zhang

et al.

Critical Care, Journal Year: 2021, Volume and Issue: 25(1)

Published: April 26, 2021

Abstract Background COVID-19 has resulted in high mortality worldwide. Information regarding cardiac markers for precise risk-stratification is limited. We aim to discover sensitive and reliable early-warning biomarkers optimizing management improving the prognosis of patients. Methods A total 2954 consecutive patients who were receiving treatment from Wuhan Huoshenshan Hospital China February 4 April 10 included this retrospective cohort. Serum levels collected after admission. Coronary artery disease diagnosis survival status recorded. Single-cell RNA-sequencing bulk different cohorts non-COVID-19 performed analyze SARS-CoV-2 receptor expression. Results Among analysis, median age was 60 years (50–68 years), 1461 (49.5%) female, 1515 (51.3%) severe/critical. Compared mild/moderate (1439, 48.7%) patients, severe/critical showed significantly higher within first week In those with abnormal serum BNP (42 [24.6%] vs 7 [1.1%]), hs-TNI (38 [48.1%] 6 [1.0%]), α- HBDH (55 [10.4%] 2 [0.2%]), CK-MB (45 [36.3%] 12 [0.9%]), LDH (56 [12.5%] 1 [0.1%]) had a rate compared normal levels. The same trend observed ICU admission rate. Severe/critical pre-existing coronary (165/1,155 [10.9%]) more cases (52 [46.5%] 119 [16.5%]), (24 [26.7%] 9.6 [%], (86 [55.5%] 443 [34.4%]), (27 [17.4%] 97 [7.5%]), (65 [41.9%] 382 [29.7%]), when without disease. There enhanced expression healthy controls. From regression five elevated at risk death (hazards ratio 3.4 [95% CI 2.4–4.8]). Conclusions represented percentage markers, accompanied by together hs-TNI, HBDH, act as prognostic biomarker or

Language: Английский

miR-21: a non‐specific biomarker of all maladies DOI Creative Commons

Ana E. Jenike,

Marc K. Halushka

Biomarker Research, Journal Year: 2021, Volume and Issue: 9(1)

Published: March 12, 2021

miRNA-21 is among the most abundant and highly conserved microRNAs (miRNAs) recognized. It expressed in essentially all cells where it performs vital regulatory roles health disease. also frequently claimed to be a biomarker of diseases such as cancer heart disease bodily-fluid based miRNA studies. Here we dissociate its contributions cellular physiology pathology from potential biomarker. We show how has been specific predictive or prognostic by at least 29 diseases. Thus, no specificity any one As result, should not considered viable candidate biomarker, despite continued evaluation such. This theme multiple assignments shared with other common, ubiquitous miRNAs concerning for them well.

Language: Английский

Citations

186

A Novel Circulating Noncoding Small RNA for the Detection of Acute Myocarditis DOI Open Access
Rafael Blanco-Domínguez, Raquel Sánchez‐Díaz, Hortensia de la Fuente

et al.

New England Journal of Medicine, Journal Year: 2021, Volume and Issue: 384(21), P. 2014 - 2027

Published: May 26, 2021

The diagnosis of acute myocarditis typically requires either endomyocardial biopsy (which is invasive) or cardiovascular magnetic resonance imaging not universally available). Additional approaches to are desirable. We sought identify a novel microRNA for the myocarditis.To specific myocarditis, we performed microarray analyses and quantitative polymerase-chain-reaction (qPCR) assays in sorted CD4+ T cells type 17 helper (Th17) after inducing experimental autoimmune myocardial infarction mice. also qPCR samples from coxsackievirus-induced then identified human homologue this compared its expression plasma obtained patients with various controls.We confirmed that Th17 cells, which characterized by production interleukin-17, characteristic feature injury phase myocarditis. mmu-miR-721 was synthesized present mice viral but those infarction. homologue, designated hsa-miR-Chr8:96, four independent cohorts area under receiver-operating-characteristic curve distinguishing 0.927 (95% confidence interval, 0.879 0.975). retained diagnostic value models adjustment age, sex, ejection fraction, serum troponin level.After identifying humans found (hsa-miR-Chr8:96) could be used distinguish (Funded Spanish Ministry Science Innovation others.).

Language: Английский

Citations

143

MicroRNAs as therapeutic targets in cardiovascular disease DOI Creative Commons

Bernhard Laggerbauer,

Stefan Engelhardt

Journal of Clinical Investigation, Journal Year: 2022, Volume and Issue: 132(11)

Published: May 31, 2022

The discovery of microRNAs and their role in diseases was a breakthrough that inspired research into as drug targets. Cardiovascular are an area which limitations conventional pharmacotherapy highly apparent where microRNA-based drugs have appreciably progressed preclinical clinical testing. In this Review, we summarize the current state therapeutic targets cardiovascular system. We report recent advances identification characterization microRNAs, manipulation translation, discuss challenges perspectives toward application.

Language: Английский

Citations

110

Precision Medicine and the future of Cardiovascular Diseases: A Clinically Oriented Comprehensive Review DOI Open Access
Yashendra Sethi, Neil Patel, Nirja Kaka

et al.

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(5), P. 1799 - 1799

Published: Feb. 23, 2023

Cardiac diseases form the lion’s share of global disease burden, owing to paradigm shift non-infectious from infectious ones. The prevalence CVDs has nearly doubled, increasing 271 million in 1990 523 2019. Additionally, trend for years lived with disability 17.7 34.4 over same period. advent precision medicine cardiology ignited new possibilities individually personalized, integrative, and patient-centric approaches prevention treatment, incorporating standard clinical data advanced “omics”. These help phenotypically adjudicated individualization treatment. major objective this review was compile evolving clinically relevant tools that can evidence-based precise individualized management cardiac highest DALY. field is provide targeted therapy, which crafted as per “omics”, involving genomics, transcriptomics, epigenomics, proteomics, metabolomics, microbiomics, deep phenotyping. Research individualizing therapy heart DALY helped identify novel genes, biomarkers, proteins, technologies aid early diagnosis Precision management, allowing diagnosis, timely intervention, exposure minimal side effects. Despite these great impacts, overcoming barriers implementing requires addressing economic, cultural, technical, socio-political issues. proposed be future cardiovascular holds potential a more efficient personalized approach diseases, contrary standardized blanket approach.

Language: Английский

Citations

56

MicroRNAs: roles in cardiovascular development and disease DOI
Samira Kalayinia, Fateme Arjmand, Majid Maleki

et al.

Cardiovascular Pathology, Journal Year: 2020, Volume and Issue: 50, P. 107296 - 107296

Published: Oct. 3, 2020

Language: Английский

Citations

128

miR‐1, miR‐499 and miR‐208 are sensitive markers to diagnose sudden death due to early acute myocardial infarction DOI Creative Commons

Enrica Pinchi,

Paola Frati,

Mariarosaria Aromatario

et al.

Journal of Cellular and Molecular Medicine, Journal Year: 2019, Volume and Issue: 23(9), P. 6005 - 6016

Published: June 26, 2019

Abstract MicroRNAs (miRNAs) are strongly up‐regulated under pathological stress and in a wide range of diseases. In recent years, miRNAs investigation for their potential use as biomarkers cardiovascular We investigate whether specific cardio‐miRNAs overexpressed heart samples from subjects deceased acute myocardial infarction (AMI) or sudden cardiac death (SCD), miRNA could help differentiate between them. Forty four cases due to disease were selected, respectively, 19 categorized AMI 25 SCD. Eighteen traumatic without involvement selected control. Immunohistochemical was performed CD15, IL‐15, Cx43, MCP‐1, tryptase, troponin C I. Reverse transcription quantitative real‐time PCR miR‐1, miR‐133, miR‐208 miR‐499. group, stronger immunoreaction the IL‐15 MCP‐1 antibodies detectable compared with SCD Cx43 showed negative reaction respect other groups. Real‐time results down‐regulation all group The presented high accuracy discriminating (miR‐1 miR‐499) control (miR‐208) representing aid both clinicians pathologists differential diagnosis.

Language: Английский

Citations

83

Small Things Matter: Relevance of MicroRNAs in Cardiovascular Disease DOI Creative Commons
Linsey J. F. Peters, Erik A.L. Biessen, Mathias Hohl

et al.

Frontiers in Physiology, Journal Year: 2020, Volume and Issue: 11

Published: July 7, 2020

MicroRNAs (miRNAs) are short sequences of non-coding RNA that play an important role in the regulation gene expression and thereby many physiological pathological processes. Furthermore, miRNAs released extracellular space, for example vesicles, detectable various biological fluids, such as serum, plasma, urine. Over last years, it has been shown crucial development several cardiovascular diseases (CVDs). This review discusses (patho)physiological implications CVD, ranging from risk factors (i.e., hypertension, diabetes, dyslipidemia), to atherosclerosis, myocardial infarction, cardiac remodeling. Moreover, intriguing possibility their use disease-specific diagnostic prognostic biomarkers human CVDs will be discussed detail. Finally, approaches have developed alter miRNA function mimics, antagomirs, target-site blockers), we highlight with most promising therapeutic potential may represent suitable candidates intervention future translational studies ultimately clinical trials. All all, this gives a comprehensive overview relevant CVD even targets.

Language: Английский

Citations

75

Tight junctions and their regulation by non-coding RNAs DOI Creative Commons

Xiaojiao Zhao,

Hongliang Zeng,

Li Lei

et al.

International Journal of Biological Sciences, Journal Year: 2021, Volume and Issue: 17(3), P. 712 - 727

Published: Jan. 1, 2021

Tight junction (TJ) is a "zippering up" structure located at the uppermost portion of adjacent epithelial/endothelial cells in organs and tissues.TJs maintain relative stability intracellular substances functions by closing or opening intercellular pathways, coordinating entry exit molecules different sizes charges, regulating permeability paracellular barrier.TJs also prevent microbial invasion, cell polarity, regulate proliferation.TJs are widely present skin mucosal epithelial barriers, intestinal barrier, glomerular filtration bladder blood-brain brain-blood tumor blood-testis barrier.TJ dysfunction can lead to variety diseases.In addition signal transcription factors, DNA methylation, histone modification, TJ proteins be regulated non-coding RNAs, such as micro-RNAs, long-noncoding circular directly indirectly.This review summarizes TJs introduces regulatory mechanisms tissues.The roles RNAs regulation highlighted this review.

Language: Английский

Citations

63

Exosomal RNAs in diagnosis and therapies DOI Creative Commons
Pranay Narang,

Morish Shah,

Vladimir Beljanski

et al.

Non-coding RNA Research, Journal Year: 2022, Volume and Issue: 7(1), P. 7 - 15

Published: Jan. 14, 2022

The field of extracellular vesicles has been rapidly developing after it became evident that a defined subset vesicles, called exosomes, can modulate several biological functions in distant cells and tissues. Exosomes range size from 40 to 160 nm diameter, are released by majority our body, carry molecules which reflect the cell origin. types biomolecules packed, their respective purpose, impact on physiological state distinct tissues should be understood advance using exosomes as biomarkers health disease. Many such effects linked exosomal RNA include both coding non-coding RNAs. role(s) various RNAs have started being recognized sequencing methods widely available led discovery variety roles regulating many processes beginning unraveled. In present review, we outline discuss recent progress elucidation driven relevance for major conditions including disorders central nervous system, cardiovascular metabolism, cancer, immune system. Furthermore, also potential use valuable therapeutics tissue regeneration resulting excessive inflammation. While exosome research is still its infancy, in-depth understanding formation, effects, specific cell-targeting will uncover how they used disease therapeutics.

Language: Английский

Citations

46

2024 ACC Expert Consensus Decision Pathway on Strategies and Criteria for the Diagnosis and Management of Myocarditis DOI
Mark H. Drazner, Biykem Bozkurt, Leslie T. Cooper

et al.

Journal of the American College of Cardiology, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 1, 2024

Language: Английский

Citations

12