PMID- 23711953 OWN - NLM STAT- MEDLINE DCOM- 20140102 LR - 20130611 IS - 1421-9751 (Electronic) IS - 0008-6312 (Linking) VI - 125 IP - 2 DP - 2013 TI - Decreased expression of miR-133a but not of miR-1 is associated with signs of heart failure in patients undergoing coronary bypass surgery. PG - 125-30 LID - 10.1159/000348563 [doi] AB - OBJECTIVES: Coronary artery disease (CAD)-associated ischemic heart failure is characterized by dysregulated gene expression which is partly mediated by microRNAs (miRNAs). While the muscle-specific miR-1 and miR-133 are involved in cardiac development and hypertrophy, their role in heart failure resulting from CAD is unknown. We, therefore, tested the hypothesis that cardiac miR-1 and miR-133 expression is associated with signs of heart failure in patients undergoing coronary artery bypass grafting. METHODS: 83 patients were included in this prospective study. Cardiac index and vascular pressures were measured under general anesthesia and the miRNA expression was quantified (RNase protection assay and real-time PCR) from samples of the right atrial myocardium. RESULTS: miR-133 expression decreased significantly with increased severity of heart failure, as indicated by a greater New York Heart Association (NYHA) functional class (p = 0.014) and increased pulmonary artery occlusion pressure (p = 0.045). Furthermore, patients with NT-proBNP concentrations >1,800 pg/ml showed a 25% decrease in miR-133 expression compared to patients with concentrations <300 pg/ml (p = 0.023). In contrast, no associations were detected for miR-1 expression. CONCLUSIONS: In surgical CAD patients, a decreased miR-133 expression is associated with variables characteristic of heart failure. This supports a role for miR-133 but not miR-1 in the adaption to and/or remodeling of the ischemic heart. CI - Copyright (c) 2013 S. Karger AG, Basel. FAU - Danowski, Nina AU - Danowski N AD - Institut fur Pharmakogenetik, Universitat Duisburg-Essen und Universitatsklinikum Essen, Essen, Germany. FAU - Manthey, Iris AU - Manthey I FAU - Jakob, Heinz Gunther AU - Jakob HG FAU - Siffert, Winfried AU - Siffert W FAU - Peters, Jurgen AU - Peters J FAU - Frey, Ulrich H AU - Frey UH LA - eng PT - Journal Article DEP - 20130524 PL - Switzerland TA - Cardiology JT - Cardiology JID - 1266406 RN - 0 (MIRN1 microRNA, human) RN - 0 (MIRN133 microRNA, human) RN - 0 (MicroRNAs) SB - IM MH - Aged MH - *Coronary Artery Bypass MH - Coronary Artery Disease/complications/*metabolism/surgery MH - Heart Failure/etiology/*metabolism MH - Humans MH - MicroRNAs/*metabolism MH - Middle Aged MH - Myocardium/metabolism EDAT- 2013/05/29 06:00 MHDA- 2014/01/03 06:00 CRDT- 2013/05/29 06:00 PHST- 2012/03/18 00:00 [received] PHST- 2013/01/28 00:00 [accepted] PHST- 2013/05/29 06:00 [entrez] PHST- 2013/05/29 06:00 [pubmed] PHST- 2014/01/03 06:00 [medline] AID - 000348563 [pii] AID - 10.1159/000348563 [doi] PST - ppublish SO - Cardiology. 2013;125(2):125-30. doi: 10.1159/000348563. Epub 2013 May 24.