PMID- 30899290 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 1734-1922 (Print) IS - 1896-9151 (Electronic) IS - 1734-1922 (Linking) VI - 15 IP - 2 DP - 2019 Mar TI - Circulating microRNAs as biomarkers for myocardial fibrosis in patients with left ventricular non-compaction cardiomyopathy. PG - 376-384 LID - 10.5114/aoms.2019.82919 [doi] AB - INTRODUCTION: Despite the fact that cardiovascular magnetic resonance (CMR) with late gadolinium enhancement (LGE) is a proven method for detecting myocardial fibrosis, there is a need for new and reliable serological biomarkers. Circulating miRNAs could be a practical and attractive alternative. The purpose of the study was to assess the miRNAs well established in myocardial fibrosis - miR-21, miR-29a, miR-30d and miR-133a - in the plasma of patients with left ventricular non-compaction (LVNC) that have areas of LGE assessed by CMR. MATERIAL AND METHODS: We prospectively enrolled 13 adult patients (9 males and 4 females; mean age: 39 +/-11.7 years) considered to meet standard CMR criteria for LVNC and 10 healthy age- and sex-matched subjects. All LVNC patients and control subjects underwent CMR examination and the measurement of peripheral plasma levels of 4 miRNAs: miR-21, miR-29a, miR-30d and miR-133a. RESULTS: The LGE was present in 9 of the 13 (69.2%) LVNC patients, and most often located in the ventricular septum. Compared with LGE-negative patients, LGE-positive patients had significantly lower LVEF (28.3 +/-13.3% vs. 53.5 +/-14.9%, p = 0.0113) and greater LV end-diastolic diameter (67.8 +/-9.5 mm vs. 57 +/-2.2 mm, p = 0.01). Significant up-regulation of all 4 miRNAs was observed among LGE-positive patients vs. LGE-negative patients: miR-21 (p = 0.007), miR-29a (p = 0.0001), miR-30d (p = 0.001) and miR-133a (p = 0.0003). CONCLUSIONS: The up-regulation of miR-21, miR-29a, miR-30d and miR-133a indicates the presence of LGE in LVNC patients, and therefore they may serve as potential biomarkers for myocardial fibrosis. FAU - Szemraj-Rogucka, Zofia M AU - Szemraj-Rogucka ZM AD - Department of Radiology and Diagnostic Imaging, Medical University of Lodz, Central Clinical Hospital, Lodz, Poland. FAU - Szemraj, Janusz AU - Szemraj J AD - Department of Medical Biochemistry, Medical University of Lodz, Lodz, Poland. FAU - Masiarek, Konrad AU - Masiarek K AD - Department of Interventional Cardiology and Cardiac Arrhythmias, Medical University of Lodz, Medical University Teaching Hospital, Lodz, Poland. FAU - Majos, Agata AU - Majos A AD - Department of Radiology and Diagnostic Imaging, Medical University of Lodz, Central Clinical Hospital, Lodz, Poland. LA - eng PT - Journal Article DEP - 20190304 PL - Poland TA - Arch Med Sci JT - Archives of medical science : AMS JID - 101258257 PMC - PMC6425222 OTO - NOTNLM OT - cardiac magnetic resonance OT - late gadolinium enhancement OT - left ventricular non-compaction OT - miRNA COIS- The authors declare no conflict of interest. EDAT- 2019/03/23 06:00 MHDA- 2019/03/23 06:01 PMCR- 2019/03/01 CRDT- 2019/03/23 06:00 PHST- 2017/01/14 00:00 [received] PHST- 2017/03/22 00:00 [accepted] PHST- 2019/03/23 06:00 [entrez] PHST- 2019/03/23 06:00 [pubmed] PHST- 2019/03/23 06:01 [medline] PHST- 2019/03/01 00:00 [pmc-release] AID - 35833 [pii] AID - 10.5114/aoms.2019.82919 [doi] PST - ppublish SO - Arch Med Sci. 2019 Mar;15(2):376-384. doi: 10.5114/aoms.2019.82919. Epub 2019 Mar 4.