PMID- 33322648 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201227 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 8 IP - 12 DP - 2020 Dec 11 TI - Differential Role of Circulating microRNAs to Track Progression and Pre-Symptomatic Stage of Chronic Heart Failure: A Pilot Study. LID - 10.3390/biomedicines8120597 [doi] LID - 597 AB - (1)Background: Chronic heart failure (CHF) contributes to the overall burden of cardiovascular disease. Early identification of at-risk individuals may facilitate the targeting of precision therapies. Plasma microRNAs are promising circulating biomarkers for their implications with cardiac pathologies. In this pilot study, we investigate the possible exploitability of circulating micro-RNAs (miRNAs) to track chronic heart failure (CHF) occurrence, and progression from NYHA class I to IV. (2)Methods: We screened 367 microRNAs using TaqMan microRNA Arrays in plasma samples from healthy controls (HC) and CHF NYHA-class I-to-IV patients (5/group). Validation was performed by singleplex assays on 10 HC and 61 CHF subjects. Differences in the expression of validated microRNAs were evaluated through analysis of covariance (ANCOVA). Associations between N-terminal pro-BNP (NT-proBNP), left ventricular end-diastolic volume (LVEDV) or peak oxygen uptake (VO2 peak) and plasma microRNA were assessed by multivariable linear regression analysis. (3)Results: Twelve microRNAs showed higher expression in CHF patients vs. HC. Seven microRNAs were associated with NT-proBNP concentration; of these, miR-423-5p was also an independent predictor of LVEDV. Moreover, miR-499-5p was a predictor of the VO2 peak. Finally, a cluster of 5 miRNAs discriminated New York Heart Association (NYHA) class-I from HC subjects. (4)Conclusions: Our data suggest that circulating miRNAs have the potential to serve as pathophysiology-based markers of HF status and progression, and as indicators of pre-symptomatic individuals. FAU - D'Alessandra, Yuri AU - D'Alessandra Y AUID- ORCID: 0000-0002-3440-2353 AD - Immunology and Functional Genomics Unit, Centro Cardiologico Monzino-IRCCS, 20138 Milan, Italy. FAU - Chiesa, Mattia AU - Chiesa M AUID- ORCID: 0000-0001-7427-9954 AD - Immunology and Functional Genomics Unit, Centro Cardiologico Monzino-IRCCS, 20138 Milan, Italy. FAU - Carena, Maria Cristina AU - Carena MC AD - Vascular Biology and Regenerative Medicine Unit, Centro Cardiologico Monzino-IRCCS, 20138 Milan, Italy. FAU - Beltrami, Antonio Paolo AU - Beltrami AP AUID- ORCID: 0000-0002-0679-2710 AD - Department of Medicine (DAME), University of Udine, 33100 Udine, Italy. FAU - Rizzo, Paola AU - Rizzo P AUID- ORCID: 0000-0001-7174-9674 AD - Maria Cecilia Hospital, GVM Care & Research, 48033 Cotignola, Italy. AD - Department of Morphology, Surgery and Experimental Medicine and Laboratory for Technologies of Advanced Therapies (LTTA), University of Ferrara, 44121 Ferrara, Italy. FAU - Buzzetti, Marta AU - Buzzetti M AUID- ORCID: 0000-0003-3415-0982 AD - Immunology and Functional Genomics Unit, Centro Cardiologico Monzino-IRCCS, 20138 Milan, Italy. FAU - Ricci, Veronica AU - Ricci V AD - Immunology and Functional Genomics Unit, Centro Cardiologico Monzino-IRCCS, 20138 Milan, Italy. AD - Dipartimento di Medicina Clinica e Chirurgia, Universita deli Studi di Napoli Federico II, 80131 Napoli, Italy. FAU - Ferrari, Roberto AU - Ferrari R AD - Maria Cecilia Hospital, GVM Care & Research, 48033 Cotignola, Italy. AD - Centro Cardiologico Universitario di Ferrara, University of Ferrara, 44124 Ferrara, Italy. FAU - Fucili, Alessandro AU - Fucili A AUID- ORCID: 0000-0002-1843-2923 AD - Centro Cardiologico Universitario di Ferrara, University of Ferrara, 44124 Ferrara, Italy. FAU - Livi, Ugolino AU - Livi U AD - Department of Medicine (DAME), University of Udine, 33100 Udine, Italy. FAU - Aleksova, Aneta AU - Aleksova A AUID- ORCID: 0000-0001-7711-9905 AD - Cardiovascular Department, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI), University of Trieste, 34148 Trieste, Italy. FAU - Pompilio, Giulio AU - Pompilio G AD - Vascular Biology and Regenerative Medicine Unit, Centro Cardiologico Monzino-IRCCS, 20138 Milan, Italy. AD - Dipartimento di Scienze Cliniche e di Comunita, Universita degli Studi di Milano, 20122 Milan, Italy. FAU - Colombo, Gualtiero I AU - Colombo GI AUID- ORCID: 0000-0002-7348-1939 AD - Immunology and Functional Genomics Unit, Centro Cardiologico Monzino-IRCCS, 20138 Milan, Italy. LA - eng GR - RC-2010-BIO 64-ID-1489855/Ministero della Salute/ GR - 5 per thousand 2015/Ministero della Salute/ PT - Journal Article DEP - 20201211 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC7764340 OTO - NOTNLM OT - biomarkers OT - heart failure OT - microRNA COIS- The authors declare no conflict of interest. EDAT- 2020/12/17 06:00 MHDA- 2020/12/17 06:01 PMCR- 2020/12/11 CRDT- 2020/12/16 01:04 PHST- 2020/11/11 00:00 [received] PHST- 2020/12/07 00:00 [revised] PHST- 2020/12/08 00:00 [accepted] PHST- 2020/12/16 01:04 [entrez] PHST- 2020/12/17 06:00 [pubmed] PHST- 2020/12/17 06:01 [medline] PHST- 2020/12/11 00:00 [pmc-release] AID - biomedicines8120597 [pii] AID - biomedicines-08-00597 [pii] AID - 10.3390/biomedicines8120597 [doi] PST - epublish SO - Biomedicines. 2020 Dec 11;8(12):597. doi: 10.3390/biomedicines8120597.