PMID- 33946541 OWN - NLM STAT- MEDLINE DCOM- 20210527 LR - 20240402 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 9 DP - 2021 Apr 30 TI - MicroRNAs in Acute ST Elevation Myocardial Infarction-A New Tool for Diagnosis and Prognosis: Therapeutic Implications. LID - 10.3390/ijms22094799 [doi] LID - 4799 AB - Despite diagnostic and therapeutic advances, coronary artery disease and especially its extreme manifestation, ST elevation myocardial infarction (STEMI), remain the leading causes of morbidity and mortality worldwide. Early and prompt diagnosis is of great importance regarding the prognosis of STEMI patients. In recent years, microRNAs (miRNAs) have emerged as promising tools involved in many pathophysiological processes in various fields, including cardiovascular diseases. In acute coronary syndromes (ACS), circulating levels of miRNAs are significantly elevated, as an indicator of cardiac damage, making them a promising marker for early diagnosis of myocardial infarction. They also have prognostic value and great potential as therapeutic targets considering their key function in gene regulation. This review aims to summarize current information about miRNAs and their role as diagnostic, prognostic and therapeutic targets in STEMI patients. FAU - Scarlatescu, Alina Ioana AU - Scarlatescu AI AUID- ORCID: 0000-0003-2183-5771 AD - Department of Cardiology, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania. AD - Department of Cardiology, Clinical Emergency Hospital of Bucharest, 014461 Bucharest, Romania. FAU - Micheu, Miruna Mihaela AU - Micheu MM AUID- ORCID: 0000-0001-7201-3132 AD - Department of Cardiology, Clinical Emergency Hospital of Bucharest, 014461 Bucharest, Romania. FAU - Popa-Fotea, Nicoleta-Monica AU - Popa-Fotea NM AUID- ORCID: 0000-0002-8066-5779 AD - Department of Cardiology, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania. AD - Department of Cardiology, Clinical Emergency Hospital of Bucharest, 014461 Bucharest, Romania. FAU - Dorobantu, Maria AU - Dorobantu M AD - Department of Cardiology, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania. AD - Department of Cardiology, Clinical Emergency Hospital of Bucharest, 014461 Bucharest, Romania. LA - eng PT - Journal Article PT - Review DEP - 20210430 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Biomarkers) RN - 0 (MicroRNAs) SB - IM MH - Animals MH - Biomarkers/blood MH - Humans MH - MicroRNAs/blood/*genetics MH - Prognosis MH - ST Elevation Myocardial Infarction/blood/diagnosis/*genetics/physiopathology MH - Up-Regulation PMC - PMC8124280 OTO - NOTNLM OT - STEMI OT - biomarkers OT - miRNA COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2021/05/06 06:00 MHDA- 2021/05/28 06:00 PMCR- 2021/04/30 CRDT- 2021/05/05 01:02 PHST- 2021/03/15 00:00 [received] PHST- 2021/04/23 00:00 [revised] PHST- 2021/04/26 00:00 [accepted] PHST- 2021/05/05 01:02 [entrez] PHST- 2021/05/06 06:00 [pubmed] PHST- 2021/05/28 06:00 [medline] PHST- 2021/04/30 00:00 [pmc-release] AID - ijms22094799 [pii] AID - ijms-22-04799 [pii] AID - 10.3390/ijms22094799 [doi] PST - epublish SO - Int J Mol Sci. 2021 Apr 30;22(9):4799. doi: 10.3390/ijms22094799.