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High miR-126-3p levels associated with cardiovascular events in a general population
•A renewed interest exists in miRNAs as biomarkers in cardiovascular disease.•miR-126–3p is associated with albuminuria, a marker of endothelial dysfunction, in hypertension.•High miR-126–3p levels are associated with cardiovascular events in general population. Endothelial dysfunction is a forerunn...
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Published in: | European journal of internal medicine 2023-07, Vol.113, p.49-56 |
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Main Authors: | , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | •A renewed interest exists in miRNAs as biomarkers in cardiovascular disease.•miR-126–3p is associated with albuminuria, a marker of endothelial dysfunction, in hypertension.•High miR-126–3p levels are associated with cardiovascular events in general population.
Endothelial dysfunction is a forerunner of atherosclerosis, leading to cardiovascular disease, and albuminuria is a marker of endothelial dysfunction. Circulating levels of microRNAs are emerging as potential biomarkers for cardiovascular disease. Here we estimate the predictive value of a plasma microRNAs signature associated with albuminuria in the incidence of cardiovascular events.
Plasma microRNAs quantified in hypertensive patients by next generation sequencing were validated in a cohort of patients and controls by real-time quantitative PCR. The microRNAs found to be associated with albuminuria were analysed for their prognostic value in predicting cardiovascular events incidence on a retrospective, population-based study (Hortega Study), using Cox proportional hazard models.
A plasma microRNA profile was identified in the discovery cohort (n = 48) associated with albuminuria and three microRNAs (miR-126–3p, miR-1260b and miR-374a-5p) were confirmed in the validation cohort (n = 98). The microRNA signature discriminates urinary albumin excretion at baseline (n = 1025), and predicts the incidence of cardiovascular events and coronary heart disease and stroke in a general population retrospective study within a 14-year follow-up (n = 926). High miR-126–3p levels were associated with a shorter time free of both cardiovascular events (HR=1.48, (1.36–1.62), p |
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ISSN: | 0953-6205 1879-0828 |
DOI: | 10.1016/j.ejim.2023.04.013 |