2022
DOI: 10.3390/genes13081390
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New Insights into the Functions of MicroRNAs in Cardiac Fibrosis: From Mechanisms to Therapeutic Strategies

Abstract: Cardiac fibrosis is a significant global health problem associated with almost all types of heart disease. Extensive cardiac fibrosis reduces tissue compliance and contributes to adverse outcomes, such as cardiomyocyte hypertrophy, cardiomyocyte apoptosis, and even heart failure. It is mainly associated with pathological myocardial remodeling, characterized by the excessive deposition of extracellular matrix (ECM) proteins in cardiac parenchymal tissues. In recent years, a growing body of evidence demonstrated… Show more

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Cited by 23 publications
(13 citation statements)
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“…Since the discovery of miRNAs, interest in these molecules as potential diagnostic and therapeutic tools has grown [ 20 ]. There is plentiful evidence suggesting that miRNAs regulate cardiac homeostasis and thus may serve as a diagnostic tool and/or therapeutic target [ 21 ]. Several miRNAs targeting mRNA-encoding proteins involved in cardiac fibrosis are currently being assessed for their potential use as therapeutic targets, but these approaches are still at an early stage [ 22 ].…”
Section: Discussionmentioning
confidence: 99%
“…Since the discovery of miRNAs, interest in these molecules as potential diagnostic and therapeutic tools has grown [ 20 ]. There is plentiful evidence suggesting that miRNAs regulate cardiac homeostasis and thus may serve as a diagnostic tool and/or therapeutic target [ 21 ]. Several miRNAs targeting mRNA-encoding proteins involved in cardiac fibrosis are currently being assessed for their potential use as therapeutic targets, but these approaches are still at an early stage [ 22 ].…”
Section: Discussionmentioning
confidence: 99%
“…Noteworthy, more than 60 non-coding microRNA (miRNA) have been reported to be involved in cardiac fibrosis. Many of these miRNAs modulate the TGFβ1 signaling pathway either directly by inhibiting TGFβ1, TGF β1 receptors, or smad proteins or indirectly by enhancing the TGFβ1/smad3 signaling pathway, thus conferring a pro- or anti-fibrotic property [ 48 ]. The exosome-mediated transport of miRNA was suggested to induce remote fibrotic effects besides many other cytokines and Wnt molecules.…”
Section: Molecular Mechanisms Involved In the Development Of Cardiac ...mentioning
confidence: 99%
“…Among them, the upregulation of circulating miR-21 and miR-133a was associated with cardiac fibrosis but in a non-specific manner. In the Eperelone Post-Acute Myocardial Infarction HF Efficacy and Survival Study (EPHESUS), only miR-113a was reported as a potentially specific circulating miRNA [ 48 , 128 ]. Thus, in the next few years, the development of standardized protocols for miRNA isolation and the correlation of miRNA with myocardial collagen content is necessary to consider miRNA as a circulating biomarker of cardiac fibrosis.…”
Section: Emerging Techniques For the Detection Of Cardiac Fibrosismentioning
confidence: 99%
“…miRNAs are broadly expressed in the nucleus and cytoplasm. However, miRNAs can still be found in blood circulation [ 101 ]. As miRNAs are expressed stably in blood, they are likely to be used as potential biomarkers for diagnostic, prognostic, and novel therapeutic strategies related to cardiovascular disease [ 102 ].…”
Section: Factors Influencing Cardiac Fibrosismentioning
confidence: 99%