Circulating MicroRNAs Characterizing Patients with Insufficient Coronary Collateral Artery Function.

Autor: Nazanin Hakimzadeh, A Yaël Nossent, Anja M van der Laan, Stephan H Schirmer, Maurice W J de Ronde, Sara-Joan Pinto-Sietsma, Niels van Royen, Paul H A Quax, Imo E Hoefer, Jan J Piek
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: PLoS ONE, Vol 10, Iss 9, p e0137035 (2015)
Druh dokumentu: article
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0137035
Popis: Coronary collateral arteries function as natural bypasses in the event of coronary obstruction. The degree of collateral network development significantly impacts the outcome of patients after an acute myocardial infarction (AMI). MicroRNAs (miRNAs, miRs) have arisen as biomarkers to identify heterogeneous patients, as well as new therapeutic targets in cardiovascular disease. We sought to identify miRNAs that are differentially expressed in chronic total occlusion (CTO) patients with well or poorly developed collateral arteries.Forty-one CTO patients undergoing coronary angiography and invasive assessment of their coronary collateralization were dichotomized based on their collateral flow index (CFI). After miRNA profiling was conducted on aortic plasma, four miRNAs were selected for validation by real-time quantitative reverse transcription polymerase chain reaction in patients with low (CFI0.39) collateral artery capacity. We confirmed significantly elevated levels of miR423-5p (p
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