Molecular Cardiology Laboratory, IRCCS Policlinico San Donato, San Donato Milanese, 20097, Milan, Italy.
Laboratory of Epigenetics, Istituti Clinici Scientifici Maugeri IRCCS, 27100, Pavia, Italy.
J Transl Med. 2020 Oct 31;18(1):408. doi: 10.1186/s12967-020-02582-8.
COronaVIrus Disease 19 (COVID-19) is caused by the infection of the Severe Acute Respiratory Syndrome CoronaVirus 2 (SARS-CoV-2). Although the main clinical manifestations of COVID-19 are respiratory, many patients also display acute myocardial injury and chronic damage to the cardiovascular system. Understanding both direct and indirect damage caused to the heart and the vascular system by SARS-CoV-2 infection is necessary to identify optimal clinical care strategies. The homeostasis of the cardiovascular system requires a tight regulation of the gene expression, which is controlled by multiple types of RNA molecules, including RNA encoding proteins (messenger RNAs) (mRNAs) and those lacking protein-coding potential, the noncoding-RNAs. In the last few years, dysregulation of noncoding-RNAs has emerged as a crucial component in the pathophysiology of virtually all cardiovascular diseases. Here we will discuss the potential role of noncoding RNAs in COVID-19 disease mechanisms and their possible use as biomarkers of clinical use.
冠状病毒病 19(COVID-19)是由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)感染引起的。虽然 COVID-19 的主要临床表现为呼吸道症状,但许多患者也表现出急性心肌损伤和心血管系统的慢性损害。了解 SARS-CoV-2 感染对心脏和血管系统造成的直接和间接损害对于确定最佳的临床治疗策略是必要的。心血管系统的内稳态需要对基因表达进行严格的调控,这是由多种类型的 RNA 分子控制的,包括编码蛋白质的 RNA(信使 RNA)(mRNAs)和缺乏蛋白编码能力的非编码-RNA。在过去的几年中,非编码-RNA 的失调已成为几乎所有心血管疾病病理生理学的一个关键组成部分。在这里,我们将讨论非编码 RNA 在 COVID-19 疾病机制中的潜在作用及其作为临床应用生物标志物的可能用途。
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