Chumakova Olga S, Mershina Elena A
National Medical Research Center of Cardiology Named After E. I. Chazov, Moscow, Russia.
Medical Research and Education Center Lomonosov Moscow State University, Moscow, Russia.
Exp Biol Med (Maywood). 2024 Dec 18;249:10334. doi: 10.3389/ebm.2024.10334. eCollection 2024.
Hypertrophic cardiomyopathy (HCM) is a genetic cardiac disorder associated with an increased risk of arrhythmias, heart failure, and sudden cardiac death. Current imaging and clinical markers are not fully sufficient in accurate diagnosis and patient risk stratification. Although known cardiac biomarkers in blood are used, they lack specificity for HCM and primarily stratify for death due to heart failure in overt cases. Non-coding RNAs, particularly microRNAs, have emerged as promising biomarkers due to their role in regulating gene expression in both healthy and pathological hearts. Circulating microRNA signatures may dynamically reflect the progression of HCM, offering potential utility in diagnosis and disease monitoring as well as inform biologic pathways for innovative therapeutic strategies. However, studying microRNAs in cardiovascular diseases is still in its early stages and poses many challenges. This review focuses on emerging research perspectives using advanced cardiac magnetic resonance techniques. We presume, that the search for circulating miR signatures associated with specific adverse myocardial features observed on cardiac magnetic resonance imaging - such as fibrosis, disarray, and microvascular disease - represents a promising direction in HCM research.
肥厚型心肌病(HCM)是一种遗传性心脏疾病,与心律失常、心力衰竭和心源性猝死风险增加相关。目前的影像学和临床标志物在准确诊断和患者风险分层方面并不完全充分。尽管使用了血液中已知的心脏生物标志物,但它们对HCM缺乏特异性,主要用于明显病例中因心力衰竭导致的死亡分层。非编码RNA,特别是微小RNA,由于其在健康和病理心脏中调节基因表达的作用,已成为有前景的生物标志物。循环微小RNA特征可能动态反映HCM的进展,在诊断和疾病监测中具有潜在用途,并为创新治疗策略提供生物学途径信息。然而,心血管疾病中微小RNA的研究仍处于早期阶段,面临许多挑战。本综述重点关注使用先进心脏磁共振技术的新兴研究观点。我们推测,寻找与心脏磁共振成像上观察到的特定不良心肌特征(如纤维化、排列紊乱和微血管疾病)相关的循环miR特征是HCM研究中一个有前景的方向。