Biomarker-based approach to determine etiology and severity of pulmonary hypertension: Focus on microRNA.

PAH biomarker miRNA microRNA pulmonary arterial hypertension

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2022
Historique:
received: 28 06 2022
accepted: 12 09 2022
entrez: 24 10 2022
pubmed: 25 10 2022
medline: 25 10 2022
Statut: epublish

Résumé

Pulmonary arterial hypertension (PAH) is characterized by remodeling of the pulmonary arteries, and defined by elevated pulmonary arterial pressure, measured during right heart catheterization. There are three main challenges to the diagnostic and therapeutic process of patients with PAH. First, it is difficult to differentiate particular PAH etiology. Second, invasive diagnostic is required to precisely determine the severity of PAH, and thus to qualify patients for an appropriate treatment. Third, the results of treatment of PAH are unpredictable and remain unsatisfactory. MicroRNAs (miRNAs) are small non-coding RNAs that regulate post transcriptional gene-expression. Their role as a prognostic, and diagnostic biomarkers in many different diseases have been studied in recent years. MiRNAs are promising novel biomarkers in PAH due to their activity in various molecular pathways and processes underlying PAH. Lack of biomarkers to differentiate between particular PAH etiology and evaluate the severity of PAH, as well as paucity of therapeutic targets in PAH open a new field for the possibility to use miRNAs in these applications. In our article, we discuss the potential of miRNAs use as diagnostic tools, prognostic biomarkers and therapeutic targets in PAH.

Identifiants

pubmed: 36277769
doi: 10.3389/fcvm.2022.980718
pmc: PMC9582157
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

980718

Informations de copyright

Copyright © 2022 Rogula, Pomirski, Czyżak, Eyileten, Postuła, Szarpak, Filipiak, Kurzyna, Jaguszewski, Mazurek, Grabowski and Gąsecka.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Sylwester Rogula (S)

1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.

Bartosz Pomirski (B)

1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.

Norbert Czyżak (N)

1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.

Ceren Eyileten (C)

Department of Experimental and Clinical Pharmacology, Centre for Preclinical Research and Technology, Medical University of Warsaw, Warsaw, Poland.
Genomics Core Facility, Center of New Technologies (CeNT), University of Warsaw, Warsaw, Poland.

Marek Postuła (M)

Department of Experimental and Clinical Pharmacology, Centre for Preclinical Research and Technology, Medical University of Warsaw, Warsaw, Poland.

Łukasz Szarpak (Ł)

Department of Outcomes Research, Maria Skłodowska-Curie Medical Academy in Warsaw, Warsaw, Poland.

Krzysztof J Filipiak (KJ)

Institute of Clinical Sciences, Maria Skłodowska-Curie Medical Academy in Warsaw, Warsaw, Poland.

Marcin Kurzyna (M)

Department of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, Centre of Postgraduate Medical Education, European Health Centre Otwock, Otwock, Poland.

Miłosz Jaguszewski (M)

1st Department of Cardiology, Medical University of Gdańsk, Gdańsk, Poland.

Tomasz Mazurek (T)

1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.

Marcin Grabowski (M)

1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.

Aleksandra Gąsecka (A)

1st Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.

Classifications MeSH