Heart failure & cardiomyopathies

MicroRNAs are Associated with Cardiac Biomarkers, Cardiac Structure and Function and Incident Outcomes in Heart Failure

ESC Heart FailPublished Prospective cohort study

Authors' conclusion

Biomarkers and miRNA PCs are associated with cardiac structure and function and incident cardiovascular outcomes. Combining information from miRNAs provides prognostic information beyond biomarkers in HF.

Study context

Population
Individuals with symptomatic heart failure (HF)45 events
Participants
139 individuals
Outcome
Association of plasma miRNAs and biomarkers (NT-proBNP, cardiac troponin I, suPAR, galectin-3) with echocardiographic ventricular size and function and incident composite of HF hospitalization, heart transplant, LV assist device implant or death
Follow-up
Median 368 days
Methodological details32 plasma microRNAs (miRNAs) quantified by FirePlex assay; principal component analysis, linear regression and Cox modelling
  • 32 plasma miRNAs quantified by FirePlex assay; principal component analysis, linear regression and Cox modelling

Main finding

As reported in the abstract

NT-proBNP with baseline LVEF
β = −2.0; P = 0.001
miRNA PC2 with baseline LVEF
β = 2.6; P = 0.002
NT-proBNP with baseline LV end-diastolic volume
β = 20.6; P = 0.0004
suPAR with baseline LV end-diastolic volume
β = −39.6; P = 0.005
PC4 with baseline LV end-diastolic volume
β = 21.1; P = 0.02
NT-proBNP with incident events
HR 1.67, 95% CI 1.28-2.18, P = 0.0002
Galectin-3 with incident events
HR 2.02, 95% CI 1.05-3.91, P = 0.036
PC3 with incident events
HR 1.75, 95% CI 1.23-2.49, P = 0.002
PC4 with incident events
HR 1.67, 95% CI 1.1-2.52, P = 0.016

Observational data: associations, not effects.

Original publication

MicroRNAs are Associated with Cardiac Biomarkers, Cardiac Structure and Function and Incident Outcomes in Heart Failure. ESC Heart Fail. Published 6 February 2024. doi:10.1002/ehf2.14649

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