Opportunities for microRNAs in the Crowded Field of Cardiovascular Biomarkers

Annu Rev Pathol. 2019 Jan 24:14:211-238. doi: 10.1146/annurev-pathmechdis-012418-012827. Epub 2018 Oct 17.

Abstract

Cardiovascular diseases exist across all developed countries. Biomarkers that can predict or diagnose diseases early in their pathogeneses can reduce their morbidity and mortality in afflicted individuals. microRNAs are small regulatory RNAs that modulate translation and have been identified as potential fluid-based biomarkers across numerous maladies. We describe the current state of cardiovascular disease biomarkers across a range of diseases, including myocardial infarction, acute coronary syndrome, myocarditis, hypertension, heart failure, heart transplantation, aortic stenosis, diabetic cardiomyopathy, atrial fibrillation, and sepsis. We present the current understanding of microRNAs as possible biomarkers in these categories and where their best opportunities exist to enter clinical practice.

Keywords: aortic stenosis; biomarkers; cardiovascular disease; hypertension; microRNAs; sepsis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / genetics
  • Cardiovascular Diseases / diagnosis*
  • Cardiovascular Diseases / genetics*
  • Cardiovascular System / pathology
  • Genetic Markers / genetics
  • Heart Failure / diagnosis
  • Heart Failure / genetics
  • Humans
  • Hypertension / diagnosis
  • Hypertension / genetics
  • MicroRNAs / genetics*
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / genetics

Substances

  • Genetic Markers
  • MicroRNAs