Key result
A combined miR-483-5p and miR-150 model predicts ~69% AF recurrence in high-risk patients after ablation.
Why the study?
Atrial fibrillation has a high recurrence rate after radiofrequency ablation, and the absence of universal predictive tools impedes clinical prognosis evaluation and treatment optimization.
Does a risk model based on miR-483-5p and miR-150 predict atrial fibrillation recurrence in patients after radiofrequency ablation?
Cohort (n=182)
No
Does a risk model based on miR-483-5p and miR-150 predict atrial fibrillation recurrence in patients after radiofrequency ablation?
Absolute Event Rate: 69.05% vs 4.55%
p-value: p=<0.001
A novel risk stratification model combining miR-483-5p and miR-150 demonstrates high predictive accuracy for atrial fibrillation recurrence following radiofrequency ablation.
May support miRNA-based recurrence risk stratification after RFA in AF; hypothesis-generating and requires prospective validation before clinical adoption.
Atrial Fibrillation (AF) is a common arrhythmia with high recurrence after Radiofrequency Ablation, and the absence of universal predictive tools impedes clinical prognosis evaluation and treatment optimization. To address this gap, we developed a retrospective microRNA (miRNA)-based recurrence risk stratification model for post-RFA AF patients using an integrated bioinformatics and clinical validation approach. First, we performed differential expression analysis of two Gene Expression Omnibus (GEO) datasets (GSE144384, GSE71963) via GEO2R and R software (version 4.2.1, Limma package) with strict thresholds (|logFC| > 1.5, P < 0.05) identified upregulated miR-483-5p and downregulated miR-150 as core biomarkers. This finding was cross-validated across both datasets ( P < 0.001). Subsequently, we enrolled 122 AF patients after RFA and 60 patients with sinus rhythm as controls, and we measured plasma miRNA levels by Quantitative real-time Polymerase Chain Reaction and left atrial functional/structural parameters via color Doppler ultrasound. Receiver Operating Characteristic curve analysis determined optimal cut-off values (miR-483-5p: 1.025; miR-150: 0.805) for constructing a three-tier recurrence risk stratification model. Validation during 12-month follow-up confirmed the model, showing gradient recurrence rates of 69.05%, 24.14% and 4.55% across high/medium/low-risk groups ( P < 0.001). The combined Area Under the Curve for predictive performance was 0.888 (superior to that of single biomarkers). We propose a reproducible miRNA-driven predictive framework integrating public omics mining and clinical validation, providing an engineering-based tool for early identification of high-risk post-RFA patients and guidance for individualized treatment. The framework is extendable to other arrhythmias, laying a foundation for translational research of miRNA-based predictive models.
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Lai et al. (2026) conducted a cohort in Atrial Fibrillation (n=182). High-risk stratification (high miR-483-5p and low miR-150) vs. Low-risk stratification was evaluated on Atrial fibrillation recurrence (p=<0.001). A risk stratification model combining high miR-483-5p and low miR-150 expression predicted atrial fibrillation recurrence after radiofrequency ablation, with a 69.05% recurrence rate in high-risk patients versus 4.55% in low-risk patients.
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