Why the study?
Aortic stenosis causes pressure overload-induced pro-fibrotic responses, and miR-210 regulates cardiac remodeling, but its effects on pressure overload-induced cardiac fibrosis were unknown.
Does miR-210 over-expression worsen cardiac fibrosis and adverse remodeling in a mouse model of pressure overload?
Does miR-210 over-expression worsen cardiac fibrosis and adverse remodeling in a mouse model of pressure overload?
miR-210 overexpression exacerbates adverse cardiac remodeling, inflammation, and fibrosis in a murine model of pressure overload, suggesting a maladaptive role in conditions like aortic stenosis.
miR-210 may drive maladaptive remodeling in pressure overload; hypothesis-generating for targeted inhibition in human aortic stenosis.
Aortic stenosis, a common valvular heart disease, can lead to left ventricular pressure overload, triggering pro-fibrotic responses in the heart. miR-210 is a microRNA that responds to hypoxia and ischemia and plays a role in immune regulation and in cardiac remodeling upon myocardial infarction. This study investigated the effects of miR-210 on cardiac fibrosis caused by pressure overload. Using a mouse model with inducible miR-210 over-expression, we subjected mice to transverse aortic constriction (TAC) to induce pressure overload. Mice with miR-210 over-expression developed eccentric hypertrophy, heightened expression of hypertrophic markers (Nppa and Nppb) and increased cross sectional area of cardiomyocytes, impacting the free wall of the left ventricle. These findings suggest that miR-210 worsens cardiac dysfunction. Furthermore, miR-210 over-expression led to a more robust and sustained inflammatory response in the heart, increased interstitial and perivascular fibrosis, and activation of myofibroblasts. miR-210 also promoted angiogenesis. In vitro , cardiac fibroblasts over-expressing miR-210 showed increased adhesion, wound healing and migration capacity. Our results demonstrate that miR-210 contributes to adverse cardiac remodeling in response to pressure overload, including eccentric hypertrophy, inflammation, and fibrosis.
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Zaccagnini et al. (2025) studied this question.
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