Key result
Elevated lncRNA H19 is linked to ~60% higher levels in AF and drives atrial fibrosis.
Why the study?
To investigate whether lncRNA H19 promotes myocardial fibrosis by suppressing the miR-29a-3p/miR-29b-3p-VEGFA/TGF-axis.
Does lncRNA H19 promote myocardial fibrosis and cardiac fibroblast proliferation via suppression of the miR-29a/b-VEGFA/TGF-β axis in atrial fibrillation?
Case-Control (n=173)
No
Does lncRNA H19 promote myocardial fibrosis and cardiac fibroblast proliferation via suppression of the miR-29a/b-VEGFA/TGF-β axis in atrial fibrillation?
Effect estimate: 1.60 times higher
p-value: p=<0.05
LncRNA H19 acts as a competing endogenous RNA to suppress miR-29a/b-3p, driving cardiac fibroblast proliferation and extracellular matrix deposition, presenting a potential therapeutic target for atrial fibrillation-associated fibrosis.
Elevated plasma H19 may mark AF-related fibrosis risk; hypothesis-generating for miR-29 axis-targeted therapies pending trials.
The aim of this study was to investigating whether lncRNA H19 promotes myocardial fibrosis by suppressing the miR-29a-3p/miR-29b-3p-VEGFA/TGF- axis. Patients with atrial fibrillation (AF) and healthy volunteers were included in the study, and their biochemical parameters were collected. In addition, pcDNA3.1-H19, si-H19, and miR-29a/b-3p mimic/ inhibitor were transfected into cardiac fibroblasts (CFs), and proliferation of CFs was detected by MTT assay. Expression of H19 and miR-29a/b-3p were detected using real-time quantitative polymerase chain reaction, and expression of -smooth muscle actin (-SMA), collagen I, collagen II, matrix metalloproteinase-2 (MMP-2), and elastin were measured by western blot analysis. The dual luciferase reporter gene assay was carried out to detect the sponging relationship between H19 and miR-29a/b-3p in CFs. Compared with healthy volunteers, the level of plasma H19 was significantly elevated in patients with AF, while miR-29a-3p and miR-29b-3p were markedly depressed (P < 0.05). Serum expression of lncRNA H19 was negatively correlated with the expression of miR-29a-3p and miR-29b-3p among patients with AF (r s = -0.337, r s = -0.236). Moreover, up-regulation of H19 expression and down-regulation of miR-29a/b-3p expression facilitated proliferation and synthesis of extracellular matrix (ECM)-related proteins. SB431542 and si-VEGFA are able to reverse the promotion of miR-29a/b-3p on proliferation of CFs and ECM-related protein synthesis. The findings of the present study suggest that H19 promoted CF proliferation and collagen synthesis by suppressing the miR-29a-3p/miR-29b-3p-VEGFA/TGF- axis, and provide support for a potential new direction for the treatment of AF.
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Guo et al. (2021) conducted a case-control in Atrial fibrillation (n=173). Atrial fibrillation (vs healthy status) vs. Healthy volunteers was evaluated on Plasma/serum levels of lncRNA H19 and miR-29a-3p/miR-29b-3p (1.60 times higher, p=<0.05). The level of plasma lncRNA H19 was significantly elevated in patients with atrial fibrillation, promoting cardiac fibroblast proliferation and collagen synthesis by suppressing the miR-29a-3p/miR-29b-3p-VEGFA/TGF-β axis.
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