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August 23, 2026European journal of medical researchOpen Access

Clinical value and regulatory role of miR-4446-3p in coronary heart disease

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Authors

MCMingli CuiQMQiangqiang MuJHJinqiu Huo

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Overview

Observational and experimental study reveals elevated miR-4446-3p predicts adverse cardiac events and drives endothelial dysfunction in coronary heart disease, highlighting its biomarker utility.

Key Points

  • To evaluate the clinical diagnostic and prognostic significance of miR-4446-3p in coronary heart disease and investigate its regulatory role in endothelial dysfunction.
  • Enrolled 103 coronary heart disease (CHD) patients and 91 healthy volunteers, monitoring CHD patients for major adverse cardiovascular events (MACE) over 1 year of follow-up.
  • Assessed correlations between miR-4446-3p levels, Gensini scores, and myocardial injury biomarkers including cTnI, CK-MB, and NT-proBNP.
  • Performed in vitro miR-4446-3p knockdown in endothelial cells to evaluate proliferation, apoptosis, inflammation, oxidative stress, and direct targeting of ABCG1.
  • Circulating miR-4446-3p was significantly elevated in CHD patients and positively correlated with cTnI, CK-MB, NT-proBNP, and Gensini score.
  • High miR-4446-3p expression demonstrated strong predictive performance for CHD occurrence and postoperative MACE risk.
  • Knockdown of miR-4446-3p enhanced endothelial proliferation and reduced inflammation and oxidative stress by targeting ABCG1.

Cite This Study

Cui et al. (2026) studied this question.

synapsesocial.com/papers/6a8aad667677a34114445804https://doi.org/10.1186/s40001-026-05011-6
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