Key result
Nuclear microRNAs complexed with Argonaute proteins control cardiac metabolism in heart failure with preserved ejection fraction through multiple noncanonical modes of action.
This paper outlines the noncanonical nuclear mechanisms by which microRNAs and Argonaute proteins regulate gene expression and cardiac metabolism in heart failure with preserved ejection fraction.
Does not support clinical adoption in HFpEF; leaves open therapeutic targeting of nuclear miRNA-Argonaute complexes pending validation.
Nuclear functions of miRNAs with relevance for cardiovascular disease. MicroRNAs (miRNAs) are actively transferred to the nucleus in a complex with Argonaute (AGO) proteins via a pathway involving nuclear importin (e.g. Importin 8). Once in the nucleus, AGO-miRNA complexes may act through multiple noncanonical modes of action, including: (A) binding to gene promoters and leading to the assembly of multimolecular complexes, including the TATA-box binding protein (TBP) and RNA polymerase II (Pol II) to initiate gene transcription; (B) interacting with epigenetic enzymes such as the repressive epigenetic writer EZH2 to influence epigenetic marks in nucleosomes. In this case, EZH2 catalyzes the H3K27me3 histone post-translational modification, thus reducing chromatin accessibility and leading to transcriptional repression of target genes; (C) mediating nuclear RNA interference when loaded in RNA-induced silencing complex (RISC)-like molecular complexes containing proteins of the TNRC6 family; (D) being unloaded from AGO proteins and acting as aptamers to regulate multimer protein assembly and ultimately protein function.
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Santovito et al. (2025) conducted a review in Heart failure with preserved ejection fraction. Nuclear microRNAs complexed with Argonaute proteins control cardiac metabolism in heart failure with preserved ejection fraction through multiple noncanonical modes of action.
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