Key result
Four circulating microRNAs (miR-99a-5p, miR-192-5p, miR-214-3p, and miR-342-5p) were significantly upregulated in patients with atrial fibrillation, and their combination predicted atrial fibrillation with 76% sensitivity and 80% specificity.
Case-Control (n=115)
No
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A combined analysis of human serum and murine atrial tissue identified a panel of four circulating miRNAs that are significantly upregulated in patients with atrial fibrillation, suggesting their potential utility as predictive biomarkers.
BACKGROUND: Recent experimental studies have demonstrated that several microRNAs (miRNAs) expressed in atrial tissue promote a substrate of atrial fibrillation (AF). However, because it has not been fully elucidated whether these experimental data contribute to identifying circulating miRNAs as biomarkers for AF, we used a combined analysis of human serum and murine atrial samples with the aim of identifying these biomarkers for predicting AF. METHODS AND RESULTS: Comprehensive analyses were performed to screen 733 miRNAs in serum from 10 AF patients and 5 controls, and 672 miRNAs in atrial tissue from 6 inducible atrial tachycardia model mice and 3 controls. We selected miRNAs for which expression was detected in both analyses, and their expression levels were changed in the human analyses, the murine analyses, or both. This screening identified 11 candidate miRNAs. Next, we quantified the selected miRNAs using a quantitative RT-PCR in 50 AF and 50 non-AF subjects. The individual assessment revealed that 4 miRNAs (miR-99a-5p, miR-192-5p, miR-214-3p, and miR-342-5p) were significantly upregulated in AF patients. A receiver-operating characteristics curve indicated that miR-214-3p and miR-342-5p had the highest accuracy. The combination of the 4 miRNAs modestly improved the predictive accuracy for AF (76% sensitivity, 80% specificity). CONCLUSIONS: Novel circulating miRNAs were upregulated in the serum of AF patients and might be potential biomarkers of AF.
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Natsume et al. (2018) conducted a case-control in Atrial Fibrillation (n=115). Circulating microRNAs (miR-99a-5p, miR-192-5p, miR-214-3p, miR-342-5p) vs. Healthy controls was evaluated on Predictive accuracy for atrial fibrillation (76% sensitivity, 80% specificity). Four circulating microRNAs (miR-99a-5p, miR-192-5p, miR-214-3p, and miR-342-5p) were significantly upregulated in patients with atrial fibrillation, and their combination predicted atrial fibrillation with 76% sensitivity and 80% specificity.
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