Key result
In patients with pulmonary artery hypertension, plasma miR-212-3p levels were inversely correlated with NT-pro BNP and yielded an area under the ROC curve of 0.751 for detecting right heart failure.
Why the study?
Acute right heart failure carries high mortality in PAH exposed to acute inflammation, and biomarkers to detect it need investigation.
Observational
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for miR-212-3p as right heart failure biomarker in PAH; requires prospective validation before clinical adoption.
BACKGROUND: Acute right heart failure occurs in patients with pulmonary artery hypertension (PAH) with exposure to acute inflammation, the mortality rate is very high when right heart failure occurs. Biomarkers that can be used to detect acute right heart failure in patients with pulmonary hypertension need to be studied. METHODS: A PAH rat model was established using monocrotaline, and lipopolysaccharide was used to induce acute right heart failure. The Agilent rat miRNA microarray, Gene Ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis were used to assess the microRNA expression of PAH rats. The expression of up- and downregulated miRNAs in plasma from PAH patients with acute right heart failure was validated with quantitative reverse transcription polymerase chain reaction (qRT-PCR). Then, the Wilcoxon matched paired test and receiver operating characteristic (ROC) curve analysis were performed. RESULTS: Thirty-three miRNAs were upregulated, and 7 miRNAs were downregulated in plasma of PAH rats with acute right heart failure. In the plasma of PAH patients, the miR-212-3p level was inversely correlated with the level of NT-pro BNP, and the area under the ROC curve was 0.751. CONCLUSIONS: These results suggest that the reduction of the expression of MIR-212-3p may be a biomarker for PAH patients with right heart dysfunction.
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Yang et al. (2020) conducted an observational in Acute right heart failure with pulmonary artery hypertension. Plasma MIR-212-3p level was evaluated on Detection of acute right heart failure (AUC 0.751). In patients with pulmonary artery hypertension, plasma miR-212-3p levels were inversely correlated with NT-pro BNP and yielded an area under the ROC curve of 0.751 for detecting right heart failure.
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