Key result
Aged subjects presented with significantly higher circulating miR-21 expression, which positively correlated with left ventricular wall thickness.
Why the study?
Young and aging hearts undergo different remodeling post pressure overload, but the regulator that determines responses to pressure overload at different ages remains unknown.
Does miR-21 knockout attenuate pressure overload-induced cardiac hypertrophy in aged hearts?
Observational (n=108)
Does miR-21 knockout attenuate pressure overload-induced cardiac hypertrophy in aged hearts?
miR-21 is associated with a prominently hypertrophic response in aged hearts under pressure overload, suggesting it may serve as a biomarker and potential therapeutic target for age-associated cardiac remodeling.
miR-21 effects on hypertrophy differ by age in Ang II model; leaves open whether age-specific targeting alters remodeling in older hypertensive hearts.
Young and aging hearts undergo different remodeling post pressure overload, but the regulator that determines responses to pressure overload at different ages remains unknown. With an angiotensin II (Ang II)-induced hypertensive model, miR-21 knockout mice (miR-21−/−) were observed regarding the effects of miR-21 on hypertension-induced cardiac remodeling in young (12 week-old) and old (50 week-old) mice. Although the aged heart represented a more significant hypertrophy and was associated with a higher expression of miR-21, Ang II-induced cardiac hypertrophy was attenuated in miR-21−/− mice. Upon results of cardiac-specific arrays in miR-21-overexpressing cardiomyocytes, we found a significant downregulation of S100a8. In both in vitro and in vivo models, miR-21/S100a8/NF-κB/NFAT pathway was observed to be associated with pressure overload-induced hypertrophic remodeling in aged hearts. To further investigate whether circulating miR-21 could be a biomarker reflecting the aged associated cardiac remodeling, we prospectively collected clinical and echocardiographic information of patients at young (<65 y/o) and old ages (≥65 y/o) with and without hypertension. Among 108 patients, aged subjects presented with a significantly higher expression of circulating miR-21, which was positively correlated with left ventricular wall thickness. Collectively, miR-21 was associated with a prominently hypertrophic response in aged hearts under pressure overload. Further studies should focus on therapeutic potentials of miR-21.
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Chang et al. (2022) conducted an observational in Hypertension and aging-associated cardiac remodeling (n=108). Circulating miR-21 expression vs. Young patients / patients without hypertension was evaluated on Correlation of circulating miR-21 with left ventricular wall thickness. Aged subjects presented with significantly higher circulating miR-21 expression, which positively correlated with left ventricular wall thickness.
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