Key result
Atherosclerosis and cardiomyopathies linked to increased global A-to-I RNA editing in cardiovascular tissues.
Why the study?
RNA editing patterns in cardiovascular tissues had not been investigated systematically, and little was known about its potential role in cardiac diseases.
Observational (n=575)
Absolute Event Rate: 3.59% vs 2.7%
p-value: p=1.3e-5
Global A-to-I RNA editing is elevated in cardiovascular conditions such as atherosclerosis and cardiomyopathies, providing a new roadmap for investigating RNA editing as a mediator of these diseases.
RNA editing elevation in cardiovascular disease is hypothesis-generating; leaves open causal role or clinical utility pending prospective studies.
Adenosine-to-inosine RNA editing is essential to prevent undesired immune activation. This diverse process alters the genetic content of the RNA and may recode proteins, change splice sites and miRNA targets, and mimic genomic mutations. Recent studies have associated or implicated aberrant editing with pathological conditions, including cancer, autoimmune diseases, and neurological and psychiatric conditions. RNA editing patterns in cardiovascular tissues have not been investigated systematically so far, and little is known about its potential role in cardiac diseases. Some hints suggest robust editing in this system, including the fact that ADARB1 (ADAR2), the main coding-sequence editor, is most highly expressed in these tissues. Here we characterized RNA editing in the heart and arteries and examined a contributory role to the development of atherosclerosis and two structural heart diseases -Ischemic and Dilated Cardiomyopathies. Analyzing hundreds of RNA-seq samples taken from the heart and arteries of cardiac patients and controls, we find that global editing, alongside inflammatory gene expression, is increased in patients with atherosclerosis, cardiomyopathies, and heart failure. We describe a single recoding editing site and suggest it as a target for focused research. This recoding editing site in the IGFBP7 gene is one of the only evolutionary conserved sites between mammals, and we found it exhibits consistently increased levels of editing in these patients. Our findings reveal that RNA editing is abundant in arteries and is elevated in several key cardiovascular conditions. They thus provide a roadmap for basic and translational research of RNA as a mediator of atherosclerosis and non-genetic cardiomyopathies.
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Mann et al. (2023) conducted an observational in Atherosclerosis and Cardiomyopathies (n=575). Cardiovascular disease (atherosclerosis and cardiomyopathies) vs. Healthy controls was evaluated on Alu Editing Index (AEI) in aorta (p=1.3e-5). Atherosclerosis and cardiomyopathies are associated with significantly increased global A-to-I RNA editing in cardiovascular tissues, including a specific recoding site in the IGFBP7 gene.
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