Key result
CPB linked to altered expression of 90 miRNAs in right atrial tissue of children with CHD.
Why the study?
Children with congenital heart defects are at high risk for myocardial failure after cardiopulmonary bypass, and microRNAs may be involved in this process.
Does cardiopulmonary bypass alter the microRNA expression profile in right atrium tissue of children with congenital heart diseases?
Observational (n=14)
No
Does cardiopulmonary bypass alter the microRNA expression profile in right atrium tissue of children with congenital heart diseases?
p-value: p=<0.05
Cardiopulmonary bypass induces significant alterations in the miRNome of right atrium tissue in children with congenital heart diseases, potentially implicating specific signaling pathways in postoperative myocardial failure.
May indicate postoperative myocardial vulnerability in pediatric congenital heart disease; hypothesis-generating and requires prospective validation.
BACKGROUND: Children with congenital heart defects (CHDs) are at high risk for myocardial failure after operative procedures with cardiopulmonary bypass (CPB). Recent studies suggest that microRNAs (miRNA) are involved in the development of CHDs and myocardial failure. Therefore, the aim of this study was to determine alterations in the miRNA profile in heart tissue after cardiac surgery using CPB. METHODS: In total, 14 tissue samples from right atrium were collected from patients before and after connection of the CPB. SurePrint™ 8 × 60K Human v21 miRNA array and quantitative reverse transcription-polymerase chain reaction (RT-qPCR) were employed to determine the miRNA expression profile from three patients before and after connection of the CPB. Enrichment analyses of altered miRNA expression were predicted using bioinformatic tools. RESULTS: According to miRNA array, a total of 90 miRNAs were significantly altered including 29 miRNAs with increased and 61 miRNAs with decreased expression after de-connection of CPB (n = 3) compared to before CPB (n = 3). Seven miRNAs had been validated using RT-qPCR in an independent cohort of 11 patients. Enrichment analyses applying the KEGG database displayed the highest correlation for signaling pathways, cellular community, cardiovascular disease and circulatory system. CONCLUSION: Our result identified the overall changes of the miRNome in right atrium tissue of patients with CHDs after CPB. The differentially altered miRNAs lay a good foundation for further understanding of the molecular function of changed miRNAs in regulating CHDs and after CPB in particular.
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Abu‐Halima et al. (2017) conducted an observational in Congenital heart diseases (n=14). Cardiopulmonary bypass vs. Before cardiopulmonary bypass was evaluated on Differential expression of miRNAs in atrial myocardial tissue (p=<0.05). Cardiopulmonary bypass significantly altered the expression of 90 miRNAs (29 up-regulated and 61 down-regulated) in the right atrial myocardium of children with congenital heart diseases.
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