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  2. Keyword: Cardiovascular Diseases / genetics
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ABC
Review Article

Role of miRNAs on the Pathophysiology of Cardiovascular Diseases

Debora Cristina Pereira da Silva et al. Felipe Demani Carneiro Kelly Costa de Almeida Caroline Fernandes-Santos

Abstract

MiRNA (or microRNA) is a subclass of non-coding RNAs that is responsible for post-transcriptional gene regulation. It has approximately 22 nucleotides and regulates gene expression in plants and animals at the post-transcriptional level, by the cleavage of a target mRNA or by suppression of its translation. Although many of the processes and mechanisms have not yet been fully elucidated, there is a strong association between miRNA expression and several diseases. It is known that miRNAs are expressed in the cardiovascular system, but their role in cardiovascular diseases (CVDs) has not been clearly established. In this non-systematic review of the literature, we first present the definition of miRNAs and their action at the cellular level. Afterward, we discuss the role of miRNAs as circulating biomarkers of CVDs, and then their role in cardiac remodeling and atherosclerosis. Despite the complexity and challenges, it is crucial to identify deregulated miRNAs in CVDs, as it allows a better understanding of underlying cellular and molecular mechanisms and helps in the development of more accurate diagnostic and prognostic circulating biomarkers, and new therapeutic strategies for different stages of CVDs.

  • Atherosclerosis
  • Biomarkers/metabolism
  • Cardiac, Remodeling/genetics
  • Cardiovascular Diseases / genetics
  • Cardiovascular Diseases/diagnosis
  • Cardiovascular Diseases/physiopathology
  • MicroRNAs
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Creative Commons Attribution (CC BY) Creative Commons license
01/11/2018 DOI: 10.5935/abc.20180215 Views 1
ABC
Original Article

Behavior of Blood Pressure Variables in Children and Adolescents with Duchenne Muscular Dystrophy

Fabiane R. R. H. Marui et al. Henrique Tria Bianco Maria Teresa N. Bombig Natascha G. F. Palmeira … José M. Thalenberg Fernando Focaccia Povoa Maria Cristina de O. Izar Francisco Antonio H. Fonseca Acary S. B. de Oliveira Rui M. S. Povoa

Abstract

Background:

Duchenne muscular dystrophy is an X-chromosome-linked genetic disorder (locus Xp21). Involvement of the cardiovascular system is characterized by fibrous degeneration/replacement of myocytes with consequent ventricular hypertrophy and arterial hypertension.

Objective:

To assess, by using 24-hour ambulatory blood pressure monitoring, the behavior of blood pressure variables in children and adolescents with a confirmed diagnosis of Duchenne muscular dystrophy.

Methods:

Prospective observational cohort study, which selected 46 patients followed up on an outpatient basis, divided according to age groups. Blood pressure was classified according to the age percentile. The monitoring interpretation includes systolic and diastolic blood pressure means, systolic and diastolic blood pressure loads, and nocturnal dipping. The blood pressure means were calculated for the 24-hour, wakefulness and sleep periods. Nocturnal dipping was defined as a drop in blood pressure means during sleep greater than 10%. The significance level adopted was p < 0.05.

Results:

Nocturnal dipping for systolic blood pressure was present in 29.9% of the participants. Approximately 53% of them had attenuated nocturnal dipping, and 15%, reverse nocturnal dipping. The age groups of 9-11 years and 6-8 years had the greatest percentage of attenuation, 19.1% and 14.9%, respectively. Regarding diastolic blood pressure, nocturnal dipping was identified in 53.2% of the children, being extreme in 27.7% of those in the age group of 6-11 years.

Conclusions:

The early diagnosis of blood pressure changes can allow the appropriate and specific therapy, aimed at increasing the life expectancy of patients with Duchenne muscular dystrophy.

  • Cardiovascular Diseases / genetics
  • Child
  • Hypertension
  • Male
  • Muscular Dystrophy, Duchenne / genetics
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Creative Commons Attribution (CC BY) Creative Commons license
01/06/2018 DOI: 10.5935/abc.20180085

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Silva DCP, Carneiro FD, Almeida KC, Fernandes-Santos C. Role of miRNAs on the Pathophysiology of Cardiovascular Diseases. Arquivos Brasileiros de Cardiologia 2018;111(5):738-46.

Electronic Document Format (ABNT)

Silva, Debora Cristina Pereira da; Carneiro, Felipe Demani; Almeida, Kelly Costa de; Fernandes-Santos, Caroline. Role of miRNAs on the Pathophysiology of Cardiovascular Diseases. Arquivos Brasileiros de Cardiologia, v. 111, n. 5, p. 738-746, Oct. 2018.

Electronic Document Format (APA)

Silva, D. C. P. , Carneiro, F. D., Almeida, K. C. , & Fernandes-Santos, C. (2018). Role of miRNAs on the Pathophysiology of Cardiovascular Diseases. Arquivos Brasileiros de Cardiologia, 111(5), 738-746.

Electronic Document Format (ISO)

Silva, Debora Cristina Pereira da and Carneiro, Felipe Demani and Almeida, Kelly Costa de and Fernandes-Santos, Caroline. Role of miRNAs on the Pathophysiology of Cardiovascular Diseases. Arquivos Brasileiros de Cardiologia [online]. 2018, vol. 111, n. 5, [cited 2026-10-14], pp. 738-746. Available from: <https://journals.cardiol.br/en/article/role-of-mirnas-on-the-pathophysiology-of-cardiovascular-diseases/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Marui FRRH, Bianco HT, Bombig MTN, Palmeira NGF, Thalenberg JM, Povoa FF, Izar MCO, et al. Behavior of Blood Pressure Variables in Children and Adolescents with Duchenne Muscular Dystrophy. Arquivos Brasileiros de Cardiologia 2018;110(6):551-7.

Electronic Document Format (ABNT)

Marui, Fabiane R. R. H.; Bianco, Henrique Tria; Bombig, Maria Teresa N.; Palmeira, Natascha G. F.; Thalenberg, José M.; Povoa, Fernando Focaccia; Izar, Maria Cristina de O.; Fonseca, Francisco Antonio H.; Oliveira, Acary S. B. de; Povoa, Rui M. S.. Behavior of Blood Pressure Variables in Children and Adolescents with Duchenne Muscular Dystrophy. Arquivos Brasileiros de Cardiologia, v. 110, n. 6, p. 551-557, May. 2018.

Electronic Document Format (APA)

Marui, F. R. R. H., Bianco, H. T., Bombig, M. T. N., Palmeira, N. G. F., Thalenberg, J. M., Povoa, F. F., Izar, M. C. O., Fonseca, F. A. H., Oliveira, A. S. B. , & Povoa, R. M. S. (2018). Behavior of Blood Pressure Variables in Children and Adolescents with Duchenne Muscular Dystrophy. Arquivos Brasileiros de Cardiologia, 110(6), 551-557.

Electronic Document Format (ISO)

Marui, Fabiane R. R. H. and Bianco, Henrique Tria and Bombig, Maria Teresa N. and Palmeira, Natascha G. F. and Thalenberg, José M. and Povoa, Fernando Focaccia and Izar, Maria Cristina de O. and Fonseca, Francisco Antonio H. and Oliveira, Acary S. B. de and Povoa, Rui M. S.. Behavior of Blood Pressure Variables in Children and Adolescents with Duchenne Muscular Dystrophy. Arquivos Brasileiros de Cardiologia [online]. 2018, vol. 110, n. 6, [cited 2026-10-14], pp. 551-557. Available from: <https://journals.cardiol.br/en/article/behavior-of-blood-pressure-variables-in-children-and-adolescents-with-duchenne-muscular-dystrophy/>. ISSN 0066-782X

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