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Circulating MicroRNA Profiling in Non-ST Elevated Coronary Artery Syndrome Highlights Genomic Associations with Serial Platelet Reactivity Measurements

  • Kristian C. Becker
  • , Lydia Coulter Kwee
  • , Megan L. Neely
  • , Elizabeth Grass
  • , Joseph A. Jakubowski
  • , Keith A.A. Fox
  • , Harvey D. White
  • , Simon G. Gregory
  • , Paul A. Gurbel
  • , Leonardo de Pinto Carvalho
  • , Richard C. Becker
  • , E. Magnus Ohman
  • , Matthew T. Roe
  • , Svati H. Shah
  • , Mark Y. Chan
  • Icahn School of Medicine at Mount Sinai
  • Duke University
  • Eli Lilly
  • University of Edinburgh
  • Auckland District Health Board
  • Inova Heart & Vascular Institute
  • Hospital Israelita Albert Einstein
  • University of Cincinnati
  • National University of Singapore

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Changes in platelet physiology are associated with simultaneous changes in microRNA concentrations, suggesting a role for microRNA in platelet regulation. Here we investigated potential associations between microRNA and platelet reactivity (PR), a marker of platelet function, in two cohorts following a non-ST elevation acute coronary syndrome (NSTE-ACS) event. First, non-targeted microRNA concentrations and PR were compared in a case (N = 77) control (N = 76) cohort within the larger TRILOGY-ACS trial. MicroRNA significant in this analysis plus CVD-associated microRNAs from the literature were then quantified by targeted rt-PCR in the complete TRILOGY-ACS cohort (N = 878) and compared with matched PR samples. Finally, microRNA significant in the non-targeted & targeted analyses were verified in an independent post NSTE-ACS cohort (N = 96). From the non-targeted analysis, 14 microRNAs were associated with PR (Fold Change: 0.91–1.27, p-value: 0.004–0.05). From the targeted analysis, five microRNAs were associated with PR (Beta: −0.09–0.22, p-value: 0.004–0.05). Of the 19 significant microRNAs, three, miR-15b-5p, miR-93 and miR-126, were consistently associated with PR in the TRILOGY-ACS and independent Singapore post-ACS cohorts, suggesting the measurement of circulating microRNA concentrations may report on dynamic changes in platelet biology following a cardiovascular ischemic event.

Original languageEnglish
Article number6169
JournalScientific Reports
Volume10
Issue number1
DOIs
StatePublished - 1 Dec 2020
Externally publishedYes

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