Thromb Haemost 2017; 117(03): 429-436
DOI: 10.1160/TH16-07-0503
Review Article
Schattauer GmbH

The role of microRNAs in prethrombotic status associated with coronary artery disease

Jie Gao
1   Department of Graduate School, Beijing University of Chinese Medicine, Beijing, People’s Republic of China
2   Cardiovascular Diseases Center, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
3   China Heart Institute of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
,
Xiaojuan Ma
2   Cardiovascular Diseases Center, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
3   China Heart Institute of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
,
Ying Zhang
1   Department of Graduate School, Beijing University of Chinese Medicine, Beijing, People’s Republic of China
2   Cardiovascular Diseases Center, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
3   China Heart Institute of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
,
Ming Guo
2   Cardiovascular Diseases Center, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
3   China Heart Institute of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
,
Dazhuo Shi
2   Cardiovascular Diseases Center, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
3   China Heart Institute of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, People’s Republic of China
› Author Affiliations
Further Information

Publication History

Received: 04 July 2016

Accepted after major revision: 05 December 2016

Publication Date:
21 November 2017 (online)

Summary

The acute cardiovascular events following thrombus formation is a primary cause of morbidity and mortality of patients with coronary artery disease (CAD). Numerous studies have shown that a prethrombotic status, which can be defined as an imbalance between the procoagulant and anticoagulant conditions, would exist for a period of time before thrombogenesis. Therefore, early diagnosis and intervention of prethrombotic status are important for reducing acute cardiovascular events. However, none of prethrombotic indicators have been identified as golden standard for diagnosis of prethrombotic status to date. MicroRNAs (miRNAs), a class of short non-coding RNAs, have been shown to be involved in pathophysiologic processes related to prethrombotic status, such as endothelial dysfunction, platelet activation, impaired fibrinolysis and elevated procoagulant factors, etc. Owing to their multiple and fine-tuning impacts on gene expression, miRNAs raise a novel understanding in the underlying mechanism of prethrombotic status. This review aims to discuss the role of miRNAs in prethrombotic status, especially the differently expressed miRNAs in CAD, which may be meaningful for developing promising diagnostic biomarkers and therapeutic strategies for CAD patients in future.

 
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