MicroRNA-204 as an Indicator of Severity of Pulmonary Hypertension in Children with Congenital Heart Disease Complicated with Pulmonary Hypertension

Abstract

BACKGROUND The objective of this study was to investigate the changes and significance of microRNA-204 (miR-204) in children with congenital heart disease (CHD) complicated with pulmonary hypertension (PH). MATERIAL AND METHODS Fifty-two CHD patients with left-to-right shunt were divided into 3 groups according to preoperative pulmonary artery systolic pressure (PASP) detected by color Doppler echocardiography: a control group (PASP <30 mmHg), a mild PH group (PASP 30-49 mmHg), and a severe PH group (PASP >50 mmHg). Peripheral venous blood and supernatant were collected on an empty stomach at 1 h before surgery and 7 days after surgery. The expression of miR-204 in plasma was detected by RT-qPCR. RESULTS One hour before surgery and 7 days after surgery, plasma miR-204 expression was at a higher level than that in the mild PH group and higher than in the severe PH group. miR-204 expression in children in each group showed a decreasing trend after surgery. The mild PH and severe PH groups had lower plasma miR-204 expression and PASP after surgery than before surgery. In the mild PH and severe PH groups, plasma miR-204 expression was negatively correlated with PASP. In all 52 cases, plasma miR-204 expression was negatively correlated with PASP. CONCLUSIONS The plasma miR-204 expression in CHD children with PH was negatively correlated with the degree of PH, suggesting miR-204 may be involved in PH development, and miR-204 expression may be an indicator of PH severity.

Figure 1

Comparison of plasma miR-204 expression before and after surgery among the 3 groups. (A) Comparison of plasma miR-204 expression before surgery; (B) comparison of plasma miR-204 expression after surgery.

Figure 2

Comparison of plasma miR-204 expression before and after surgery in intragroup.

Figure 3

Comparison of PASP before and after surgery in intragroup.

Figure 4

Negative correlation was found between plasma miR-204 expression and PASP after surgery. (A) Correlation analysis between plasma miR-204 expression and PASP in the control group; (B) correlation analysis between plasma miR-204 expression and PASP in the mild PH group; (C) correlation analysis between plasma miR-204 expression and PASP in the severe PH group; (D) correlation analysis between plasma miR-204 expression and PASP in all 45 children patients.