Low density lipoprotein and total cholesterol levels predict circulating miR-152 expression in males, but not females, in an elderly cohort (14220)
Background: miR-152 has been suggested as a potential biomarker or a therapeutic target for atherosclerotic plaques1. miR-152 is co-expressed in non-classical monocytes and atherosclerotic plaques, with higher expression in plaques than in healthy arteries2. A small study (n=20) demonstrated higher levels of circulating miR-152 in the blood of those with atherosclerosis, compared to healthy controls1, however this is yet to be confirmed in a larger cohort. High low density lipoprotein (LDL) cholesterol levels are accepted to play a significant role in the development of atherosclerosis3, and as such are a potential precursor to the onset of the disease. Circulating biomolecules offer a promising avenue for biomarker investigation, as they are easily accessible for sampling.
Aims/Hypothesis: We aimed to examine the relationship between expression of miR-152 in the circulation, and LDL and total cholesterol levels.
Methods: Participants were part of a retirement aged cohort (n=200, 114 females, 65-94 years of age, median age 75.5) living on the Central Coast of NSW. The age distribution did not vary between males and females. Blood was collected by a trained nurse, and LDL and total cholesterol levels determined by the Hunter Area Pathology Service. Circulating miRNAs were measured in plasma by qRT-PCR. Standard linear regression was used to assess the relationship between circulating miR-152 and blood LDL and total cholesterol levels. Analysis was stratified by gender and adjusted for age.
Results: In males, both LDL (r2= 0.17, p= 0.005) and total cholesterol (r2= 0.13, p= 0.021) were significant partial predictors of circulating miR-152 levels. Increasing LDL and cholesterol levels were associated with increased expression of miR-152 (β=0.35, p=0.001 and β=0.24, p=0.006, respectively). No significant results were found in the females. Age distribution did not vary significantly between genders, and age adjustment did not significantly influence the outcomes of the analyses.
Discussion/Conclusion: We have demonstrated that LDL and total cholesterol levels are significant partial predictors of circulating miR-152 expression in males. When taken with the existing evidence of increased expression in atherosclerotic plaques this supports the findings that suggest miR-152 is a biomarker or a potential therapeutic target in the development of atherosclerosis. This work lays the foundation for investigating the mechanistic links between miR-152 expression, LDL cholesterol, total cholesterol and atherosclerotic plaques.
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- Bidzhekov K, Gan L, Denecke B, et al. microRNA expression signatures and parallels between monocyte subsets and atherosclerotic plaque in humans. Thrombosis and haemostasis 2012; 107: 619-25.
- Badimon L, Vilahur G. LDL-cholesterol versus HDL-cholesterol in the atherosclerotic plaque: inflammatory resolution versus thrombotic chaos. Annals of the New York Academy of Sciences 2012; 1254: 18-32.