Evidence map›Paper›PMID 40734983›Full record

ArticleFrontiers in cardiovascular medicine2025

Circulating extra-cellular RNAs and atrial fibrillation: data from the TRACE-CORE cohort.

Katherine Tak, Darleen Lessard, Catarina I Kiefe, Jane E Freedman, Matthew Parker, Gerard P Aurigemma, Kevin Donahue, David D McManus, Khanh-Van Tran

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Katherine TakDepartment of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Darleen LessardDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States.
Catarina I KiefeDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States.
Jane E FreedmanDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Matthew ParkerDepartment of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Gerard P AurigemmaDepartment of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Kevin DonahueDepartment of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
David D McManusDepartment of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Khanh-Van TranDepartment of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) is the most common sustained arrhythmia and is linked to increased risk of stroke, heart failure, and mortality. Circulating extracellular RNAs (exRNAs), which regulate gene expression and reflect underlying biological processes, are potential biomarkers for atrial fibrillation. Methods: As part of an ongoing, larger study into extracellular RNAs (exRNAs) as potential biomarkers for cardiovascular disease, we analyzed exRNA profiles in a subset of 296 survivors of acute coronary syndrome (ACS) enrolled in the Transitions, Risks, and Actions in Coronary Events Center for Outcomes Research and Education (TRACE-CORE) cohort. A total of 318 exRNAs were quantified, selected Results: We identified 77 extracellular RNAs (exRNAs) that were significantly associated with increased left ventricular (LV) mass and at least one additional echocardiographic intermediate phenotype. Among these, miR-17-5p and miR-574-3p were also significantly associated with a history of atrial fibrillation (AF), with odds ratios of 1.58 (95% CI: 1.10-2.26) and 2.16 (95% CI: 1.03-4.54), respectively. Predicted gene targets of these miRNAs were enriched in pathways implicated in atrial remodeling and arrhythmogenesis. Key overlapping canonical pathways included the Senescence Pathway, Idiopathic Pulmonary Fibrosis Signaling, ERK5 Signaling, RHO GTPase Cycle, and HGF Signaling. Conclusions: Circulating exRNAs, including miR-17-5p and miR-574-3p, are associated with cardiac remodeling and a history of AF in ACS survivors. These findings highlight their potential as biomarkers of atrial remodeling and implicate key molecular pathways involved in AF pathogenesis.

Indexed as

adverse cardiac remodelingatrial fibrillationbiomarkerechophenotypesmicroRNA

Identifiers

PMID40734983
PMCPMC12303983

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