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Parameter
Biomarker miR-223 / miR-503-5p Full name MicroRNA-223 / MicroRNA-503-5p Molecular Type Nucleic acid (RNA)
Molecular Formula Molecular Weight ~22 nt (~6.6 kDa each) Core Functional Dimensions Subtype classification, inflammation assessment
Disease Heart failure Disease Subtypes /
Organ Myocardium, immune cells Test Sample / Technology Platform Plasma (RT-qPCR, Olink RNA panel)
Pathobiological Mechanisms miR-223 inhibits myocardial fibrosis and is highly expressed in HFpEF. miR-503-5p distinguished HFrEF from HFpEF
Clinical Availability Status Research validation: - Wong, such studies have shown that 8-micrornas panel (including miR-503-5p) to distinguish HFrEF from HFpEF AUC = 0.88; -Mir-223 was positively correlated with hs-CRP in HFpEF (r=0.45)
Notes and Dynamics 8-micrornas panel (miR-503-5p, miR-193-a-5p) associated with the NT-proBNP subtype can correct the 27% to 93% HF miscalculation; MiR-223 in the expression level is 2.3 times that of HFrEF HFpEF and pulmonary vascular resistance (PVR) positive correlation (r = 0.50); It can be used as an indicator to monitor the efficacy of anti-inflammatory therapy (such as Ziltivekimab) for HFpEF

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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