RT journal article T1 The Role of MicroRNAs in Dilated Cardiomyopathy: New Insights for an Old Entity A1 Alonso Villa, Elena A1 Bonet Martínez, Fernando A1 Hernandez-Torres, Francisco A1 Campuzano, Oscar A1 Sarquella-Brugada, Georgia A1 Quezada‑Feijoo, Maribel A1 Ramos, Mónica A1 Mangas Rojas, Alipio A1 Toro Cebada, Rocío A2 Medicina K1 dilated cardiomyopathy K1 microRNA K1 inflammation K1 reticulum endoplasmic stress K1 oxidative stress K1 apoptosis K1 autophagia K1 fibrosis K1 molecular pathways K1 etiology AB Dilated cardiomyopathy (DCM) is a clinical diagnosis characterized by left ventricular or biventricular dilation and systolic dysfunction. In most cases, DCM is progressive, leading to heart failure (HF) and death. This cardiomyopathy has been considered a common and final phenotype of several entities. DCM occurs when cellular pathways fail to maintain the pumping function. The etiology of this disease encompasses several factors, such as ischemia, infection, autoimmunity, drugs or genetic susceptibility. Although the prognosis has improved in the last few years due to red flag clinical follow-up, early familial diagnosis and ongoing optimization of treatment, due to its heterogeneity, there are no targeted therapies available for DCM based on each etiology. Therefore, a better understanding of the mechanisms underlying the pathophysiology of DCM will provide novel therapeutic strategies against this cardiac disease and their different triggers. MicroRNAs (miRNAs) are a group of small noncoding RNAs that play key roles in post-transcriptional gene silencing by targeting mRNAs for translational repression or, to a lesser extent, degradation. A growing number of studies have demonstrated critical functions of miRNAs in cardiovascular diseases (CVDs), including DCM, by regulating mechanisms that contribute to the progression of the disease. Herein, we summarize the role of miRNAs in inflammation, endoplasmic reticulum (ER) stress, oxidative stress, mitochondrial dysfunction, autophagy, cardiomyocyte apoptosis and fibrosis, exclusively in the context of DCM. PB MDPI SN 1422-0067 YR 2022 FD 2022-11 LK http://hdl.handle.net/10498/29547 UL http://hdl.handle.net/10498/29547 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 13-nov-2026