RT journal article T1 Unraveling the Etiology of Dilated Cardiomyopathy through Differential miRNA–mRNA Interactome A1 Bonet Martínez, Fernando A1 Hernandez-Torres, Francisco A1 Ramos-Sánchez, Mónica A1 Quezada-Feijoó, Maribel A1 Bermúdez García, Anibal Jesús A1 Alonso Villa, Elena A1 García-Padilla, Carlos A1 Mangas Rojas, Alipio A1 Toro Cebada, Rocío A2 Cirugía A2 Medicina K1 dilated cardiomyopathy K1 etiology K1 ischemic cardiomyopathy K1 microRNA K1 RNA sequencing K1 volume overload AB Dilated cardiomyopathy (DCM) encompasses various acquired or genetic diseases sharing a common phenotype. The understanding of pathogenetic mechanisms and the determination of the functional effects of each etiology may allow for tailoring different therapeutic strategies. MicroRNAs (miRNAs) have emerged as key regulators in cardiovascular diseases, including DCM. However, their specific roles in different DCM etiologies remain elusive. Here, we applied mRNA-seq and miRNA-seq to identify the gene and miRNA signature from myocardial biopsies from four patients with DCM caused by volume overload (VCM) and four with ischemic DCM (ICM). Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis were used for differentially expressed genes (DEGs). The miRNA–mRNA interactions were identified by Pearson correlation analysis and miRNA target-prediction programs. mRNA-seq and miRNA-seq were validated by qRT-PCR and miRNA–mRNA interactions were validated by luciferase assays. We found 112 mRNAs and five miRNAs dysregulated in VCM vs. ICM. DEGs were positively enriched for pathways related to the extracellular matrix (ECM), mitochondrial respiration, cardiac muscle contraction, and fatty acid metabolism in VCM vs. ICM and negatively enriched for immune-response-related pathways, JAK-STAT, and NF-kappa B signaling. We identified four pairs of negatively correlated miRNA–mRNA: miR-218-5p-DDX6, miR-218-5p-TTC39C, miR-218-5p-SEMA4A, and miR-494-3p-SGMS2. Our study revealed novel miRNA–mRNA interaction networks and signaling pathways for VCM and ICM, providing novel insights into the development of these DCM etiologies. PB Multidisciplinary Digital Publishing Institute (MDPI) SN 2218-273X YR 2024 FD 2024 LK http://hdl.handle.net/10498/33668 UL http://hdl.handle.net/10498/33668 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 10-nov-2026