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. 2021 Jan 25;7:588347. doi: 10.3389/fcvm.2020.588347

Table 2.

ncRNAs and TGF-β/Smad signaling in cardiac fibrosis.

Non-coding RNAs Effect(s) Modulation Targets Smads Signaling pathway Model References
miRNA
miR-25 Antifibrosis Downregulated COL1/COL3
Smad3
miR-25 → ↓ TGF-β1
→ ↓collagen I/III
Transaortic constricted mice (120)
miR-133 Antifibrosis Downregulated EP300
COL4A1, FN1
Smad2
↑miR-133a → ↓ phosphorylation of p-ERK1/2 and p- Smad2 → EP300/
↓ TGF-β1/CTGFL/↓fibronectin/COL4A1 → ↓ cardiac fi/ COL4.
Streptozotocin-induced diabetic in mice (121)
Snai1
Gata4, Mef2c, and Tbx5
Mesp1
GMT/miR-133/
Snai1-induced aMHC-GFP → ↑ cardiac reprogramming → ↓CF
Mouse embryonic fibroblasts (122)
miR-433 Profibrosis Upregulated TGF-β1, ERK, p38 kinase,
and Smad3
Suppress AZIN1 and JNK1/
/TGF-β1, ERK, p38 kinase,
and Smad3 → ↑ cardiac fibrosis.
MI/mice; NRCFs (123)
miR-29b-3p
miR-29c-3p
Antifibrosis Upregulated TGF-β2, Mmp2 miR-29b/miR29c → ↑ MIF →
↓ COL1A1, COL3A1/α-SMA,/ Smad3 → ↓ cardiac fibrosis.
(AngII)-infused mouse myocardium Mif-knockout (Mif-KO) mice (124)
mRNA 3′-UTR Col 1a1, Col 5a3, and Col 4a2
Smad3
↓TGF-β /Smad3 → ↓collagen I, III, fibronectin → ↓CF AngII-triggered cardiac fibrotic event in mice Mouse CFs (125)
Fibrillins and elastin Altered the secretion of growth factors and cytokines, including MMP, IGF-1, LIF, and PTX-3
↓ TGF-β → ↓CFs
AngII (1.46 mg/kg/d, 14 d)-infused mouse myocardium (20)
miR-21 Profibrosis Upregulated ↓ Smad7 ↑miR21 → ↑TGF-β1 → ↑myocardial fibrosis by inhibiting Smad7 Fibro TAC/mouse (126)
↓Smad2/3
↓ TGF-β R III//p-Smad3
Activate sprouty homolog ↑1/ERK-MAP kinase
↑TGF-β1/Smad2/3 signaling pathway → ↑CF
MI/mouse (127)
↑PTEN
Spry1
Activate osteopontin/PTEN
and ↓Smad7 → ↑CF
AngII/mousesis (79)
miR-19a-3p/19b-3p Antifibrosis Upregulation TGF-β R II miR-19a-3p/19b-3p → ↓ TGF-β → ↓
phosphorylation of Smad2 and Akt → ↓CF
Human Cardiac Fibroblasts (HCF) (128)
miR-24 Antifibrosis Upregulated Furin–TGF-β pathway. ↓ TGF-β-p → ↓ Smad2/3
→ ↓ Furin → ↓ col-1/α-SMA → ↓CF
Mouse model of MI (129)
Smad2/3 ↓ TGF-β-p → ↓ Smad2/3 → ↓CF Mouse model of MI (130)
↓JP2(junctophilin-2) miR-24 regulates excitation-contraction (E-C) coupling
by targeting JP2
Aortic stenosis rat model (131)
miR-26a Profibrosis Upregulated Col1α2, Col1a1 Regulation of nuclear factor nuclear factor κB
and progress of fibrosis
AngII/NRCFs (129)
CTGF/Smad1 BMP/Smad1 signaling TAC/IkBa tg mouse (132)
miR-15 family six miRs (miR-15a, miR-15b, miR-16, miR-195, miR-497, miR-322) Antifibrosis Upregulated ↓TGF-βR I ↓ TGF-β pathway
↓ Cardiac remodeling and fibrosis ↑cardiac function
Adult mice under ischemia–reperfusion (I/R) injuries (133)
p38, endoglin, Smad3/7 ↓ECM remodeling
in the overloaded heart
↓ TGF-β pathway
TAC/mouse (134)
miR-1 Antifibrosis Downregulated ↓Smad3 ↓ TGF-β pathway → ↓ Smad3 → ↓ CF Mouse models of AngII-induced hypertension (125)
miR-1 Antifibrosis Downregulated Fibullin Activate ↑fibullin-2/MAPK → ↓CF AAB/rat (135)
miR-101a Antifibrosis Downregulated c-Fos Smad3 miR-101 → ↓c-Fos/TGF-β1 pathway → ↓p-Smad3 → ↓CF Healthy male Sprague–Dawley rats (weight, 200–250 g) and C57BL/6 Mice (136)
TGF-βR1 ↓TGF-βR I ↓ MAPK → ↓CF AngII, MI/rat MI, hypoxia/rat NRCFs and MI rat (137)
miR-34a Profibrosis Upregulated Smad4 ↑TGF-β1/Smad4 MI, male C57BL/6 mice (12 weeks of age and a weight of 25–30 g)
Suppress PNUTS Age-triggered expression of miR-34a → ↓PNUTS → inducing DNA damage responses along with telomere attrition → ↑CF Aging, MI/mice, human (138)
miR-122 Antifibrosis Downregulated Smad4↓ ↓TGF-β1 → ↓CF AS (aortic stenosis patients)/human (139, 140)
miR-378 Antifibrosis Downregulated ↓Grb2/TGF /pSmad2/3,
IGF1 receptor↓
Activate RTK
Integrin β3↓
↓cFos,
↓c-Jun and Ras
miR-378 → ↓TGF-β1–dependent paracrine mechanisms →
↓fibroblast migration and differentiation
AngII, TAC/mouse; NRCFs (141)
miR-208a Profibrosis Upregulated ↑Smad3/4, ↑endoglin
↑β-MHC
↑miR-208a → ↑TGF-β1 → ↑ endoglin/collagen I → ↑ CF Aortacaval shunt/rat TAC mouse and RCFs (142)
↓Thrap1, myostatin
↑ Endoglin
Induced cardiac fibrosis and cardiac fiand card proliferation TG mouse (143)
miR-145 Antifibrosis Upregulated TGF-βR II miR145 acts toward suppression of TGF-β-dependent extracellular matrix accumulation as well as fibrosis Smooth muscle cells (144)
Smad2 Smad2
Alters macrophage sensitivity to TGF-β
AngII/mouse (145)
miR-125b Profibrosis Upregulated ↓Apelin, p53 miR-125b → Inhibition of p53 → induces fibroblast proliferation TAC, AngII/mouse (146)
miR-22 Profibrosis Upregulated Mimecan/osteoglycin (OGN) miR-22 → ↓ OGN in age-associated cardiac alterations, including cardiac fibrosis Aging/mouse; NRCFs (147)
Smad4 TGF-βR I in CFs ↑ TGF-β1 → ↑ complex (Smad2/3/4) → ↑ CF MI mice (148, 149)
miR-142-3p Antifibrosis Downregulated HMGB1
Smad3
miR-142-3p/HMGB1 → ↓ TGF-β1/Smad3 → ↓apoptosis and fibrosis Mouse cardiomyocyte M6200 cells received treatment with H/R
miR-433 Profibrosis Upregulated AZIN1
JNK1
Smad3
↓ AZIN1 → ↑ TGF-β1 → ↑ CF
↓JNK1 → ↑ MAPK kinase (ERK/P38) → ↑ Smad3 → ↑ CF
Neonatal rat CFs (8-week-old male C57BL/6 mice) (123)
miR-499 Profibrosis Upregulated Acta1, Smads, Fos, Egr1,
Egr2
↑ MAPK kinase (ERK/P38) /↑ TGF-β1 → ↑CF Neonatal rat cardiac fibroblasts. (NRCFs) (143)
miR-10a Profibrosis Upregulated ↑Collagen I, collagen III,
α-SMA,
↓ Smad7
TGF-β1/Smads
↑ Hydroxyproline → ↑cardiac fibrosis and cardiac fibroblast proliferation
Atrial fibrillation (AF) rat (8)
lncRNAs
lncRNA, Crnde Antifibrosis Downregulated Acta2
α-SMA
Smad3
Smad3 → ↑ Crnde → ↑rSBEs →
↓ Binding of Smad3 to the Acta2 /
α-SMA gene promoter → ↓CF
↑ Cardiac function
Mouse neonatal cardiac (150)
GAS5 Antifibrosis Downregulated ↓ miR-21/PTEN/MMP-2 GAS5 → ↓ miR-21 → ↓TGF-β1/Smad2/3
→ ↓CF
ISO/rat; TGF-β1/NRCFs (151)
5 lncRNAs(n379599, n379519, n384648, n380433, and n410105) Profibrosis Upregulated ↑P-Smad2/3 ↑Elastin, periostin, PAI-1, Snai1, Snai2, FBN1 TGF-β pathway → ↑cardiac fibrosis Ischemic cardiomyopathy
Col8A1,Col3A1 fibronection TGF-β pathway (PAI-1, Snai1, Snai2,/p-Smad2/3) → ↑cardiac fibrosis ICM/human; mouse CFs
lncRNAs CHRF Profibrosis Upregulated miR-489 CHRF → regulate MyD88 and Smad3 by targeting miR-489 → ↑CF AngII-treated myocytes Mouse model Human heart failure samples (81, 152, 153)
Circular RNAs
circ_000203 Profibrosis Upregulated MiR-26b-5p
BMP/Smad1
CircRNA_000203 → ↓ miR-26b-5p(anti-fibrotic) → ↑ Col1a2 /Col3a1/α-SMA
CTGF → ↑CF
BMP/SMAD1 signaling
AngII/mouse CFs Diabetic mouse myocardium (54, 84, 129, 154)
CircRNA_010567 Profibrosis Upregulated ↓miR141
TGF-β/Smad pathway
CircRNA_010567 → ↓miR-141
→ ↑ TGF-β1 → ↑Col I/ Col III/α-SMA. → ↑CF
Diabetic mouse
Myocardial fibrosis model
circRNA–circNFIB Antifibrosis Upregulated miR-433
TGF-β/Smad3
↑circNFIB → ↓miR-433 → ↓CF Mice post-MI
cardiac fibroblasts
circHIPK3 Pro fibrosis Upregulated miR-29b-3p
Smad3
circHIPK3 → ↓miR-29b-3p → ↑ TGF-β/Smad3 → ↑α-SMA, COL1A1, COL3A1 → ↑CF AngII-induced cardiac fibrosis (155)