Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPNAVARRO, Isabela CunhaFERREIRA, Frederico MoraesNAKAYA, Helder I.BARON, Monique AndradeVILAR-PEREIRA, GlauciaPEREIRA, Isabela ResendeSILVA, Ana Maria GoncalvesREAL, Juliana MonteBRITO, Thales DeCHEVILLARD, ChristopheLANNES-VIEIRA, JoseliKALIL, JorgeCUNHA-NETO, EdecioFERREIRA, Ludmila Rodrigues Pinto2015-10-262015-10-262015PLOS NEGLECTED TROPICAL DISEASES, v.9, n.6, article ID e0003828, 17p, 20151935-2735https://observatorio.fm.usp.br/handle/OPI/11817Chagas disease is caused by the parasite Trypanosoma cruzi, and it begins with a short acute phase characterized by high parasitemia followed by a life-long chronic phase with scarce parasitism. Cardiac involvement is the most prominent manifestation, as 30% of infected subjects will develop abnormal ventricular repolarization with myocarditis, fibrosis and cardiomyocyte hypertrophy by undefined mechanisms. Nevertheless, follow-up studies in chagasic patients, as well as studies with murine models, suggest that the intensity of clinical symptoms and pathophysiological events that occur during the acute phase of disease are associated with the severity of cardiac disease observed during the chronic phase. In the present study we investigated the role of microRNAs (miRNAs) in the disease progression in response to T. cruzi infection, as alterations in miRNA levels are known to be associated with many cardiovascular disorders. We screened 641 rodent miRNAs in heart samples of mice during an acute infection with the Colombiana T.cruzi strain and identified multiple miRNAs significantly altered upon infection. Seventeen miRNAs were found significantly deregulated in all three analyzed time points post infection. Among these, six miRNAs had their expression correlated with clinical parameters relevant to the disease, such as parasitemia and maximal heart rate-corrected QT (QTc) interval. Computational analyses identified that the gene targets for these six miRNAs were involved in networks and signaling pathways related to increased ventricular depolarization and repolarization times, important factors for QTc interval prolongation. The data presented here will guide further studies about the contribution of microRNAs to Chagas heart disease pathogenesis.engopenAccesschronic chagas-diseaseamerican trypanosomiasisgene-expressionparasite loadchronic phasecardiomyopathyabnormalitiesdysfunctionparametersmortalityarticleCopyright PUBLIC LIBRARY SCIENCE10.1371/journal.pntd.0003828Infectious DiseasesParasitologyTropical Medicine