RT Journal Article T1 Chronological and biological aging of the human left ventricular myocardium: Analysis of microRNAs contribution A1 Ramos-Marquès, Estel A1 García-Mendívil, Laura A1 Pérez-Zabalza, María A1 Santander-Badules, Hazel A1 Srinivasan, Sabarathinam A1 Oliveros, Juan Carlos A1 Torres-Pérez, Rafael A1 Cebollada, Alberto A1 Vallejo-Gil, José María A1 Fresneda-Roldán, Pedro Carlos A1 Fañanás-Mastral, Javier A1 Vázquez-Sancho, Manuel A1 Matamala-Adell, Marta A1 Sorribas-Berjón, Juan Fernando A1 Bellido-Morales, Javier André A1 Mancebón-Sierra, Francisco Javier A1 Vaca-Núñez, Alexánder Sebastián A1 Ballester-Cuenca, Carlos A1 Jiménez-Navarro, Manuel A1 Villaescusa, José Manuel A1 Garrido-Huéscar, Elisa A1 Segovia-Roldán, Margarita A1 Oliván-Viguera, Aida A1 Gómez-González, Carlos A1 Muñiz, Gorka A1 Diez, Emiliano A1 Ordovás, Laura A1 Pueyo, Esther K1 Biological aging K1 Biomarkers K1 Gene regulation network K1 Heart aging K1 microRNA K1 Transcriptomic age marker K1 Transcriptome K1 Living donors K1 Myocardium K1 Heart ventricles K1 Envejecimiento K1 Biomarcadores K1 Redes reguladoras de genes K1 MicroARNs K1 Transcriptoma K1 Donadores vivos K1 Miocardio K1 Ventrículos cardíacos AB Aging is the main risk factor for cardiovascular diseases. In humans, cardiac aging remains poorly characterized. Most studies are based on chronological age (CA) and disregard biological age (BA), the actual physiological age (result of the aging rate on the organ structure and function), thus yielding potentially imperfect outcomes. Deciphering the molecular basis of ventricular aging, especially by BA, could lead to major progresses in cardiac research. We aim to describe the transcriptome dynamics of the aging left ventricle (LV) in humans according to both CA and BA and characterize the contribution of microRNAs, key transcriptional regulators. BA is measured using two CA-associated transcriptional markers: CDKN2A expression, a cell senescence marker, and apparent age (AppAge), a highly complex transcriptional index. Bioinformatics analysis of 132 LV samples shows that CDKN2A expression and AppAge represent transcriptomic changes better than CA. Both BA markers are biologically validated in relation to an aging phenotype associated with heart dysfunction, the amount of cardiac fibrosis. BA-based analyses uncover depleted cardiac-specific processes, among other relevant functions, that are undetected by CA. Twenty BA-related microRNAs are identified, and two of them highly heart-enriched that are present in plasma. We describe a microRNA-gene regulatory network related to cardiac processes that are partially validated in vitro and in LV samples from living donors. We prove the higher sensitivity of BA over CA to explain transcriptomic changes in the aging myocardium and report novel molecular insights into human LV biological aging. Our results can find application in future therapeutic and biomarker research. PB Wiley-Blackwell Publishing Ltd. SN 1474-9718 YR 2021 FD 2021-06-06 LK http://hdl.handle.net/10668/4586 UL http://hdl.handle.net/10668/4586 LA en NO Ramos-Marquès E, García-Mendívil L, Pérez-Zabalza M, Santander-Badules H, Srinivasan S, Oliveros JC, et al. Chronological and biological aging of the human left ventricular myocardium: Analysis of microRNAs contribution. Aging Cell. 2021 Jul;20(7):e13383 DS RISalud RD Apr 5, 2025