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The primary cause of heart failure is the loss of cardiomyocytes in the diseased adult heart. Previously, we reported that the  miR-17-92  cluster plays a key role in cardiomyocyte proliferation. Here, we report that expression of miR-19a/19b, members of the  miR-17-92  cluster, is induced in heart failure patients. We show that intra-cardiac injection of miR-19a/19b mimics enhances cardiomyocyte proliferation and stimulates cardiac regeneration in response to myocardial infarction (MI) injury. miR-19a/19b protected the adult heart in two distinctive phases: an early phase immediately after MI and long-term protection. Genome-wide transcriptome analysis demonstrates that genes related to the immune response are repressed by miR-19a/19b. Using an adeno-associated virus approach, we validate that miR-19a/19b reduces MI-induced cardiac damage and protects cardiac function. Finally, we confirm the therapeutic potential of miR-19a/19b in protecting cardiac function by systemically delivering miR-19a/19b into mice post-MI. Our study establishes miR-19a/19b as potential therapeutic targets to treat heart failure.

Therapeutic role of miR-19a/19b in cardiac regeneration and protection from myocardial infarction