SUPPLEMENTARY MATERIAL Detailed methods Study design Diabetes was induced in 4-month old male C57/B6 mice by a single high dose of streptozotocin (STZ, 180 mg/Kg, via intraperitoneal injection), dissolved in sterile 0.025 M citrate buffer (pH 4.5) and injected within 10 minutes. An equal volume of citrate buffer was administered in control animals. Hyperglycemia was defined as 3 random blood glucose levels >13.9 mmol/l following STZ injection. Mice were housed in temperature-controlled cages (20–22°C), fed ad libitum, and maintained on a 12:12-h light/dark cycle. Animal experiments were conducted in accordance with the guidelines approved by the Institutional Animal Care Committee (Kommission für Tierversuche des Kantons Zürich, Switzerland). Three experimental groups were studied: 1) controls, 2) diabetic mice, and 3) diabetic mice undergoing intensive glycemic control by insulin. Treatment with insulin commenced 3 weeks after the induction of diabetes and was maintained for the following 3 weeks. All mice were euthanized after 6-week follow-up (Figure S1). Insulin implants Insulin (1 implant/10 g of body weight) was administered as slow release implants placed subcutaneously under the mid dorsal skin (LinBit, LinShin, Canada) after anaesthesia with isofluorane (FORENE, Baxter Healthcare Corporation, USA). Glycemic control was assessed by measuring blood glucose form the tail vein with a spin-in sampling glucose meter (Glucometer Elite XL, Bayer, Laubach, Germany, Figure S2). Groups 1 and 2 received placebo instead of insulin (micro-recrystallized Palmitic acid, LinShin, Canada). Tissue harvesting Mice were euthanized by intraperitoneal administration of sodium pentobarbital. The chest cavity was opened by making an incision in the diaphragm and the heart harvested by cutting the great vessels. After harvesting, the organ was placed immediately in ice cold PBS, cleaned and snapfrozen in liquid nitrogen. Left ventricular specimens were used for miRNA expression. miRNA Expression Profiling Workflow Profiling of miRNAs in heart samples from the 3 experimental groups was performed by Mouse miRNome miRNA PCR Array (SABioscence, Frederick, MD, USA). Total RNA was isolated from heart specimens collected from controls and diabetic mice with or without insulin treatment using the miRNeasy Mini Kit (Qiagen, Hilden, Germany). cDNA was then prepared from each total RNA (500 ng) in a miScript II reverse transcription reaction using HiSpec Buffer (Qiagen, Hilden, Germany) and used for Mouse miRNome miRNA PCR Array. Real-time PCR amplification was performed in a MX3000P PCR cycler (Stratagene) using miScript SYBR Green PCR Kit (Qiagen, Hilden, Germany). The amplification program consisted of 1 cycle at 95 °C for 15 min, followed by 40 cycles with a denaturing phase at 94 °C for 15 s, an annealing phase at 55 °C for 30 s, and an elongation phase at 72 °C for 30 s. Data analysis was performed using the online miScript miRNA PCR Array data analysis tool. Each array was performed from three independent experiments. Raw data of the mouse miRNome are reported in Tables S1 and S2. Ingenuity pathway analysis The lists of miRNAs, differentially expressed in each experimental group (with p < 0.05), were uploaded in the IPA tool (Ingenuity® Systems,www.ingenuity.com) and analysed on the basis of IPA library of canonical pathways. The significance of the association between each list and a canonical pathway was measured by Fisher’s exact test. As a result, a p value was obtained, determining the probability that the association between miRNAs in our data set and a canonical pathway can be explained by chance alone. IPA-derived pathways of myocardial damage are reported in Table S3. Statistical analysis Statistical analysis for miRNA arrays was performed using GraphPad Prism Software (version 5.0). Comparisons were made by using the Student t test for unpaired data and 1-way ANOVA, followed by Bonferroni’s post-hoc test, when appropriate. Probability values less than 0.05 were considered statistically significant. SUPPLEMENTARY FIGURES Figure S1. Study design. Figure S2. Graph showing achievement of an optimal glycemic control in diabetic mice treated with insulin from week to 4 to 6. Results are presented as mean±SEM; *, p<0.01 vs. control, #, p<0.01 vs diabetes. Wk, week. SUPPLEMENTARY TABLES Table S1. Persistently upregulated miRNAs despite insulin treatment. A two-fold change (FC) and p value <0.05 were considered to indicate significant miRNAs variations. Raw and adjusted p values refer to 1-way ANOVA and Bonferroni’s post-hoc test, respectively. p value Diabetes vs Control (FC) Raw hsa-miR-618 48.75 hsa-miR548b-3p p value Adjusted Insulin vs Control (FC) Raw Adjusted 0.0042 0.013 46.13 0.0055 0.017 44.74 0.0025 0.0074 43.69 0.0028 0.0084 hsa-miR-372 38.92 0.0036 0.011 35.26 0.0059 0.018 hsa-miR-379 36.79 0.0007 0.0020 32.96 0.0012 0.0037 hsa-miR-187 31.09 0.0001 0.0004 30.37 0.0002 0.0005 hsa-miR-744 30.44 0.0085 0.026 28.38 0.012 0.035 hsa-miR-99b 26.54 0.0016 0.0048 22.41 0.0038 0.012 hsa-miR-564 26.04 0.0004 0.0013 21.85 0.0011 0.0034 25.65 0.0044 0.013 26.75 0.0036 0.011 21.01 0.0039 0.012 23.17 0.0024 0.0071 19.86 0.011 0.033 19.68 0.012 0.035 18.73 0.015 0.045 23.56 0.0052 0.016 19.62 0.0015 0.0046 15.40 0.0054 0.016 18.51 0.0093 0.028 20.57 0.0056 0.017 15.64 0.0004 0.0012 17.03 0.0002 0.0007 15.10 <0.0001 0.0002 13.20 0.0002 0.0005 hsa-miR-217 14.04 0.0010 0.0031 13.08 0.0015 0.0046 hsa-miR-630 13.07 0.0017 0.0050 12.60 0.0021 0.0062 hsa-miR548j 12.35 0.013 0.039 16.86 0.0028 0.0084 hsa-miR-622 12.29 0.0050 0.0150 13.62 0.0029 0.0087 miRNA hsa-miR520d-3p hsa-miR1305 hsa-miR-18a hsa-miR455-5p hsa-miR518f hsa-miR-182 hsa-miR337-5p hsa-miR190b hsa-miR129-3p hsa-miR139-5p hsa-miR502-3p hsa-miR103b 12.26 0.0008 0.0025 14.60 0.0003 0.0009 11.94 0.015 0.046 14.54 0.0059 0.018 11.64 0.0004 0.0011 12.48 0.0002 0.0007 11.46 0.0005 0.0014 9.08 0.0018 0.0054 11.10 <0.0001 <0.0001 12.91 <0.0001 <0.0001 10.82 0.0061 0.018 9.61 0.011 0.033 10.33 0.0002 0.0007 8.99 0.0005 0.0016 10.33 0.0003 0.0008 9.39 0.0005 0.0015 10.21 0.0004 0.0011 8.76 0.0009 0.0026 10.12 0.0002 0.0006 10.90 0.0001 0.0004 10.04 0.0022 0.0065 11.86 0.0008 0.0025 9.99 0.011 0.032 12.56 0.0033 0.010 9.80 0.0005 0.0014 10.40 0.0003 0.0010 9.75 0.0042 0.012 8.00 0.012 0.035 9.69 0.0001 0.0003 6.62 0.0012 0.0035 9.65 0.0010 0.0029 9.00 0.0014 0.0043 hsa-miR-215 9.09 <0.0001 <0.0001 8.51 <0.0001 <0.0001 hsa-miR-380 9.06 0.0019 0.0058 10.62 0.0008 0.0023 hsa-miR3130-5p 8.97 0.0039 0.012 6.72 0.017 0.050 hsa-miR-580 8.90 0.0007 0.0021 8.78 0.0008 0.0023 hsa-miR-298 8.76 <0.0001 0.0003 9.70 <0.0001 0.0001 8.50 0.0008 0.0023 6.23 0.0048 0.014 8.32 0.0020 0.0059 8.89 0.0013 0.0040 8.17 0.0002 0.0005 7.27 0.0004 0.0011 7.63 0.0018 0.0054 6.68 0.0039 0.012 hsa-miR-514 7.54 0.0052 0.016 6.90 0.0083 0.025 hsa-miR1278 7.54 0.0087 0.026 7.48 0.0091 0.027 hsa-miR-224 hsa-miR525-3p hsa-miR3917 hsa-miR-218 hsa-miR216a hsa-miR324-3p hsa-miR3151 hsa-miR-25* hsa-miR490-3p hsa-miR501-5p hsa-miR4315 hsa-miR301a hsa-miR4317 hsa-miR-283p hsa-miR1251 hsa-miR216b hsa-miR-19b 7.48 <0.0001 <0.0001 9.52 <0.0001 <0.0001 hsa-miR3907 7.30 0.0003 0.0009 9.65 <0.0001 0.0002 hsa-let-7a 7.21 0.0014 0.041 7.94 0.0084 0.025 hsa-miR3616-3p 7.20 <0.0001 0.0001 7.56 <0.0001 0.0001 hsa-miR-329 7.18 0.0005 0.0014 7.34 0.0004 0.0012 hsa-miR1284 7.10 0.0003 0.0005 6.91 0.0003 0.0009 hsa-miR-639 7.03 <0.0001 0.0003 7.63 <0.0001 0.0002 hsa-miR-221 6.95 0.0001 0.0003 5.53 0.0002 0.0005 6.92 0.0064 0.019 6.89 0.0066 0.020 6.82 <0.0001 <0.0001 5.20 <0.0001 0.0002 6.67 0.0007 0.0022 7.40 0.0004 0.0012 6.64 0.0010 0.0029 4.34 0.012 0.036 6.60 <0.0001 <0.0001 5.72 <0.0001 0.0002 6.52 0.0038 0.011 7.99 0.0011 0.0034 hsa-miR-612 6.48 0.0055 0.017 6.82 0.0041 0.012 hsa-miR-326 6.43 0.0001 0.0003 5.28 0.0004 0.0013 hsa-miR1280 6.34 0.0018 0.0053 5.36 0.0048 0.014 hsa-miR-137 6.27 0.0055 0.016 6.51 0.0044 0.013 hsa-miR-941 6.07 0.0017 0.0052 5.46 0.0033 0.0098 6.00 <0.0001 0.0002 6.47 <0.0001 0.0001 5.99 0.0013 0.0038 6.61 0.0007 0.0020 5.97 <0.0001 <0.0001 6.78 <0.0001 <0.0001 hsa-miR-34a 5.87 <0.0001 <0.0001 5.27 <0.0001 <0.0001 hsa-miR-578 5.71 0.0007 0.0022 3.80 0.0094 0.028 hsa-miR520a-3p 5.66 <0.0001 0.0001 3.54 0.0010 0.0031 hsa-miR-873 5.66 0.0006 0.0018 4.45 0.0028 0.0085 hsa-miR526b* 5.59 0.0001 0.0003 4.79 0.0003 0.0010 hsa-miR513a-3p hsa-miR628-5p hsa-miR129-5p hsa-miR144* hsa-miR628-3p hsa-miR3145-3p hsa-miR512-5p hsa-miR4252 hsa-miR548c-3p hsa-miR876-3p 5.55 0.016 0.048 5.61 0.015 0.045 hsa-miR-629 5.35 0.0005 0.0015 5.88 0.0003 0.0008 hsa-miR-597 5.34 0.0009 0.0027 4.54 0.0025 0.0075 hsa-miR3916 5.31 0.0007 0.0022 4.79 0.0014 0.0042 hsa-miR-152 5.29 0.0014 0.0043 4.25 0.0056 0.017 hsa-miR-27a 5.27 0.012 0.037 5.97 0.0062 0.019 5.17 0.0094 0.028 5.27 0.0084 0.025 5.13 0.0018 0.0054 4.86 0.0025 0.0075 hsa-miR-596 5.08 0.0029 0.0088 4.54 0.0058 0.017 hsa-miR-920 5.07 0.0026 0.0078 4.29 0.0072 0.022 5.07 0.0007 0.0022 4.87 0.0010 0.0029 5.02 0.0017 0.0050 3.47 0.016 0.048 4.99 0.0013 0.0040 6.29 0.0003 0.0009 4.97 0.0014 0.0042 3.65 0.0097 0.029 4.87 <0.0001 <0.0001 6.82 <0.0001 <0.0001 4.75 0.0005 0.0015 5.26 0.0002 0.0005 4.74 0.013 0.039 4.51 0.017 0.050 4.74 0.0044 0.013 4.36 0.0072 0.022 hsa-miR-375 4.63 0.0010 0.0029 4.46 0.0006 0.0018 hsa-miR-553 4.60 0.0016 0.0048 4.01 0.0039 0.012 hsa-miR4293 4.54 0.0041 0.012 4.07 0.0049 0.024 hsa-miR-192 4.54 0.0016 0.0049 3.38 0.0023 0.0069 hsa-miR-608 4.51 0.0067 0.020 5.31 0.0025 0.0075 4.49 0.0006 0.0019 4.17 0.0011 0.0032 4.49 <0.0001 <0.0001 4.17 <0.0001 <0.0001 hsa-miR-18b 4.49 0.0034 0.010 3.58 0.014 0.041 hsa-miR450b-3p 4.44 0.0001 <0.0001 5.17 <0.0001 <0.0001 hsa-miR1185 hsa-miR183* hsa-miR299-3p hsa-miR125a-3p hsa-miR361-5p hsa-miR1299 hsa-miR892b hsa-miR-641 hsa-miR3141 hsa-miR1265 hsa-miR4257 hsa-miR3122 hsa-miR1207-5p hsa-miR1257 hsa-miR363* hsa-miR146a 4.41 0.012 0.037 5.62 0.0031 0.0092 4.41 0.0031 0.0094 4.50 0.0028 0.0083 4.41 0.012 0.037 3.32 0.0042 0.013 4.39 0.010 0.031 4.04 0.016 0.048 hsa-miR-378 4.38 0.0054 0.016 4.42 0.0051 0.015 hsa-miR199a-3p 4.38 0.015 0.046 4.34 0.016 0.049 hsa-miR-381 4.37 0.0011 0.0033 3.25 0.0080 0.024 hsa-miR-190 4.35 0.0033 0.010 4.01 0.0055 0.016 4.34 0.0013 0.0038 5.58 0.0002 0.0007 4.30 0.0006 0.0017 4.97 0.0002 0.0006 hsa-miR-504 4.30 0.0026 0.0078 3.54 0.0090 0.027 hsa-miR3670 4.25 <0.0001 <0.0001 3.73 <0.0001 <0.0001 hsa-miR-633 4.25 0.0060 0.018 5.12 0.0019 0.0057 hsa-miR-33b 4.24 0.0026 0.0078 3.26 0.014 0.041 4.20 0.0001 0.0003 5.53 <0.0001 <0.0001 4.19 0.0009 0.0028 3.93 0.0014 0.0041 4.19 <0.0001 0.0002 2.46 0.0037 0.011 4.12 0.0051 0.015 3.66 0.010 0.031 4.11 0.0020 0.0059 4.34 0.0014 0.0041 4.05 0.0022 0.0066 4.75 0.0008 0.0023 4.04 0.0081 0.0243 4.84 0.0027 0.008 4.02 0.0020 0.0060 3.85 0.0026 0.0079 4.01 0.0018 0.0053 2.85 0.0170 0.05 4.00 0.0001 0.0003 2.82 0.0015 0.0046 3.93 <0.0001 0.0001 2.73 0.0007 0.0020 3.84 <0.0001 0.0001 3.89 <0.0001 <0.0001 3.82 0.0046 0.014 3.14 0.0044 0.013 hsa-miR2114 hsa-miR3925-5p hsa-miR1306 hsa-miR1288 hsa-miR1269 hsa-miR1183 hsa-miR-212 hsa-miR1233 hsa-miR582-5p hsa-miR499-5p hsa-miR181c hsa-miR1304 hsa-miR3158-3p hsa-miR26a-1* hsa-miR330-3p hsa-miR330-5p 3.76 0.0047 0.014 3.39 0.0091 0.027 hsa-miR-563 3.76 0.017 0.05 3.98 0.013 0.039 hsa-miR-451 3.75 0.016 0.047 3.89 0.013 0.038 3.74 0.012 0.036 4.73 0.0029 0.0087 3.73 0.0025 0.0076 3.43 0.0045 0.013 3.72 0.019 0.050 4.11 0.011 0.033 3.70 0.0008 0.0025 2.77 0.0067 0.020 3.61 0.0031 0.0094 3.66 0.0029 0.0086 3.59 0.0008 0.0024 4.11 0.0003 0.0009 3.51 0.0066 0.020 4.14 0.0023 0.0068 3.49 0.0067 0.020 3.38 0.0082 0.025 3.37 0.0030 0.0089 3.13 0.0049 0.015 3.34 0.0002 0.0005 2.76 0.0008 0.0024 3.29 0.0027 0.0080 3.78 0.0010 0.0029 3.28 <0.0001 <0.0001 2.76 <0.0001 0.0001 3.28 0.0013 0.0040 3.42 0.0010 0.0030 3.27 0.012 0.037 3.92 0.0040 0.012 3.27 0.0037 0.011 3.12 0.0052 0.016 3.19 0.010 0.031 3.99 0.0027 0.0082 3.18 0.0008 0.0025 3.50 0.0004 0.0012 hsa-miR-549 3.18 0.0028 0.0083 4.32 0.0003 0.0009 hsa-miR-938 3.18 0.0023 0.0070 2.98 0.0038 0.011 hsa-miR-214 3.12 0.0002 0.0006 2.88 0.0004 0.0011 hsa-miR323-5p 3.11 0.0029 0.0087 3.62 0.0010 0.0029 hsa-miR-937 3.08 0.019 0.05 4.04 0.0035 0.010 3.07 0.0032 0.0096 3.03 0.0035 0.011 3.06 0.0067 0.020 3.06 0.0067 0.020 hsa-miR4262 hsa-miR3065-3p hsa-miR1231 hsa-miR3692 hsa-miR125b hsa-miR1537 hsa-miR3713 hsa-miR-210 hsa-miR302d hsa-miR515-3p hsa-miR4302 hsa-miR-147 hsa-miR422a hsa-miR3923 hsa-miR3687 hsa-miR193a-3p hsa-miR1909* hsa-miR423-5p hsa-miR1245 hsa-miR1205 hsa-miR1260b 3.01 <0.0001 <0.0001 3.82 <0.0001 <0.0001 2.98 0.0001 0.0003 3.17 <0.0001 0.0002 2.98 0.0003 0.0009 3.90 <0.0001 <0.0001 2.97 0.017 0.050 3.37 0.0087 0.026 2.95 0.0032 0.0097 3.18 0.0019 0.0056 2.93 0.0022 0.0067 3.50 0.0006 0.0018 2.92 0.0040 0.012 3.30 0.0016 0.0049 2.92 0.0015 0.0044 3.25 0.0006 0.0019 2.91 0.0077 0.023 4.59 0.0003 0.0009 2.78 0.0032 0.0096 4.17 0.0002 0.0005 2.77 0.0030 0.0089 2.94 0.0018 0.0055 2.75 0.0074 0.022 3.12 0.0030 0.0089 2.75 0.0041 0.012 3.33 0.001 0.0029 2.69 0.0005 0.0014 2.63 0.0006 0.0017 2.63 0.0068 0.021 3.06 0.0022 0.0066 2.59 0.0047 0.014 2.73 0.0032 0.0097 hsa-miR-922 2.57 <0.0001 <0.0001 2.21 <0.0001 <0.0001 hsa-miR339-5p 2.44 0.0020 0.0059 2.76 0.0007 0.0020 hsa-miR-22* 2.44 0.0089 0.027 3.26 0.0010 0.0029 2.34 0.0061 0.021 2.73 0.0020 0.0060 2.32 0.013 0.040 3.44 0.0007 0.0020 2.27 0.0001 0.0004 2.73 <0.0001 <0.0001 2.06 0.0078 0.023 2.58 0.0011 0.0033 hsa-miR-145 hsa-miR320b hsa-miR3159 hsa-miR589* hsa-miR3675-5p hsa-miR509-3-5p hsa-miR1252 hsa-miR4264 hsa-miR-888 hsa-miR3136-5p hsa-miR767-3p hsa-miR-662 hsa-miR3658 hsa-miR548k hsa-miR1471 hsa-miR892a hsa-miR1250 hsa-miR3651 Table S2. Persistently downregulated miRNAs despite insulin treatment. A two-fold change (FC) and p value <0.05 were considered to indicate significant miRNAs variations. Raw and adjusted p values refer to 1-way ANOVA and Bonferroni’s post-hoc test, respectively. p value Diabetes vs Control (FC) Raw hsa-miR-3625p -71.02 hsa-miR-765 p value Adjusted Insulin vs Control (FC) Raw Adjusted <0.0001 <0.0001 -68.69 <0.0001 <0.0001 -66.29 <0.0001 <0.0001 -65.53 <0.0001 <0.0001 hsa-miR-5013p -67.59 0.0034 0.010 -61.73 0.0034 0.010 hsa-miR-374c -47.44 <0.0001 0.0002 -50.25 <0.0001 0.0002 hsa-miR-3385p -22.30 0.0015 0.0045 -20.89 0.0016 0.0047 hsa-miR-619 -13.40 0.0001 0.0003 -11.13 <0.0001 0.0002 hsa-miR-518b -11.35 0.0006 0.0019 -12.09 0.0009 0.0027 hsa-miR-134 -11.22 0.0070 0.021 -10.16 0.0083 0.025 hsa-miR-1382* -10.89 0.0006 0.0018 -11.46 0.0007 0.0021 hsa-miR-2052 -10.52 <0.0001 <0.0001 -11.92 <0.0001 <0.0001 hsa-miR519e* -10.14 <0.0001 0.0003 -12.44 0.0002 0.0005 hsa-miR-579 -9.42 0.012 0.035 -9.23 0.0030 0.0091 hsa-miR-5083p -8.78 0.0002 0.0005 -8.16 <0.0001 0.0003 hsa-miR-648 -8.62 0.0026 0.0079 -9.36 0.0033 0.0099 hsa-miR-96 -8.35 0.0007 0.0022 -8.82 0.0007 0.0020 hsa-miR-5245p -8.09 0.0024 0.0071 -7.05 0.0021 0.0063 hsa-miR-548t -8.01 0.011 0.033 -7.95 0.015 0.044 hsa-miR-200a -7.26 0.0034 0.010 -6.61 0.0027 0.0082 hsa-miR-5095p -7.24 0.011 0.034 -6.74 0.0078 0.023 hsa-miR-379* -7.19 0.0006 0.0017 -7.73 0.0007 0.0020 hsa-miR-98 -7.08 <0.0001 0.0001 -6.10 <0.0001 0.0002 hsa-let-7e -7.04 0.011 0.033 -7.27 0.0096 0.029 miRNA hsa-miR-1279 -6.55 0.0001 0.0004 -7.38 0.0002 0.0006 hsa-miR-135a -6.51 0.0026 0.0077 -7.76 0.0035 0.010 hsa-miR-8753p -6.36 <0.0001 0.0002 -6.56 0.0002 0.0005 hsa-miR-34b -6.11 <0.0001 0.0001 -6.39 <0.0001 0.0001 hsa-miR-155 -6.08 0.0003 0.0010 -8.35 0.0003 0.0008 hsa-miR146b-5p -5.77 <0.0001 0.0001 -4.95 <0.0001 0.0002 hsa-miR-605 -5.56 0.0002 0.0007 -6.30 0.0002 0.0007 hsa-miR449b* -5.55 0.0016 0.0049 -4.82 0.0018 0.0055 hsa-miR-3154 -5.33 0.0001 0.0003 -4.19 0.0001 0.0004 hsa-miR-223 -5.25 0.0001 0.0003 -5.21 0.0001 0.0003 hsa-miR-3613p -5.19 <0.0001 <0.0001 -5.32 <0.0001 <0.0001 hsa-miR-4305 -5.07 0.0002 0.0007 -5.56 0.0002 0.0007 hsa-miR-148b -5.06 0.017 0.050 -6.55 0.014 0.041 hsa-miR-2195p -5.02 0.0093 0.028 -4.24 0.015 0.044 hsa-miR-587 -4.88 0.0017 0.0051 -4.73 0.0031 0.0094 hsa-miR514b-3p -4.76 0.0005 0.0014 -4.62 0.0005 0.0015 hsa-miR-19a -4.69 <0.0001 <0.0001 -5.43 <0.0001 <0.0001 hsa-miR-3611 -4.65 0.0009 0.0027 -5.17 0.0008 0.0024 hsa-miR-153 -4.55 0.0002 0.0005 -3.51 0.0004 0.0013 hsa-miR-103a -4,41 0.013 0.039 -4,73 0.012 0.035 hsa-miR-17 hsa-miR-106a -4.32 0.0013 0.0039 -4.84 0.0026 0.0078 hsa-miR-133a -4.13 0.012 0.037 -4.33 0.013 0.038 hsa-miR-496 -4.18 0.017 0.050 -5.84 0.016 0.048 hsa-let-7c -3.98 0.013 0.039 -4.26 0.0066 0.020 hsa-miR-211 -3.93 0.0057 0.017 -4.16 0.0050 0.015 hsa-miR-206 -3.87 <0.0001 0.0001 -3.52 <0.0001 0.0002 hsa-miR-466 -3.82 0.0004 0.0011 -3.96 0.0005 0.0015 hsa-miR-30a -3.82 0.012 0.035 -4.10 0.0094 0.028 hsa-miR-658 -3.76 0.0055 0.016 -3.75 0.0056 0.017 hsa-miR-1513p -3.66 0.0002 0.0006 -3.43 0.0002 0.0007 hsa-miR-942 -3.65 0.0099 0.030 -4.30 0.0035 0.010 hsa-miR-376c -3.58 0.013 0.038 -3.91 0.011 0.032 hsa-miR-640 -3.57 0.0004 0.0012 -3.04 0.0009 0.0026 hsa-miR-588 -3.56 0.0027 0.0080 -4.06 0.0019 0.0057 hsa-miR-26b -3.53 0.015 0.045 -3.55 0.015 0.045 -3.52 0.0017 0.0051 -3.12 0.0016 0.0049 -3.52 0.0001 0.0003 -4.62 <0.0001 0.0002 hsa-miR-128 -3.51 0.0063 0.019 -3.16 0.0091 0.027 hsa-miR-302a -3.35 <0.0001 0.0002 -3.14 <0.0001 0.0003 hsa-let-7g -3.34 <0.0001 <0.0001 -3.81 <0.0001 <0.0001 -3.21 0.016 0.049 -3.28 0.016 0.047 -3.17 0.013 0.038 -3.24 0.011 0.034 -3.17 0.0015 0.0046 -4.34 0.0007 0.0022 hsa-miR-143 -3.16 0.0015 0.0044 -2.76 0.0027 0.0080 hsa-miR-33a -3.15 0.0019 0.0058 -4.09 0.0009 0.0026 hsa-miR-29a -3.12 0.0018 0.0053 -3.46 0.0014 0.0043 hsa-miR-29b -3.07 0.016 0.047 -3.32 0.015 0.046 hsa-miR-9 -3.05 <0.0001 <0.0001 -3.46 <0.0001 <0.0001 hsa-miR-15b -3.04 0.0033 0.010 -4.04 0.0015 0.0045 hsa-miR-924 -3.00 0.0028 0.0085 -2.82 0.0053 0.016 hsa-miR-1 -2.99 0.016 0.048 -2.74 0.012 0.037 hsa-miR-506 -2.97 0.0059 0.018 -3.57 0.0075 0.022 hsa-miR-431* -2.94 0.0004 0.0011 -2.23 0.0011 0.0032 hsa-miR-30e -2.93 0.017 0.050 -3.58 0.012 0.037 hsa-miR-5423p hsa-miR-1405p hsa-miR-4093p hsa-miR-1515p hsa-miR-34c5p hsa-miR-1301 -2.89 0.0033 0.010 -2.31 0.0085 0.026 hsa-miR-4277 -2.87 <0.0001 <0.0001 -3.44 <0.0001 <0.0001 hsa-miR-431 -2.87 0.0003 0.0010 -3.49 0.0002 0.0007 hsa-miR-21 -2.68 0.0002 0.0005 -2.37 0.0002 0.0006 hsa-miR-150 -2.62 0.013 0.039 -2.56 0.013 0.040 hsa-miR-425 -2,45 0.0002 0.0007 -2,59 0.0003 0.0008 hsa-miR-30b -3.41 0.0026 0.0078 -3.27 0.0015 0.0044 hsa-miR-559 -2.74 0.0020 0.0060 -2.10 0.0055 0.016 hsa-miR-184 -2.37 0.0041 0.012 -2.56 0.0051 0.015 hsa-miR-181b -2.32 0.0092 0.028 -2.93 0.0047 0.014 hsa-miR-320a -2.31 0.011 0.033 -3.11 0.0076 0.023 hsa-miR-181a -2.26 0.0011 0.0034 -2.42 0.0009 0.0027 hsa-miR-448 -2.21 0.0034 0.010 -2.50 0.0017 0.0051 hsa-miR-16 -2.17 0.0091 0.027 -3.11 0.0053 0.016 Table S3. Ingenuity Pathway Analysis showing dysregulated miRNAs involved in pathways of myocardial damage. Category miRNA p value Apoptosis miR-320b, miR-378, miR-34a 4.92E-02 Fibrosis miR-125b, miR-150, miR-199a, miR-29b, miR-30a 5.60E-03 miR-1, miR-150, miR199a, miR-133a, miR-214, miR- 3.02E-02 Hypertrophy 29a, miR-125b, miR-221, miR-212 Autophagy miR-133a, miR-221, miR-212, miR-30a 4.92E-02 miR-221, miR-146a, miR-34a, miR-210, miR-19b, miR- 2.25E-07 Oxidative stress 125b, miR-27a, miR-155 Heart Failure miR-423, miR-499, miR-199a 1.48E-05