Associations of Circulating microRNA-221 and 222 With the Severity of Coronary Artery Lesions in Acute Coronary Syndrome Patients

Associations of Circulating microRNA-221 and 222 With the Severity of Coronary Artery Lesions in Acute Coronary Syndrome Patients
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循环 microRNA-221 和 222 与急性冠状动脉综合征患者冠状动脉病变严重程度的关系

DOI:
10.1177/00033197211034286
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发表时间:
2021-07
期刊:
影响因子:
2.8
通讯作者:
Zhi-hao Wang
Zhi-hao Wang
中科院分区:
医学3区
文献类型:
--
作者:
Xin Yu;Jian-feng Xu;Ming Song;Lei Zhang;Yi-hui Li;Lu Han;Meng-xiong Tang;Wei Zhang;Ming Zhong;Zhi-hao Wang

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冠状动脉疾病(CAD)患者中microRNA-221和222(miR-221/222)的循环水平升高,但急性冠状动脉综合征(ACS)患者中循环miR-221/222与冠状动脉病变严重程度之间的关系仍不清楚。在这项研究中,通过实时荧光定量聚合酶链反应(RT-qPCR)比较了ACS患者(n = 267)和对照组(n = 71)循环miR-221/222的相对表达水平。ACS组又分为不稳定型心绞痛(UA)组(n = 191)和急性心肌梗死(AMI)组(n = 76)。在ACS中观察到循环miR-221/222的显著上调。证明了循环miR-221/222与Gensini评分之间的正线性相关性。循环miR-221/222诊断冠状动脉狭窄≥50%的曲线下面积(AUC)分别为0.605和0.643。ACS患者外周血miRNA-221/222表达水平升高,且与冠状动脉病变程度呈正相关。循环miR-221/222可能是诊断冠状动脉狭窄≥50%和ACS发生的新生物标志物。
Circulating levels of microRNA-221 and 222 (miR-221/222) in patients with coronary artery disease (CAD) are elevated, yet the relationship between circulating miR-221/222 and the severity of coronary lesions in patients with acute coronary syndrome (ACS) remains unknown. In this study, the relative expression levels of circulating miR-221/222 in patients with ACS (n = 267) and controls (n = 71) were compared by real-time fluorescence quantitative-polymerase chain reaction (RT-qPCR). The ACS group was further divided into unstable angina pectoris (UA) group (n = 191) and acute myocardial infarction (AMI) group (n = 76). Significant upregulation of circulating miR-221/222 was observed in ACS. A positive linear correlation between circulating miR-221/222 and Gensini scores was demonstrated. The area under the curve (AUC) of circulating miR-221/222 in the diagnosis of coronary artery stenosis ≥50% was 0.605 and 0.643, respectively. The circulating miRNA-221/222 expression levels in ACS patients were elevated and positively associated with the severity of the coronary artery lesions. Circulating miR-221/222 may be novel biomarkers for the diagnosis of coronary artery stenosis ≥50% and the occurrence of ACS.
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