Circulating miR-185 might be a novel biomarker for clinical outcome in patients with dilated cardiomyopathy.

Circulating miR-185 might be a novel biomarker for clinical outcome in patients with dilated cardiomyopathy.
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循环 miR-185 可能是扩张型心肌病患者临床结果的新型生物标志物

DOI:
10.1038/srep33580
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发表时间:
2016-09-20
期刊:
影响因子:
4.6
通讯作者:
Yuan J
Yuan J
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Yu M;Liang W;Xie Y;Long Q;Cheng X;Liao YH;Yuan J

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B细胞通过诱导心肌细胞损伤和心肌纤维化而促进扩张型心肌病(DCM)的发展。我们最近的研究表明microRNA(miR)-185参与了人类B细胞的活化。因此,本研究旨在探讨miR-185与DCM进展的关系。41名健康志愿者和50名新诊断的DCM患者入组。检测血浆miR-185、分泌TNF-α的B细胞和抗心脏自身抗体水平。我们发现DCM患者血浆miR-185的平均水平显著高于健康对照组。此外,根据miR-185的聚集分布,可将DCM患者分为miR-185高表达组和miR-185低表达组。在一年的随访期间,miR-185高组显示左心室射血分数、左心室舒张末期直径和NT-proBNP明显改善,同时心血管死亡率和心力衰竭再住院总住院率显著下降。此外,miR-185高表达组抗β1-AR抗体和分泌TNF-α的B细胞水平也明显降低。这些发现表明,高miR-185水平可能通过抑制DCM中的B细胞功能而与良好的预后相关。本研究的结果需要更大的样本量和更长的观察时间来证实。
B cells contribute to the development of dilated cardiomyopathy (DCM) by inducing myocyte injuries and myocardial fibrosis. Our recent research indicated that microRNA (miR) -185 participated in human B-cell activation. Thus, this study was aimed to explore the relationship between miR-185 and DCM progression. Forty-one healthy volunteers and fifty newly diagnosed DCM patients were enrolled. The levels of plasma miR-185, TNF-α secreting B cells and anti-heart autoantibody were detected. We found that the mean levels of plasma miR-185 in DCM patients were significantly higher than those in healthy controls. Furthermore, these DCM patients could be divided into miR-185highand miR-185lowgroups according to the cluster distribution. During one-year follow-up period, the miR-185highgroup showed apparent improvements in left ventricular ejection fraction, left ventricular end diastolic diameter and NT-proBNP, accompanied by significant declines in both cardiovascular mortality and total admissions for heart failure re-hospitalizations. In addition, the levels of anti-β1-AR antibody and TNF-α secreting B cells were also reduced in miR-185highgroup. These findings suggested that high miR-185 levels might be associated with a favorable prognosis by repressing B cell function in DCM. The findings of this study need to be confirmed with larger sample size and longer duration of observation.
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