重庆医学2024,Vol.53Issue(16) :2488-2491.DOI:10.3969/j.issn.1671-8348.2024.16.017

miR-155-5p对带状疱疹性神经痛慢性化的预测作用

Predictive effect of miR-155-5p on chronicity in herpes zoster neuralgia

沈倩倩 王波 杜忠举 夏菊荣
重庆医学2024,Vol.53Issue(16) :2488-2491.DOI:10.3969/j.issn.1671-8348.2024.16.017

miR-155-5p对带状疱疹性神经痛慢性化的预测作用

Predictive effect of miR-155-5p on chronicity in herpes zoster neuralgia

沈倩倩 1王波 2杜忠举 2夏菊荣2
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作者信息

  • 1. 杭州市第三人民医院皮肤外科 杭州 310009
  • 2. 杭州市第三人民医院麻醉科,杭州 310009
  • 折叠

摘要

目的 观察miR-155-5p在带状疱疹性神经痛慢性化过程中的表达及其预警作用.方法 选择带状疱疹性神经痛患者88例(HZN组)和20例健康体检者(HA组),采用逆转录-实时荧光定量PCR(RT-qPCR)方法测量血清中miR-155-5p表达,患者随访3个月后仍有疼痛的为带状疱疹后神经痛(PHN组),疼痛消失为痊愈(RC组).比较HZN组和HA组、PHN组和RC组miR-155-5p表达水平差异,计算受试者工作特征(ROC)曲线下面积(AUC)及95%CI评价miR-155-5p预测带状疱疹性神经痛慢性化的效能.结果 与HA组比较,HZN组miR-155-5p表达水平明显上调,差异有统计学意义(P<0.05);与RC组比较,PHN组带状疱疹期miR-155-5p表达水平明显上调,差异有统计学意义(P<0.05);miR-155-5p预测带状疱疹性神经痛慢性化的AUC(95%CI)为0.878(0.808~0.948).结论 带状疱疹后神经痛患者带状疱疹期血清中miR-155-5p较痊愈患者表达水平明显上调,miR-155-5p可作为带状疱疹性神经痛慢性化的重要预测指标.

Abstract

Objective To observe the expression and forewarning effect of MiR-155-5p in the chronicity process of herpes zoster neuralgia (HZN).Methods A total of 88 patients with herpes zoster neuralgia (HZN group) and 20 healthy subjects undergoing physical examination (HA group) were selected.The expression level of serum miR-155-5p was measured by reverse transcription real-time fluorescence quantification poly-merase chain reaction (RT-qPCR).The patients with pain after 3-month follow up served as herpes zoster neuralgia (PHN group) and those with pain disappearance served as the cure group (RC group).The expres-sion levels of miR-155-5p were compared between the HZN group and HA group and between the PHN group and RC group.The area under receiver operating characteristic (ROC) curve (AUC) and 95% confidence in-terval (CI) were calculated for evaluating the efficiency of miR-155-5p in predicting the chronicity of HZN. Results Compared with the HA group,the expression level of miR-155-5p in the HZN group was significant-ly up-regulated,and the difference was statistically significant (P<0.05);compare with the RC group,the ex-pression level of serum miR-155-5p in the PHN group was significantly up-regulated,and the difference was statistically significant (P<0.05);AUC of miR-155-5p for predicting the chronicity of HZN was 0.878 (95%CI:0.808-0.948).Conclusion The expression level of serum miR-155-5p in herpes zoster period of the pa-tients with PHN is significantly up-regulated compared with the cure patients and miR-155-5p could serve as an important predictive indicator of HZN chronicity.

关键词

miR-155-5p/带状疱疹性神经痛/慢性化/预警作用

Key words

MiR-155-5p/herpes zoster neuralgia/chronicity/forewarning effect

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基金项目

浙江省自然科学基金杭州区域创新发展联合基金资助项目(LHZY24H090001)

浙江省医药卫生科技计划项目(2024KY201)

出版年

2024
重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
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