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血浆miR-379、miR-195、Gas6水平早期检测在AMI患者中的应用价值

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目的 分析血浆微小RNA-379(miR-379)、微小RNA-195(miR-195)、生长停滞特异性蛋白6(Gas6)水平早期检测在急性心肌梗死(AMI)患者中的应用价值.方法 选取2021年5至2022年7月于首都医科大学附属北京世纪坛医院心内科住院治疗的265例患者,分为AMI组(n=127)和非AMI组(n=138),选取同期120名健康体检者设为对照组.比较三组入组时的血浆miR-379、miR-195表达量及Gas6水平;采用Pearson相关系数分析AMI患者入组时的血浆Gas6水平与miR-379、miR-195表达量的关系;采用受试者工作曲线(ROC)分析入组时的血浆Gas6水平及miR-379、miR-195表达量对早期AMI的诊断价值.结果 三组入组时的血浆miR-379、miR-195、Gas6水平比较差异有统计学意义(P<0.05);血浆miR-379水平比较:AMI组<非AMI组<对照组,miR-195、Gas6水平比较:AMI组>非AMI组>对照组,差异有统计学意义(P<0.05).Pearson相关系数分析显示,Gas6与miR-379水平呈负相关(P<0.05),与miR-195水平呈正相关(P<0.05).ROC结果显示,血浆miR-379、miR-195、Gas6水平单独诊断早期AMI具有一定局限性(AUC=0.808、0.718、0.752),三者联合诊断的效能更佳(AUC=0.879).结论 血浆miR-379、miR-195、Gas6水平在AMI患者中异常表达,三指标可作为AMI早期疾病诊断的参考指标.
Application value of early detection of plasma miR-379,miR-195 and Gas6 levels in patients with AMI
Objective To analyze the application value of early detection of plasma microRNA-379(miR-379),microRNA-195(miR-195)and growth arrest specific protein 6(Gas6)levels in patients with acute myocardial infarction(AMI).Methods 265 patients who were hospitalized in the Department of Cardi-ology,Beijing Shijitan Hospital Affiliated to Capital Medical University were selected between May 2021 and July 2022,and were classified into the AMI group(n=127)and the non-AMI group(n=138).120 healthy subjects with physical examination during the same period were selected as the control group.The expression levels of plasma miR-379 and miR-195 and Gas6 at admission were compared among the three groups.Pearson correlation coefficient analysis was used to analyze the relationship between plasma Gas6 level and expression levels of miR-379 and miR-195 in patients with AMI at admission.The diagnostic value of plasma Gas6 level and expression levels of miR-379 and miR-195 at admission on early AMI was analyzed by the receiver operat-ing characteristic curve(ROC).Results There were statistically significant differences in the plasma levels of miR-379,miR-195,and Gas6 among the three groups at enrollment(P<0.05).Comparison of plasmamiR-379 levels:AMI group<non-AMI group<control group(P<0.05).Comparison of miR-195 and Gas6 levels:AMI group>non-AMI group>control group(P<0.05).Pearson correlation coefficient analysis showed that Gas6 was negatively correlated with the level of miR-379(P<0.05)and positively correlated with the level of miR-195(P<0.05).The ROC results showed that plasma miR-379,miR-195and Gas6 alone had certain limitations in diagnos-ing early AMI(AUC=0.808,0.718 and 0.752),and the combination of the three had better efficiency(AUC= 0.879).Conclusion The levels of plasmamiR-379,miR-195and Gas6 are abnormally expressed in patients with AMI,and these three indicators can be used as reference indicators for the early diagnosis of AMI.

Plasma microRNA-379MicroRNA-195Growth arrest specific protein 6Acute myocardial infarction

崔雅璇、陈旭、刘倩、孙佳乐

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首都医科大学附属北京世纪坛医院急诊科,北京 100038

血浆微小RNA-379 微小RNA-195 生长停滞特异性蛋白6 急性心肌梗死

北京市科技计划

Z202300002010021

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(1)
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