首页|miR-146、ApoE与急性冠脉综合征的相关性研究

miR-146、ApoE与急性冠脉综合征的相关性研究

Correlation between miR-146,ApoE,and acute coronary syndrome

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目的:分析微小RNA(miR)-146、载脂蛋白E(ApoE)与急性冠脉综合征(ACS)的相关性.方法:选取2020年6月—2021年6月收治的100例ACS患者,其中轻度组(Gensini评分≤45分)46例、重度组(Gensini评分>45分)54例,另取同期冠状动脉造影正常者50例作为对照组.测定miR-146a、miR-146b和ApoE,分析其与ACS的相关性.结果:三组间高血压、糖尿病发病率以及血脂水平比较,差异有统计学意义(P<0.05);三组间miR-146a、miR-146b、ApoE、Gensini评分比较差异有统计学意义(P<0.05),重度组、轻度组、对照组的miR-146a、miR-146b、ApoE、Gensini评分依次降低(P<0.05);Pearson相关性分析显示,miR-146a、miR-146b、ApoE均与Gensini评分呈显著正相关(P<0.05);Logistic多因素分析显示高血压、糖尿病、miR-146a、miR-146b、ApoE及Gensini评分是影响ACS患者冠状动脉病变程度的危险因素(P<0.05).结论:ACS患者miR-146a、miR-146b、ApoE水平均明显较高,与患者冠状动脉病变程度关系密切,也是ACS患者冠状动脉病变程度的危险因素.
Objective:To analyze the correlation between microRNA(miR)-146,apolipoprotein E(ApoE),and acute coronary syndrome(ACS).Methods:A total of 100 ACS patients admitted to the hospital from June 2020 to June 2021 were selected,including 46 cases in the mild group(Gensini score≤45 points)and 54 cases in the severe group(Gensini score>45 points).Another 50 cases with normal arte-riography were included in the control group.The serum levels of miR-146a,miR-146b,and ApoE were determined,and their correlation to ACS was studied.Results:There were significant differences in the incidence of hypertension and diabetes and blood lipids levels between the three groups(P<0.05);the levels of miR-146a,miR-146b,and ApoE,and Gensini scores were also significantly different among the three groups(P<0.05).The changes in miR-146a,miR-146b,and ApoE levels were related to the severity of the disease(P<0.05).Pearson correlation analysis showed that levels of miR-146a,miR-146b,and ApoE were positively correlated to Gensini scores(P<0.05);logistic multivariate analysis showed that hypertension,diabetes,miR-146a,miR-146b,ApoE,and Gensini scores were the risk factors for ACS(P<0.05).Conclusion:The levels of miR-146a,miR-146b,and ApoE in ACS patients are significantly increased and show correlations to the degrees of coronary artery disease,and they are the risk factors for ACS.

miR-146Apolipoprotein EAcute Coronary SyndromeCorrelation

印章、凡洋、朱冬梅、付永波、徐进林、彭昱东

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长江大学附属仙桃市第一人民医院心血管内科 湖北 仙桃 433000

华中科技大学同济医学院附属协和医院心血管内科 湖北 武汉 430022

miR-146 载脂蛋白E 急性冠脉综合征 相关性

仙桃市卫生健康委员会科研项目

WJ2021F099

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(9)