全科医学临床与教育2024,Vol.22Issue(5) :392-395,420,后插1.DOI:10.13558/j.cnki.issn1672-3686.2024.005.003

血清外泌体miR-125a-5p和miR-99b-5p在心力衰竭诊断中的价值

The value of serum exosomes miR-125a-5p and miR-99b-5p in the diagnosis of heart failure

杨丽 戴婷婷 刘丹 李鹏飞
全科医学临床与教育2024,Vol.22Issue(5) :392-395,420,后插1.DOI:10.13558/j.cnki.issn1672-3686.2024.005.003

血清外泌体miR-125a-5p和miR-99b-5p在心力衰竭诊断中的价值

The value of serum exosomes miR-125a-5p and miR-99b-5p in the diagnosis of heart failure

杨丽 1戴婷婷 1刘丹 2李鹏飞1
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作者信息

  • 1. 315200 浙江宁波,宁波市镇海中医医院重症医学科
  • 2. 315200 浙江宁波,宁波市镇海中医医院呼吸内科
  • 折叠

摘要

目的 采用微阵列和荧光定量PCR(qRT-PCR)技术评估在心力衰竭中具有诊断效能的miRNA.方法 用微阵列探索心力衰竭患者血清中的miRNA表达谱,并用qRT-PCR方法检测候选miRNA的表达水平.然后,采用受试者工作特征(ROC)曲线分析候选miRNA的诊断价值.结果 与健康对照者相比,miR-125a-5p和miR-99b-5p在心力衰竭患者的血清外泌体中明显下调,其ROC曲线下面积(AUC)分别为0.73和0.72.此外,miR-125a-5p和miR-99b-5p的联合检测比单个miRNA具有更高的诊断价值,其AUC达到0.80.结论 miR-125a-5p和miR-99b-5p的表达水平在心力衰竭患者的血清外泌体中显著下调,可作为心力衰竭诊断的新型循环生物标志物.miR-125a-5p和miR-99b-5p联合后的诊断效能高于其单独使用.

Abstract

Objective We utilized microarray and quantitative PCR(qRT-PCR)techniques to evaluate the diag-nostic potential of miRNAs in heart failure.Methods We used microarray to explore the miRNA expression profile in the serum of heart failure patients and evaluated the expression levels of candidate miRNAs using the qRT-PCR method.The diagnostic value of candidate miRNAs was analyzed using receiver operating characteristic(ROC)curve.Results Compared with the healthy control,miR-125a-5p and miR-99b-5p were downregulated in the serum exo-somes of patients with heart failure,the areas under the ROC curve(AUC)was 0.73 and 0.72,respectively.Further-more,the combined detection of miR-125a-5p and miR-99b-5p has higher diagnostic value than individual miR-NAs,with an AUC of 0.80.Conclusion The expression levels of miR-125a-5p and miR-99b-5p are significantly downregulated in the serum exosomes of heart failure patients,potentially serving as novel circulating biomarkers for the diagnosis of heart failure.The diagnostic performance of miR-125a-5p combined with miR-99b-5p is higher than individual index.

关键词

microRNA/心力衰竭/诊断标志物/血清外泌体

Key words

microRNA/heart failure/diagnostic biomarkers/serum exosomes

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基金项目

镇海区公益类科技计划(2020)(2020S03)

出版年

2024
全科医学临床与教育
浙江大学

全科医学临床与教育

影响因子:0.63
ISSN:1672-3686
参考文献量13
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