首页|冠心病患者血清lncRNA MIAT和miR-150-5p表达及其与冠状动脉斑块的相关性

冠心病患者血清lncRNA MIAT和miR-150-5p表达及其与冠状动脉斑块的相关性

Expressions of serum lncRNA MIAT and miR-150-5p in patients with coronary heart disease and their correlation with coronary artery plaque

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目的:探究冠心病(CHD)患者血清长链非编码RNA(lncRNA)心肌梗死相关转录本(lncRNA MIAT)、微小RNA-150-5p(miR-150-5p)表达水平及其与冠状动脉斑块的相关性.方法:选择2016年10月~2022年1月河北中石油中心医院收治的260例CHD患者,按冠状动脉造影(CAG)结果分为稳定型心绞痛(SAP)组(97例)和急性冠脉综合征(ACS)组(163例),另选择同期97例经CAG排除CHD的患者为对照组.检测各组患者血清lncRNA MIAT、miR-150-5p表达水平;对CHD患者行血管内超声(IVUS)检查,比较SAP组和UAP组冠脉斑块有关指标的差异,采用Pearson法分析ACS患者血清lncRNA MIAT、miR-150-5p表达水平与冠状动脉斑块有关指标的相关性.结果:与对照组比较,SAP组和ACS组血清lncRNA MIAT表达水平显著升高,miR-150-5p表达水平显著降低(P均<0.001);与SAP组比较,ACS组lncRNA MIAT表达水平和血管重塑指数、坏死核心(NC)面积、斑块偏心指数显著升高,miR-150-5p表达水平、纤维脂质成分(FF)面积显著减少(P均<0.001).Pearson相关分析显示,ACS患者血清lncRNA MIAT表达水平与血管重塑指数、NC面积、斑块偏心指数呈正相关(r=0.537、0.484、0.392,P均<0.001),与FF面积呈负相关(r=-0.496,P<0.001);miR-150-5p表达水平与血管重塑指数、NC面积、斑块偏心指数呈负相关(r=-0.403、-0.584、-0.546,P均<0.001),与 FF 面积呈正相关(r=0.388,P<0.001).结论:CHD 患者血清 lncRNA MIAT、miR-150-5p表达水平异常,ACS患者血清lncRNA MIAT、miR-150-5p表达水平与冠状动脉斑块有关,对临床诊断与防治有重要意义.
Objective:To investigate association of expression levels of serum long non-coding RNA(lncRNA)myo-cardial infarction-associated transcript(lncRNA MIAT)and microRNA-150-5p(miR-150-5p)with coronary artery plaque in patients with coronary heart disease(CHD).Methods:A total of 260 CHD patients admitted in Hebei Petro China Central Hospital between October 2016 and January 2022 were selected.According to coronary angiography(CAG)results,they were divided into stable angina pectoris(SAP)group(n=97)and acute coronary syndrome(ACS)group(n=163),another 97 patients who were excluded for CHD by CAG simultaneously were re-garded as control group.Expression levels of serum lncRNA MIAT and miR-150-5p were measured in all groups;CHD patients received intravascular ultrasound(IVUS)examination,and coronary artery plaque related indexes were compared between SAP group and UAP group.Pearson method was used to analyze the association of expres-sion levels of serum lncRNA MIAT and miR-150-5p with coronary artery plaque related indexes in ACS patients.Results:Compared with control group,SAP group and ACS group had significant higher serum lncRNA MIAT ex-pression level,and significant lower miR-150-5p expression level(P<0.001 all);compared with SAP group,ACS group had significant higher lncRNA MIAT expression level,vascular remodeling index,necrosis core(NC)area,plaque eccentricity index,and significant lower miR-150-5p expression level and fibrous fat fraction(FF)area(P<0.001 all).Pearson correlation analysis indicated that in ACS patients,serum lncRNA MIAT expression level was positively correlated with vascular remodeling index,NC area and plaque eccentricity index(r=0.537,0.484,0.392,P<0.001 all),and inversely correlated with FF area(r=-0.496,P<0.001);miR-150-5p ex-pression level was inversely correlated with vascular remodeling index,NC area and plaque eccentricity index(r=-0.403,-0.584,-0.546,P<0.001 all),and positively correlated with FF area(r=0.388,P<0.001).Conclu-sion:The expression levels of serum lncRNA MIAT and miR-150-5p are abnormal in CHD patients.Expression levels of serum lncRNA MIAT and miR-150-5p are related to coronary artery plaques in ACS patients,which has important significance for clinical diagnosis,prevention and treatment.

Coronary diseasePlaque,atheroscleroticRNA,UntranslatedMicroRNAs

荆飞闯、石丽媛、孙静

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河北中石油中心医院心内科,河北廊坊 065000

冠心病 斑块,动脉粥样硬化 RNA,未翻译 微RNAs

2021年廊坊市科学技术研究与发展计划自筹经费项目

2021013144

2024

心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
年,卷(期):2024.33(5)