首页|PD患者治疗期间血清miRNA-124、miRNA-221与非运动症状的相关性分析

PD患者治疗期间血清miRNA-124、miRNA-221与非运动症状的相关性分析

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目的 探讨帕金森病(PD)患者外周血miR-124、miR-224在不同治疗时期的表达水平,并分析其与非运动症状的相关性,为临床PD患者非运动症状监测和治疗提供潜在干预靶点。方法 选择2020年1月至2022年3月PD患者106例,分别于患者治疗前、治疗4、8、12周时,对患者血清miR-124、miR-221水平进行检测,并采用非运动症状评价量表(NMSS)对患者的非运动症状进行评估。采用统计学方法检验分析血清miR-124、miR-221与帕金森患者NMSS评分的相关性。结果 治疗期间,患者血清miR-124逐渐上升,差异均有统计学意义(P<0。05)。miR-221表达水平及NMSS评分均逐渐下降,差异均有统计学意义(P<0。05)。Pearson相关性分析显示,血清miR-124与患者NMSS评分均呈负相关(r=-0。346,P<0。001);miR-221与患者NMSS评分呈正相关(r=0。409,P<0。001);线性回归分析显示,PD患者血清miR-124和miR-221表达水平是其非运动症状的影响因素(P<0。05)。结论 PD患者血清miR-124和miR-221表达水平与非运动症状严重程度密切相关,临床上可考虑通过监测或干预血清miR-124和miR-221表达水平,缓解PD患者非运动症状,进而改善患者预后。
Objective To explore the expression levels of microrna-124(miR-124)and microrna-221(mir-224)in peripheral blood of patients with Parkinson's disease(PD)in different treatment periods,and analyze their correlation with non-motor symptoms,so as to provide potential intervention targets for the monitoring and treatment of non-motor symptoms in clinical PD patients.Methods 106 PD patients who were treated in our hospital from January 2020 to March 2022 were selected as the research objects.The levels of serum miR-124 and miR-221 were detected before treatment,4,8 and 12 weeks after treatment,and the non-motor symptoms of patients were evaluated by non-motor symptom evaluation scale(NMSs).Statistical methods were used to test and analyze the correlation between serum miR-124,miR-221 and NMSs score of Parkinson's patients.Results During the treatment,the serum miR-124 of the patients gradually increased,and the difference was statistically significant(P<0.05).The expression level of miR-221 and NMSs score decreased gradually,and the difference was statistically significant(P<0.05).Pearson correlation analysis showed that serum Mir-124 was negatively correlated with NMSs score(r=-0.346,P=0.001).MiR-221 was positively correlated with NMSs score(r=0.246,P<0.001).Linear regression analysis showed that the linear regression equation of serum miR-124 and miR-221 was y=39.713-6.706x1+1.47x2.The expression levels of miR-124 and miR-221 in serum of PD patients were the influencing factors of non-exercise symptoms(P<0.05).Conclusion The expression levels of serum miR-124 and miR-221 in PD patients are closely related to the severity of non-exercise symptoms.Clinically,it can be considered to monitor or intervene the expression levels of serum miR-124 and miR-221 to alleviate the non-exercise symptoms of PD patients and improve the prognosis of patients.

Parkinson's diseaseMicrorna-124Microrna-221Non motor symptoms

刘红军、杨水琴、张明颖

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314000 浙江新安国际医院

帕金森病 miRNA-124 miRNA-221 非运动症状

嘉兴市秀洲区科技计划项目

2022C004

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(6)
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