Li Zhenci, Lu Jing, Luo Yi, Li Shaonan, Chen Minsheng
Department of Cardiology, Guangzhou First Municipal People's Hospital, Guangzhou Medical University, Panfu Road 1, Guangzhou, Guangdong 510180, China.
Southern Medical University, Guangzhou Avenue North 1838, Guangzhou, Guangdong 510515, China.
ScientificWorldJournal. 2014;2014:931845. doi: 10.1155/2014/931845. Epub 2014 Jul 7.
Recent papers have reported the fundamental roles of miR-497 in infarction which acute myocardial infarction (AMI) belongs to. However, the expression levels of miR-497 in AMI patients were unclear, especially the circulating miR-497 that was detectable in the human plasma. In this study, we focused on the expression levels of circulating miR-497 in AMI and the roles of plasma miR-497 as a promising biomarker for AMI. The plasma miR-497 levels were detected from 27 AMI patients and 31 healthy volunteers by qRT-PCR. The cTnI concentrations of these samples were also analyzed by ELISA. Results showed circulating miR-497 levels were upregulated in AMI patients at 4 h, 8 h, 12 h, and 24 h, by contrast to those in control. Interestingly, time courses of circulating miR-497 levels displayed similar trends to that of cTnI concentrations in AMI patients; further study revealed the high correlation between circulating miR-497 and cTnI concentrations (r = 0.573, P < 0.001). At last, the receiver operating characteristic (ROC) curve was performed and declared that there was a faithworthy sensitivity and specificity to identify the AMI patients by using circulating miR-497. In conclusion, circulating miR-497 might be a promising biomarker for AMI identification and there was high association between human miR-497 and acute myocardial infarction.
近期的论文报道了miR - 497在梗死(急性心肌梗死属于此类)中的重要作用。然而,急性心肌梗死(AMI)患者中miR - 497的表达水平尚不清楚,尤其是在人血浆中可检测到的循环miR - 497。在本研究中,我们聚焦于AMI患者中循环miR - 497的表达水平以及血浆miR - 497作为AMI有前景的生物标志物的作用。通过qRT - PCR检测了27例AMI患者和31名健康志愿者的血浆miR - 497水平。这些样本的肌钙蛋白I(cTnI)浓度也通过酶联免疫吸附测定(ELISA)进行了分析。结果显示,与对照组相比,AMI患者在4小时、8小时、12小时和24小时时循环miR - 497水平上调。有趣的是,AMI患者中循环miR - 497水平的时间进程与cTnI浓度的时间进程呈现相似趋势;进一步研究揭示循环miR - 497与cTnI浓度之间存在高度相关性(r = 0.573,P < 0.001)。最后,绘制了受试者工作特征(ROC)曲线,结果表明使用循环miR - 497来识别AMI患者具有可靠的敏感性和特异性。总之,循环miR - 497可能是用于AMI识别的有前景的生物标志物,并且人类miR - 497与急性心肌梗死之间存在高度关联。