Zhang Yuchen, Cheng Junjun, Chen Fang, Wu Changyan, Zhang Junmeng, Ren Xuejun, Pan Yu, Nie Bin, Li Quan, Li Yu
Department of Cardiology, Beijing An Zhen Hospital of the Capital University of Medical Sciences, Beijing 100029, China, Anzhen Road, Chaoyang District.
Institute of Medicinal Biotechnology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China, Tian Tan Xili, Beijing.
Biosci Rep. 2017 Mar 27;37(2). doi: 10.1042/BSR20170047. Print 2017 Apr 28.
Microparticles (MPs) and miRNAs have been shown to play important roles in coronary artery disease (CAD) by monitoring endothelial dysfunction. The present study aims to investigate the diagnostic value of endothelial MPs (EMPs) and miRNAs ( or ) as biomarkers in distinguishing patients with acute myocardial infarction (AMI) from those with CAD. Plasma samples from 37 patients with AMI, 42 patients with stable CAD (SCAD), and 35 healthy adults were collected for investigation in the present study. The numbers of CD31+/CD42b- MPs, CD31+/CD42b+ MPs, and CD31-/CD42b- MPs were measured by flow cytometry and the levels of and were analyzed using reverse transcription-quantitative PCR. Moreover, cardiac troponin I (cTnI) expression was detected by ELISA to serve as a routine diagnostic parameter. The number of CD31+/CD42b- was higher in AMI group than those in SCAD and healthy groups. Besides, the expression of was higher in AMI group compared with two other groups. Furthermore, evidence showed that there was a positive correlation between the levels of CD31+/CD42b- MPs and Finally, the receiver operating characteristic (ROC) curve revealed that the area value under the curve of CD31+/CD42b- MPs, and cTnI was 0.893, 0.888, and 0.912 respectively. CD31+/CD42b- MPs and might have great potential to provide diagnostic value for AMI and could probably regulate the endothelial dysfunction in AMI patients.
通过监测内皮功能障碍,已证明微粒(MPs)和微小RNA(miRNAs)在冠状动脉疾病(CAD)中发挥重要作用。本研究旨在探讨内皮微粒(EMPs)和微小RNA(或)作为生物标志物在区分急性心肌梗死(AMI)患者与CAD患者方面的诊断价值。本研究收集了37例AMI患者、42例稳定型CAD(SCAD)患者和35名健康成年人的血浆样本进行调查。通过流式细胞术测量CD31+/CD42b-微粒、CD31+/CD42b+微粒和CD31-/CD42b-微粒的数量,并使用逆转录定量PCR分析和的水平。此外,通过酶联免疫吸附测定(ELISA)检测心肌肌钙蛋白I(cTnI)表达,作为常规诊断参数。AMI组中CD31+/CD42b-的数量高于SCAD组和健康组。此外,AMI组中的表达高于其他两组。此外,有证据表明CD31+/CD42b-微粒水平与之间存在正相关。最后,受试者工作特征(ROC)曲线显示,CD31+/CD42b-微粒、和cTnI的曲线下面积值分别为0.893、0.888和0.912。CD31+/CD42b-微粒和可能具有为AMI提供诊断价值的巨大潜力,并可能调节AMI患者的内皮功能障碍。