Xie Zezhou, Ma Peipei
Clin Lab. 2018 Oct 1;64(10):1755-1760. doi: 10.7754/Clin.Lab.2018.180538.
The main aim of this study was to evaluate the expression and specific role of miR-33 in the progression of coronary heart disease (CAD), thereby evaluating their diagnostic ability and use in treatment in CAD patients.
Real time PCR was carried out to explore the level of miR-33 in the plasma of CAD patients and controls. ELISA was performed to analyze the level of placenta growth factor fragment (PLGF). Correlations between miR-33 and PLGF as well as other biochemical parameters were performed with Pearson's correlation analysis.
First, we evaluated the level of plasma miR-33 in CAD patients and healthy controls. Compared with the control group, the level of plasma miR-33 was significantly increased in CAD patients. Furthermore, Spearman's correlation assay showed that plasma miR-33 positively correlated with the Gensini score (r = 0.354, p = 0.003). Meanwhile, plasma miR-33 was significantly enhanced in CAD patients with single- (1 ± 0.48), double- (1.85 ± 0.687), and triple-vessel disease (2.35 ± 0.87). In addition, Spearman's correlation assay demonstrated that plasma miR-33 positively correlated with plasma PLGF level (r = 0.354, p = 0.003). Lastly, ROC analysis showed that plasma miR-33 could screen CAD patients from healthy controls.
In summary, we showed novel data that enhanced plasma miR-33 may promote the progression of CAD. Furthermore, plasma miR-33 could be used as a potential non-invasive biomarker for CAD patients, which may shed light on the diagnosis and therapy of CAD.
本研究的主要目的是评估miR-33在冠心病(CAD)进展中的表达及特定作用,从而评估其在CAD患者中的诊断能力及治疗应用价值。
采用实时定量聚合酶链反应(Real time PCR)检测CAD患者和对照组血浆中miR-33的水平。采用酶联免疫吸附测定(ELISA)分析胎盘生长因子片段(PLGF)的水平。通过Pearson相关分析评估miR-33与PLGF以及其他生化参数之间的相关性。
首先,我们评估了CAD患者和健康对照组血浆中miR-33的水平。与对照组相比,CAD患者血浆miR-33水平显著升高。此外,Spearman相关性分析显示血浆miR-33与Gensini评分呈正相关(r = 0.354,p = 0.003)。同时,单支血管病变(1 ± 0.48)、双支血管病变(1.85 ± 0.687)和三支血管病变(2.35 ± 0.87)的CAD患者血浆miR-33水平均显著升高。另外,Spearman相关性分析表明血浆miR-33与血浆PLGF水平呈正相关(r = 0.354,p = 0.003)。最后,ROC分析表明血浆miR-33可用于从健康对照中筛查CAD患者。
综上所述,我们发现了新的数据,即血浆miR-33升高可能促进CAD的进展。此外,血浆miR-33可作为CAD患者潜在的非侵入性生物标志物,这可能为CAD的诊断和治疗提供新的思路。