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miR-637 在动脉粥样硬化患者中的诊断价值及其对未来心血管事件的预测意义。

Diagnostic value of miR-637 in patients with atherosclerosis and its predictive significance for the future cardiovascular events.

机构信息

Department of Emergency, Weifang Yidu Central Hospital, Weifang, China.

Department of Emergency, Weifang People's Hospital, Weifang, China.

出版信息

Vascular. 2021 Oct;29(5):704-710. doi: 10.1177/1708538120977297. Epub 2020 Dec 6.

Abstract

OBJECTIVES

Atherosclerosis is a common vascular disease. MiR-637 has been demonstrated to be low-expressed in hypertensive patients, and atherosclerosis is closely related to hypertension. Therefore, this study speculated that miR-637 may play an important role in the development of atherosclerosis. In brief, this study examined the expression level of miR-637 in patients with atherosclerosis and further analyzed its clinical value in patients with atherosclerosis.

METHODS

The expression level of miR-637 was detected in serum from 86 patients with atherosclerosis and 75 healthy controls by using quantitative reverse transcription-polymerase chain reaction. The receiver operating characteristic curve was used to assess the diagnostic value of miR-637 in atherosclerosis. Pearson's correlation analysis was performed to evaluate the relationship between serum miR-637 and different clinical parameters. The prognostic value of miR-637 in atherosclerosis was analyzed by the Kaplan-Meier survival curve and multivariate cox regression analysis.

RESULTS

Compared with healthy individuals, miR-637 was downregulated in the serum of atherosclerosis patients. The receiver operating characteristic curve suggested the high diagnostic value of miR-637 for atherosclerosis, with the AUC of 0.853, specificity of 77.9%, and sensitivity of 80.0%. The expression level of miR-637 was negatively correlated with CIMT (r = -0.8101, <0.0001) and CRP (r = -0.6154, <0.0001), respectively. Survival analysis indicated that miR-637 was also found to be an independent prognostic factor for atherosclerosis.

CONCLUSIONS

MiR-637 is a potential noninvasive diagnostic marker of atherosclerosis and has important predictive value for the occurrence of future cardiovascular events.

摘要

目的

动脉粥样硬化是一种常见的血管疾病。研究表明,miR-637 在高血压患者中表达水平较低,而动脉粥样硬化与高血压密切相关。因此,本研究推测 miR-637 可能在动脉粥样硬化的发生发展中发挥重要作用。总之,本研究检测了动脉粥样硬化患者血清中 miR-637 的表达水平,并进一步分析了其在动脉粥样硬化患者中的临床价值。

方法

采用实时定量逆转录聚合酶链反应检测 86 例动脉粥样硬化患者和 75 例健康对照者血清中 miR-637 的表达水平。采用受试者工作特征曲线评估 miR-637 对动脉粥样硬化的诊断价值。采用 Pearson 相关分析评估血清 miR-637 与不同临床参数的关系。采用 Kaplan-Meier 生存曲线和多因素 Cox 回归分析评估 miR-637 对动脉粥样硬化的预后价值。

结果

与健康人相比,动脉粥样硬化患者血清中 miR-637 表达下调。受试者工作特征曲线提示 miR-637 对动脉粥样硬化具有较高的诊断价值,AUC 为 0.853,特异度为 77.9%,敏感度为 80.0%。miR-637 的表达水平与 CIMT(r=-0.8101,<0.0001)和 CRP(r=-0.6154,<0.0001)呈负相关。生存分析表明,miR-637 也是动脉粥样硬化的独立预后因素。

结论

miR-637 是动脉粥样硬化的一种潜在的非侵入性诊断标志物,对未来心血管事件的发生具有重要的预测价值。

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