Department of Neurosurgery, Binzhou Medical University Hospital, Binzhou, Shandong, People's Republic of China.
Clin Appl Thromb Hemost. 2021 Jan-Dec;27:10760296211024754. doi: 10.1177/10760296211024754.
In recent years, a rising number of studies have confirmed that microRNA (miRNA) plays a prominent role in the early diagnosis and prognostic value assessment of cardiovascular diseases. The current study was conducted to examine the expression of miR-675-3p in atherosclerosis (AS) patients and to evaluate its clinical diagnosis and prognostic value. 110 AS patients and 70 healthy controls were included in the study. Serum miR-675-3p levels were detected by quantitative real-time PCR (qRT-PCR). The clinical diagnostic significance of serum miR-675-3p in AS patients were investigated by the receiver operating characteristic (ROC) curve. The correlation between miRNA and carotid intima-media thickness (CIMT) was analyzed by the Spearman correlation coefficient. The prognostic significance of serum miR-675-3p was evaluated by the Kaplan-Meier method and Cox regression analysis. The patient's serum miR-675-3p was significantly increased than the healthy individuals ( < 0.05). An increase of carotid intima-media thickness (CIMT) was positively correlated with the promotion of serum miR-675-3p levels. The area under the ROC curve (AUC) was 0.918, with high sensitivity and specificity. miR-675-3p is a key independent predictor of cardiovascular adverse events in AS patients (HR = 5.375, 95%CI = 1.590-18.170, = 0.007), and patients with elevated miR-675-3p were more likely to have cardiovascular adverse events (log-rank = 0.030). Increased miR-675-3p can be used as a potential marker for the diagnosis of AS, and was associated with the poor prognosis of AS.
近年来,越来越多的研究证实微小 RNA(miRNA)在心血管疾病的早期诊断和预后价值评估中发挥着重要作用。本研究旨在检测动脉粥样硬化(AS)患者中 miR-675-3p 的表达,并评估其临床诊断及预后价值。本研究纳入 110 例 AS 患者和 70 例健康对照者。采用实时定量 PCR(qRT-PCR)检测血清 miR-675-3p 水平。通过受试者工作特征(ROC)曲线分析血清 miR-675-3p 对 AS 患者的临床诊断意义。采用 Spearman 相关系数分析 miRNA 与颈动脉内膜中层厚度(CIMT)的相关性。通过 Kaplan-Meier 法和 Cox 回归分析评估血清 miR-675-3p 的预后意义。患者血清 miR-675-3p 明显高于健康人群(<0.05)。颈动脉内膜中层厚度(CIMT)的增加与血清 miR-675-3p 水平的升高呈正相关。ROC 曲线下面积(AUC)为 0.918,具有较高的灵敏度和特异性。miR-675-3p 是 AS 患者心血管不良事件的独立预测因子(HR=5.375,95%CI=1.590-18.170,=0.007),miR-675-3p 升高的患者发生心血管不良事件的可能性更高(log-rank=0.030)。升高的 miR-675-3p 可作为 AS 的潜在诊断标志物,与 AS 的不良预后相关。