Cardiac Rehabilitation Centre, Beijing Rehabilitation Hospital of Capital Medical University, Beijing 100144, China.
Cardiac Rehabilitation Centre, College of Traditional Chinese Medicine, North China University of Technology, Tangshan, Hebei Province 063210, China.
J Healthc Eng. 2022 Jan 25;2022:2261854. doi: 10.1155/2022/2261854. eCollection 2022.
To explore the value of serum miR-144 and miR-221 in diagnosing atherosclerosis (AS).
The clinical data of 52 AS patients treated in the department of cardiovascular medicine of our hospital from August 2019 to August 2020 were retrospectively analyzed, and 53 healthy persons were selected from the physical examination center at the same period as the control group. By measuring the indicators including the serum vascular endothelial growth factor (VEGF), superoxide dismutase (SOD), miR-144, and miR-221 in patients of both groups, their value of diagnosing AS was analyzed.
Compared with the control group, the AS group obtained significantly higher serum miR-221 and miR-144 expression levels ( < 0.001), significantly higher mean serum homocysteine (Hcy) level value ( < 0.001), lower mean serum SOD level ( < 0.001), and significantly higher level values of serum VEGF, nuclear factor-kappaB (NF-kB), and transforming growth factor- (TGF-) ( < 0.001), and the area under ROC curve, sensitivity, and specificity of combining miR-221 with miR-144 were significantly higher than those of single diagnosis.
Serum miR-221 and miR-144 expression levels are increased in AS patients, and combining the two indicators in diagnosis is more accurate and can provide an accurate basis for diagnosis and condition assessment of AS.
探讨血清 miR-144 和 miR-221 在诊断动脉粥样硬化(AS)中的价值。
回顾性分析 2019 年 8 月至 2020 年 8 月我院心血管内科收治的 52 例 AS 患者的临床资料,同期选取体检中心 53 名健康人作为对照组。通过测量两组患者的血清血管内皮生长因子(VEGF)、超氧化物歧化酶(SOD)、miR-144 和 miR-221 等指标,分析其诊断 AS 的价值。
与对照组比较,AS 组患者的血清 miR-221 和 miR-144 表达水平明显升高(<0.001),血清同型半胱氨酸(Hcy)水平值明显升高(<0.001),血清 SOD 水平明显降低(<0.001),血清 VEGF、核因子-κB(NF-κB)和转化生长因子-(TGF-)水平值明显升高(<0.001),且联合 miR-221 与 miR-144 检测的 ROC 曲线下面积、灵敏度和特异度均明显高于单项诊断。
AS 患者血清 miR-221 和 miR-144 表达水平升高,联合两项指标诊断更准确,可为 AS 的诊断及病情评估提供准确依据。