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慢性心力衰竭患者谷胱甘肽过氧化物酶 3 启动子甲基化浓度的变化及其与关键临床参数的关系。

The Dynamics of Methylation Concentrations in Glutathione Peroxidase 3 Promoter from Patients with Chronic Heart Failure and Their Association with Key Clinical Parameters.

机构信息

Shaanxi Provincial Hospital of Chinese Medicine, Xi'an, China.

School of Public Health, Shaanxi University of Chinese Medicine, Xianyang, China.

出版信息

J Nutr. 2024 Nov;154(11):3365-3374. doi: 10.1016/j.tjnut.2024.08.033. Epub 2024 Sep 12.

DOI:10.1016/j.tjnut.2024.08.033
PMID:39277114
Abstract

OBJECTIVE

This study investigated changes in methylation concentrations within the glutathione peroxidase 3 (GPX3) promoter region among patients diagnosed with chronic heart failure (CHF). Peripheral blood samples were collected from 20 CHF patients and 20 healthy individuals for analysis.

METHODS

Using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry, methylation concentrations of 11 CpG sites within the GPX3 promoter region were quantified.

RESULTS

Results showed a significant increase in methylation at the GPX3_FA10_CpG_24 site in patients with CHF compared with the control group (P < 0.05). Furthermore, a nonlinear dose-response relationship was observed between methylation concentrations at this site and key clinical parameters including serum apolipoprotein A-1, D-dimer, chlorine, potassium, and sodium (Na) (P < 0.05).

CONCLUSIONS

These findings suggest that aberrant methylation of the GPX3 promoter may impact disease progression by influencing physiological functions such as blood lipids, coagulation, and electrolytes. Further investigations are warranted to elucidate the role of GPX3 promoter methylation in CHF pathogenesis, potentially contributing valuable insights for its prevention, diagnosis, and treatment.

摘要

目的

本研究旨在探讨慢性心力衰竭(CHF)患者谷胱甘肽过氧化物酶 3(GPX3)启动子区域内甲基化浓度的变化。采集 20 例 CHF 患者和 20 例健康个体的外周血样本进行分析。

方法

采用基质辅助激光解吸/电离飞行时间质谱法,对 GPX3 启动子区域内 11 个 CpG 位点的甲基化浓度进行定量。

结果

结果显示,与对照组相比,CHF 患者 GPX3_FA10_CpG_24 位点的甲基化水平显著升高(P < 0.05)。此外,该位点的甲基化浓度与血清载脂蛋白 A-1、D-二聚体、氯、钾和钠(Na)等关键临床参数之间存在非线性剂量反应关系(P < 0.05)。

结论

这些发现表明,GPX3 启动子的异常甲基化可能通过影响血脂、凝血和电解质等生理功能影响疾病的进展。需要进一步的研究来阐明 GPX3 启动子甲基化在 CHF 发病机制中的作用,这可能为其预防、诊断和治疗提供有价值的见解。

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