急性心肌梗死患者miR-132、miR-145、miR-208的表达及其与Gensini评分的相关性

Pub Date : 2023-01-15 DOI:10.31901/24566330.2023/23.01.846
Ling Lin
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摘要

研究人员旨在研究miR-132、miR-145和miR-208与急性心肌梗死(AMI)患者Gensini评分(GS)的相关性。将120例AMI患者和80名健康体检志愿者分为AMI组和健康组。AMI患者分为低GS(LGS)组(<30分)和高GS(HGS)组。独立的危险因素包括肌钙蛋白I(TnI)、肌酸激酶(CK)同工酶、尿酸(UA)、C反应蛋白(CRP)、miR-132、miR-145和miR208,它们影响冠状动脉病变(CAL)的严重程度(P<0.05),敏感性为89.89%,特异性为70.91%(P<0.001)。MiR-132、MiR-145和MiR-208在AMI患者中异常表达。它们的组合对AMI患者CAL的严重程度具有较高的诊断价值。
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Expressions of miR-132, miR-145 and miR-208 in Patients with Acute Myocardial Infarction and Correlations with Gensini Score
The researchers aimed to investigate the correlations of miR-132, miR-145 and miR-208 with the Gensini score (GS) of patients with acute myocardial infarction (AMI). Totally 120 AMI patients and 80 healthy volunteers undergoing physical examination were included into AMI group and healthy group, respectively. The AMI patients were subdivided into low GS (LGS) group (< 30 points) and high GS (HGS) group (>30 points). Independent risk factors included troponin I (TnI), creatine kinase (CK) isoenzyme, uric acid (UA), C-reactive protein (CRP), miR-132, miR-145 and miR208, which affected the severity of coronary artery lesions (CALs) (P<0.05). Compared with miR-132, miR-145, and miR208 alone, their combination had the highest diagnostic value, with the area under curve (95%CI) of 0.911 (0.869-0.978), sensitivity of 89.89 percent and specificity of 70.91 percent (P<0.001). MiR-132, miR-145, and miR-208 are abnormally expressed in AMI patients. Their combination has higher diagnostic value for the severity of CALs in AMI patients.
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