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The Tumor Suppressor Roles and Mechanisms of MiR-491 in Human Cancers. MiR-491在人类癌症中的抑瘤作用和机制
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-09-01 Epub Date: 2022-08-01 DOI: 10.1089/dna.2022.0274
Farzad Sadri, Seyede Fatemeh Hosseini, Atena Aghayei, Mohammad Fereidouni, Zohreh Rezaei

MicroRNAs (miRNAs) are short non-coding RNAs that bind to the 3' untranslated region (3'' UTR) of target mRNAs to control gene expression post-transcriptionally. Recent indications have highlighted their important roles in a variety of pathophysiological conditions as well as human malignancies. Dysregulated miRNAs act as tumor suppressor genes or oncogenes in a variety of cancers. MiR-491 has been shown to have a major effect on tumorigenesis in multiple malignancies through binding to specific genes and signaling cascades, thereby preventing cancer progression. This review provides an overview of miR-491 expression in regulatory mechanisms and biological procedures of tumor cells, as well as the prospective possible treatment effects of various types of human cancers.

MicroRNAs (miRNAs)是一种短的非编码rna,它结合到靶mrna的3'非翻译区(3' UTR)上,在转录后控制基因表达。最近的适应症强调了它们在各种病理生理条件以及人类恶性肿瘤中的重要作用。失调的mirna在多种癌症中作为肿瘤抑制基因或致癌基因。MiR-491已被证明通过结合特定基因和信号级联反应对多种恶性肿瘤的肿瘤发生具有重要作用,从而阻止癌症进展。本文综述了miR-491在肿瘤细胞的调控机制和生物学过程中的表达,以及miR-491在各类人类癌症中的潜在治疗作用。
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引用次数: 2
Epigenetic Control of Vascular Smooth Muscle Cell Function in Atherosclerosis: A Role for DNA Methylation. 动脉粥样硬化中血管平滑肌细胞功能的表观遗传控制:DNA甲基化的作用。
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-09-01 Epub Date: 2022-07-27 DOI: 10.1089/dna.2022.0278
Yanjun Chen, Lingli Liang, Chunyan Wu, Zitong Cao, Linzhen Xia, Jun Meng, Zuo Wang

Atherosclerosis is a complex vascular inflammatory disease in which multiple cell types are involved, including vascular smooth muscle cells (VSMCs). In response to vascular injury and inflammatory stimuli, VSMCs undergo a "phenotypic switching" characterized by extracellular matrix secretion, loss of contractility, and abnormal proliferation and migration, which play a key role in the progression of atherosclerosis. DNA methylation modification is an important epigenetic mechanism that plays an important role in atherosclerosis. Studies investigating abnormal DNA methylation in patients with atherosclerosis have determined a specific DNA methylation profile, and proposed multiple pathways and genes involved in the etiopathogenesis of atherosclerosis. Recent studies have also revealed that DNA methylation modification controls VSMC function by regulating gene expression involved in atherosclerosis. In this review, we summarize the recent advances regarding the epigenetic control of VSMC function by DNA methylation in atherosclerosis and provide insights into the development of VSMC-centered therapeutic strategies.

动脉粥样硬化是一种复杂的血管炎性疾病,涉及多种细胞类型,包括血管平滑肌细胞(VSMCs)。在血管损伤和炎症刺激下,VSMCs发生以细胞外基质分泌、收缩性丧失、异常增殖和迁移为特征的“表型转换”,在动脉粥样硬化的进展中起关键作用。DNA甲基化修饰是一种重要的表观遗传机制,在动脉粥样硬化中起重要作用。对动脉粥样硬化患者异常DNA甲基化的研究已经确定了特定的DNA甲基化谱,并提出了参与动脉粥样硬化发病的多种途径和基因。最近的研究也表明DNA甲基化修饰通过调节与动脉粥样硬化相关的基因表达来控制VSMC功能。本文综述了动脉粥样硬化中DNA甲基化对VSMC功能的表观遗传控制的最新进展,并对以VSMC为中心的治疗策略的发展提出了见解。
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引用次数: 1
Dihydroartemisinin Attenuates Hypoxic Pulmonary Hypertension via the Downregulation of miR-335 Targeting Vangl2. 双氢青蒿素通过下调靶向Vangl2的miR-335减轻低氧性肺动脉高压。
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 Epub Date: 2022-07-19 DOI: 10.1089/dna.2021.1113
Yaozhe Li, Haijian Cai, Jinqiu Wei, Lin Zhu, Yizhu Yao, Mengyao Xie, Lanlan Song, Chi Zhang, Xiaoying Huang, Liangxing Wang

Dihydroartemisinin (DHA) is a traditional antimalarial drug. DHA plays a crucial role in preventing pulmonary hypertension (PH); however, its regulatory function on microRNAs (miRNAs) in PH remains unclear. This study aimed to investigate whether DHA exerts its protective functions by regulating miR-335 in PH. Hypoxia-induced PH models were induced both in vitro and in vivo. Mice were treated with various concentrations of DHA, and pulmonary arterial smooth muscle cells (PASMCs) were treated with DHA, miR-335 inhibitor, miR-335 mimic, or Van Gogh-like 2 (Vangl2) plasmid. The expression of miR-335 and Vangl2, pulmonary arterial remodeling index; right ventricular hypertrophy index; and proliferation and migration indexes were measured. DHA improved pulmonary vascular remodeling and alleviated PH in vivo. miRNA sequencing and real-time PCR results further show that the increase in hypoxia-induced miR-335 was avoided by DHA administration, and miR-335 increased the hypoxia-induced PASMC proliferation and migration. MiRNA databases and dual-luciferase reporter assay show that miR-335 directly targets Vangl2, and Vangl2 decreased the hypoxia-induced PASMC proliferation and migration. The miR-335 inhibitor failed to inhibit hypoxia-induced proliferation and migration upregulation in Vangl2 knockdown PASMCs, and the effect of DHA can be blocked by miR-335 upregulation. In hypoxic PH, MiR-335 is increased, whereas Vangl2 is decreased. MiR-335 can significantly promote the hypoxia-induced proliferation and migration of PASMCs by targeting the Vangl2 gene. DHA effectively reverses the hypoxia-induced upregulation of miR-335 expression, avoiding the miR-335-mediated downregulation of Vangl2 and thereby promoting the expression of Vangl2 to prevent PH.

双氢青蒿素(DHA)是一种传统的抗疟疾药物。DHA在预防肺动脉高压(PH)中起关键作用;然而,其在PH中对microrna (mirna)的调控功能尚不清楚。本研究旨在探讨DHA是否通过调节miR-335在PH中发挥其保护作用。我们在体外和体内均建立了缺氧诱导的PH模型。用不同浓度的DHA处理小鼠,用DHA、miR-335抑制剂、miR-335模拟物或梵高样2 (Vangl2)质粒处理肺动脉平滑肌细胞(PASMCs)。miR-335、Vangl2的表达、肺动脉重塑指数;右心室肥厚指数;测定细胞增殖和迁移指标。DHA在体内改善肺血管重构,减轻PH。miRNA测序和real-time PCR结果进一步表明,DHA可避免低氧诱导的miR-335的升高,miR-335增加了低氧诱导的PASMC的增殖和迁移。MiRNA数据库和双荧光素酶报告基因检测显示,miR-335直接靶向Vangl2,而Vangl2降低了缺氧诱导的PASMC增殖和迁移。miR-335抑制剂无法抑制缺氧诱导的增殖和迁移上调,而DHA的作用可以通过miR-335上调而被阻断。在低氧PH下,MiR-335升高,而Vangl2降低。MiR-335可通过靶向Vangl2基因,显著促进缺氧诱导的PASMCs增殖和迁移。DHA有效逆转缺氧诱导的miR-335表达上调,避免miR-335介导的下调Vangl2,从而促进Vangl2的表达,预防PH。
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引用次数: 2
Evaluation of Hematologic Parameters in Patients with COVID-19 Following Mesenchymal Stem Cell Therapy. 间充质干细胞治疗后COVID-19患者血液学参数的评价
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 DOI: 10.1089/dna.2021.1198
Haniye Bakhshi, Masoud Soleimani, Mina Soufizomorrod, Omid Kooshkaki

At present, severe acute respiratory syndrome coronavirus 2 is spreading and has caused over 188 million confirmed patients and more than 4,059,101 deaths. Currently, several clinical trials are done using mesenchymal stem cell (MSC) therapy in patients with coronavirus disease 2019 (COVID-19). These cells have shown safety and effectiveness, implying a promising clinical application in patients with COVID-19. Studies have shown that abnormalities in hematological measures such as white blood cells count, neutrophilia, elevated neutrophil to lymphocyte ratio, inflammatory markers, and lactate dehydrogenase can be used to assess the severity of COVID-19 disease and the response to therapy following MSC treatment. Our study has aimed to review the role of hematological factors in determination of responsiveness to MSC therapy and disease severity in COVID-19 patients.

目前,严重急性呼吸综合征冠状病毒2型正在蔓延,已造成超过1.88亿确诊患者,超过405.9101万人死亡。目前,在2019冠状病毒病(COVID-19)患者中使用间充质干细胞(MSC)治疗进行了几项临床试验。这些细胞已显示出安全性和有效性,这意味着在COVID-19患者中的临床应用前景广阔。研究表明,血液学指标的异常,如白细胞计数、中性粒细胞、中性粒细胞与淋巴细胞比值升高、炎症标志物和乳酸脱氢酶,可用于评估COVID-19疾病的严重程度和MSC治疗后对治疗的反应。我们的研究旨在回顾血液学因子在决定COVID-19患者对MSC治疗的反应性和疾病严重程度中的作用。
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引用次数: 0
High Levels of Organochlorines Are Associated with Induction of ABL1 Promoter Methylation in Children with Acute Lymphoblastic Leukemia. 高水平的有机氯与急性淋巴细胞白血病儿童ABL1启动子甲基化的诱导相关
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 Epub Date: 2022-07-05 DOI: 10.1089/dna.2022.0232
Arash Rafeeinia, Gholamreza Asadikaram, Mehrnaz Karimi-Darabi, Vahid Moazed

Exposure to organochlorines is associated with epigenetic changes, including methylation change in the promoter of tumor suppressor genes, thereby leading to cancer induction. The aim of this study was to investigate the relationship between organochlorine pesticides (OCPs) and ABL1 promoter methylation in child patients with acute lymphoblastic leukemia (ALL) and the control group. The methylation rate of the ABL1 promoter was evaluated using the methylation-specific polymerase chain reaction method, and the level of OCPs in patients with ALL and healthy children was measured using gas chromatography. ABL1 promoter hypermethylation was observed in 64% of ALL patients and 28.5% of children in the control group. The level of OCPs in children with methylated ABL1 promoters was significantly higher than that in children with nonmethylated ABL1 promoters (p < 0.05). Our findings suggest that OCPs, especially alpha-hexachlorocyclohexane, beta-hexachlorocyclohexane, gamma-hexachlorocyclohexane, 2,4 dichlorodiphenyldichloroethylene, and 4,4 dichlorodiphenyltrichloroethane may induce methylation at the ABL1 promoter level, thereby preventing the normal expression of the ABL1 gene. As a result, the reduced expression of ABL1 (a tumor suppressor) gene due to the hypermethylation of its promoter leads to the disruption of normal biological processes, thus making cells vulnerable to oncogenic factors.

暴露于有机氯与表观遗传变化有关,包括肿瘤抑制基因启动子的甲基化变化,从而导致癌症诱导。本研究旨在探讨急性淋巴细胞白血病(ALL)患儿及对照组中有机氯农药(OCPs)与ABL1启动子甲基化的关系。采用甲基化特异性聚合酶链反应法评估ABL1启动子的甲基化率,采用气相色谱法测定ALL患者和健康儿童的OCPs水平。在64%的ALL患者和28.5%的对照组儿童中观察到ABL1启动子超甲基化。ABL1启动子甲基化儿童的ocp水平显著高于ABL1启动子非甲基化儿童(p ABL1启动子水平),从而阻止了ABL1基因的正常表达。因此,由于启动子的超甲基化,ABL1(一种肿瘤抑制基因)的表达减少,导致正常的生物过程被破坏,从而使细胞容易受到致癌因素的影响。
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引用次数: 0
4'-Fluorouridine Is a Broad-Spectrum Orally Available First-Line Antiviral That May Improve Pandemic Preparedness. 4′-氟吡啶是一种广谱口服一线抗病毒药物,可改善大流行防备。
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 DOI: 10.1089/dna.2022.0312
Carolin M Lieber, Richard K Plemper

The COVID-19 pandemic has highlighted the urgent need for the development of broad-spectrum antivirals to enhance preparedness against future spillover of zoonotic viruses with pandemic potential into the human population. Currently, the direct-acting orally available SARS-CoV-2 inhibitors molnupiravir and paxlovid are approved for human use under emergency use authorization. A promising next-generation therapeutic candidate is the orally available ribonucleoside analog 4'-fluorouridine (4'-FlU) that had potent antiviral efficacy against different viral targets, including SARS-CoV-2 in human organoids and animal models. Although a nucleoside analog inhibitor such as molnupiravir that targets the viral RNA-dependent RNA polymerase (RdRP) complex, 4'-FlU showed a distinct mechanism of activity, delayed chain termination, compared with molnupiravir's induction of viral error catastrophe. This review will focus on some currently approved and emerging medicines developed against SARS-CoV-2, examining their potential to form a pharmacological first-line defense against zoonotic viruses with pandemic potential.

2019冠状病毒病大流行突出表明,迫切需要开发广谱抗病毒药物,以加强防范未来具有大流行潜力的人畜共患病毒向人群扩散。目前,直接口服的SARS-CoV-2抑制剂molnupiravir和paxlovid在紧急使用授权下被批准用于人用。有希望的下一代治疗候选药物是口服核糖核苷类似物4'-氟吡啶(4'-FlU),它对不同的病毒靶标具有强大的抗病毒功效,包括在人类类器官和动物模型中对SARS-CoV-2。尽管molnupiravir等核苷类似物抑制剂靶向病毒RNA依赖性RNA聚合酶(RdRP)复合物,但与molnupiravir诱导病毒错误突变相比,4'-FlU表现出独特的活性机制,即延迟链终止。本次审查将重点关注一些目前已批准的和正在开发的针对SARS-CoV-2的药物,研究它们形成具有大流行潜力的人畜共患病毒的药理学一线防御的潜力。
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引用次数: 2
Proliferating Stem Cells are Acutely Affected by DNA Damage Induced by Sulfur Mustard. 硫芥对增殖干细胞DNA损伤的影响
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 Epub Date: 2022-07-13 DOI: 10.1089/dna.2022.0073
Zengming Zhao, Xiabei Yan, Lizhong Li, Yulei Shu, Jun He, Lili Wang, Qingzhen Huang, Jianwei Xie, Jun Zhao, Shuangqing Peng

Sulfur mustard (SM), a chemical warfare agent, can form adducts with DNA, RNA, and proteins. Reactions with DNA lead to the formation of both DNA monoadducts and interstrand cross-links, resulting in DNA damage, and is an important component of SM toxicity. Our previous in vivo studies indicated that dividing cells such as hematopoietic stem cells and intestinal villi stem cells seemed to have increased sensitivity to SM. Therefore, to compare the sensitivity of somatic and stem cells to SM and to investigate the mechanism of SM cytotoxicity, we isolated human foreskin fibroblasts, reprogrammed them into pluripotent stem cells, and then compared the DNA damage repair pathways involved upon SM treatment. Our results indicated that proliferating stem cells were more sensitive to SM-induced DNA damage, and the damage mainly comprised single-stranded breaks. Furthermore, the pathways involved in DNA repair in stem cells and somatic cells were different.

硫磺芥(SM)是一种化学战剂,可以与DNA、RNA和蛋白质形成加合物。与DNA的反应导致DNA单加合物和链间交联的形成,导致DNA损伤,是SM毒性的重要组成部分。我们之前的体内研究表明,分裂细胞如造血干细胞和肠绒毛干细胞似乎对SM的敏感性增加。因此,为了比较体细胞和干细胞对SM的敏感性和SM细胞毒性的机制,我们分离了人包皮成纤维细胞,将其重编程为多能干细胞,然后比较SM处理所涉及的DNA损伤修复途径。我们的研究结果表明,增殖干细胞对sm诱导的DNA损伤更敏感,损伤主要包括单链断裂。此外,干细胞和体细胞参与DNA修复的途径是不同的。
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引用次数: 2
MicroRNA-26b Reduces Cell Viability by Inhibition of Nicotinamide Phosphoribosyltransferase in Breast Cancer Cells. MicroRNA-26b通过抑制乳腺癌细胞烟酰胺磷酸核糖基转移酶降低细胞活力
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 Epub Date: 2022-07-06 DOI: 10.1089/dna.2022.0214
Melika Ameli Mojarad, Mandana Ameli Mojarad, Alireza Pourmahdian

Breast cancer (BC) is one of the most common causes of cancer in women worldwide and it is found to be associated with an increased level of Nicotinamide phosphoribosyltransferase (NAMPT), which plays an important role in nicotinamide adenine dinucleotide (NAD) pathway, both in blood and tumor tissues. This enzyme is also essential for the growth and survival of cancer cells. The short noncoding RNA microRNAs miR-26b is an important gene regulator and a tumor suppressor in different human cancers, including BC. In this study, bioinformatics analysis was evaluated to find the miRNAs targeting NAMPT 3' untranslated regions (3' UTRs), which was confirmed by luciferase assay. Next, we evaluate NAMPT and microRNA-26b (miR-26b) expression by using polymerase chain reaction (PCR) in BC. miR-26b effect on cell viability was also evaluated by Cell Counting Kit-8 (CCK-8). Following transfection with miR-613 mimic, the expression of miR-613 was elevated in the BC cells leading to inhibition of NAMPT expression at both mRNA and protein level as measured by real-time PCR and western blotting. Our result identified a significant tumor suppressor role of miR-26b on NAMPT, NAD concentration, and cell viability in BC. Overall, based on our finding, miR-26b mimic transfection could elevate miR-26b levels in BC cells via downregulating the NAMPT expression, NAD expression levels, and cell growth, whereas miR-26b inhibitor had the opposite function. In conclusion, miR-26b can become a promising target for BC treatment through targeting NAMPT and inhibiting the NAD production.

乳腺癌(BC)是世界范围内女性最常见的癌症原因之一,它被发现与烟酰胺磷酸核糖基转移酶(NAMPT)水平升高有关,该酶在血液和肿瘤组织中都在烟酰胺腺嘌呤二核苷酸(NAD)途径中起重要作用。这种酶对癌细胞的生长和存活也是必不可少的。短链非编码RNA microRNAs miR-26b是包括BC在内的不同人类癌症中重要的基因调控因子和肿瘤抑制因子。本研究通过生物信息学分析,找到了靶向NAMPT 3’untranslation区域(3’UTRs)的miRNAs,并通过荧光素酶测定证实了这一点。接下来,我们利用聚合酶链反应(PCR)评估了NAMPT和microRNA-26b (miR-26b)在BC中的表达。通过细胞计数试剂盒-8 (CCK-8)评估miR-26b对细胞活力的影响。转染miR-613 mimic后,通过实时PCR和western blotting检测,BC细胞中miR-613的表达升高,导致NAMPT mRNA和蛋白水平的表达受到抑制。我们的结果确定了miR-26b对BC中NAMPT、NAD浓度和细胞活力的显著抑瘤作用。总之,根据我们的发现,miR-26b模拟转染可以通过下调NAMPT表达、NAD表达水平和细胞生长来提高BC细胞中的miR-26b水平,而miR-26b抑制剂具有相反的功能。综上所述,miR-26b可以通过靶向NAMPT和抑制NAD的产生而成为BC治疗的一个有希望的靶点。
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引用次数: 3
JMJD3 Promotes Porphyromonas gingivalis Lipopolysaccharide-Induced Th17-Cell Differentiation by Modulating the STAT3-RORc Signaling Pathway. JMJD3通过调节STAT3-RORc信号通路促进牙龈卟啉单胞菌脂多糖诱导的th17细胞分化
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 DOI: 10.1089/dna.2022.0149
Doudou Huang, Chi Zhang, Panpan Wang, Xiting Li, Li Gao, Chuanjiang Zhao

The immune response mediated by Th17 cells is essential in the pathogenesis of periodontitis. Emerging evidence has demonstrated that lipopolysaccharide from Porphyromonas gingivalis (Pg-LPS) could promote Th17-cell differentiation directly, while the downstream signaling remains elusive. This study was aimed to explore the role of JMJD3 (a JmjC family histone demethylase) and signal transducers and activators of transcription 3 (STAT3) in Th17-cell differentiation triggered by Pg-LPS and clarify the interaction between them. We found that the expression of JMJD3 and STAT3 was significantly increased under Th17-polarizing conditions. Pg-LPS could promote Th17-cell differentiation from CD4+ T cells, with an increased expression of JMJD3 and STAT3 compared to the culture without Pg-LPS. The coimmunoprecipitation results showed that the interactions of JMJD3 and STAT3, STAT3 and retinoid-related orphan nuclear receptor γt (RORγt) were enhanced following Pg-LPS stimulation during Th17-cell differentiation. Further blocking assays were performed and the results showed that inhibition of STAT3 or JMJD3 both suppressed the Th17-cell differentiation, JMJD3 inhibitor could reduce the expression of STAT3 and p-STAT3, while JMJD3 expression was not affected when STAT3 was inhibited. Taken together, this study found that JMJD3 could promote Pg-LPS induced Th17-cell differentiation by modulating the STAT3-RORc signaling pathway.

Th17细胞介导的免疫应答在牙周炎的发病过程中起重要作用。越来越多的证据表明,来自牙龈卟啉单胞菌的脂多糖(Pg-LPS)可以直接促进th17细胞的分化,但其下游信号通路尚不明确。本研究旨在探讨JMJD3 (JmjC家族组蛋白去甲基化酶)和信号转导及转录激活因子3 (STAT3)在Pg-LPS诱导的th17细胞分化中的作用,并阐明它们之间的相互作用。我们发现,在th17极化条件下,JMJD3和STAT3的表达显著增加。Pg-LPS可促进th17细胞从CD4+ T细胞分化,JMJD3和STAT3的表达较不加Pg-LPS的培养增加。共免疫沉淀结果显示,在th17细胞分化过程中,Pg-LPS刺激后,JMJD3与STAT3、STAT3与类视黄酮相关孤儿核受体γt (RORγt)的相互作用增强。进一步阻断实验结果显示,抑制STAT3或JMJD3均能抑制th17细胞的分化,JMJD3抑制剂可降低STAT3和p-STAT3的表达,而抑制STAT3不影响JMJD3的表达。综上所述,本研究发现JMJD3可以通过调节STAT3-RORc信号通路促进Pg-LPS诱导的th17细胞分化。
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引用次数: 1
Association Between Circulating Cell-Free DNA Level at Admission and the Risk of Heart Failure Incidence in Acute Myocardial Infarction Patients. 入院时循环游离细胞DNA水平与急性心肌梗死患者心力衰竭发生率的关系
IF 3.1 4区 生物学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2022-08-01 Epub Date: 2022-06-28 DOI: 10.1089/dna.2022.0238
Qinghai Zhang, Xin He, Jing Ling, Qizhong Xiang, Minqi Li, Huiqi Zhao, Qinghua Fu, Yi Tang, Jin He, Wenjuan Fan, Yan Zhang, Hongwei Pan, Jianqiang Peng, Zhaofen Zheng

Plasma cell-free DNA (cfDNA) was elevated in patients with acute myocardial infarction (AMI) or heart failure (HF). However, whether cfDNA could serve as a predictor for risk of HF after AMI remains unknown. In this study, we conducted a pilot prospective cohort study in which 98 AMI patients were enrolled from a single center to assess the association between cfDNA levels at admission and risk of HF in an AMI population. Patients with cfDNA above the median level (14.39 ng/mL) showed higher low-density lipoprotein cholesterol, cardiac troponin I (cTnI), and soluble suppression of tumorigenicity 2 (sST2) levels compared with patients below the median. cfDNA was positively correlated with cTnI (r = 0.377, p < 0.001) and sST2 (r = 0.443, p < 0.001). Within a median follow-up of about 345 days, 46 patients (52.6%) developed HF. Multivariate Cox analysis showed that a higher cfDNA (above the cutoff value: 9.227 ng/mL) was an effective risk predictor (C-index = 0.74, 95% confidence interval [CI]: 0.733-0.748) for HF incidence after AMI (adjusted hazard ratio [HR]: 2.805; 95% CI: 1.087-7.242; p = 0.033). Moreover, a linear association was observed between cfDNA and risk of HF incidence adjusted for by age, gender, and history of chronic kidney disease (p for linear trend = 0.044). Taken together, the cfDNA levels at admission are associated with the incidence of HF in AMI patients. A positive correlation between cfDNA and the fibrotic factor sST2 was proved, but the underlying mechanisms require further study.

急性心肌梗死(AMI)或心力衰竭(HF)患者血浆游离DNA (cfDNA)升高。然而,cfDNA是否可以作为AMI后HF风险的预测因子仍然未知。在这项研究中,我们进行了一项前瞻性队列研究,从单个中心招募了98名AMI患者,以评估AMI人群入院时cfDNA水平与HF风险之间的关系。cfDNA高于中位数水平(14.39 ng/mL)的患者与低于中位数水平的患者相比,显示出更高的低密度脂蛋白胆固醇、心肌肌钙蛋白I (cTnI)和可溶性致瘤性2 (sST2)水平的抑制。cfDNA与cTnI呈正相关(r = 0.377, p r = 0.443, p p = 0.033)。此外,经年龄、性别和慢性肾脏疾病史校正后,cfDNA与HF发病风险之间存在线性关联(线性趋势p = 0.044)。综上所述,入院时cfDNA水平与AMI患者心衰发生率相关。cfDNA与纤维化因子sST2呈正相关,但其潜在机制有待进一步研究。
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引用次数: 2
期刊
DNA and cell biology
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