血浆miR-223水平降低与急性冠脉综合征患者氯吡格雷耐药相关:一项系统综述和荟萃分析

IF 1.6 3区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of interventional cardiology Pub Date : 2023-01-01 DOI:10.1155/2023/9322188
Hang Cheng, Min Yang, Junli Hao, Kejie Chen, Quandan Tan, Song He, Fengkai Mao, Ming Yang, Yapeng Lin, Jie Yang
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引用次数: 0

摘要

目的:探讨急性冠脉综合征(ACS)患者血浆miR-223表达水平与氯吡格雷耐药的关系。方法:我们使用PubMed、EMBASE、Cochrane Library和中文数据库(中国知网数据库、唯普数据库和万方数据库)等在线数据库检索从数据库建立到2023年6月18日的出版物,以确定报告ACS患者血浆miR-223水平与氯吡格雷耐药之间关系的研究。两位研究人员独立搜索和筛选,以确保结果的一致性,并根据纽卡斯尔-渥太华量表评估纳入研究的质量。采用固定效应模型对STATA 14.0进行数据池化。结果:包括399名中国ACS患者的4篇文章符合meta分析。血浆miR-223水平低与中国ACS患者氯吡格雷耐药独立相关(OR 0.58, 95% CI: 0.33-1.04)。结论:血浆miR-223水平降低与中国ACS患者氯吡格雷耐药相关,提示miR-223可能是氯吡格雷耐药的潜在诊断生物标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Lower Plasma miR-223 Level Is Associated with Clopidogrel Resistance in Acute Coronary Syndrome: A Systematic Review and Meta-Analysis.

Objectives: To evaluate the relationship between the plasma miR-223 expression level and clopidogrel resistance in acute coronary syndrome (ACS) patients.

Methods: We performed a search for publications using online databases including PubMed, EMBASE, Cochrane Library, and Chinese Databases (CNKI database, Weipu database, and Wanfang database) from the inception of the databases to June 18, 2023, to identify studies reporting the relationship between the plasma miR-223 level and clopidogrel resistance in ACS patients. Two researchers independently searched and screened to ensure the consistency of the results and assess the quality of the included studies according to the Newcastle-Ottawa scale. A fixed-effects model was used for pooling data with STATA 14.0.

Results: Four articles including 399 Chinese ACS patients were eligible for the meta-analysis. Low plasma miR-223 levels were independently correlated with clopidogrel resistance in Chinese ACS patients (OR 0.58, 95% CI: 0.33-1.04).

Conclusion: Lower plasma miR-223 levels are associated with clopidogrel resistance in Chinese ACS patients, suggesting that miR-223 may be a potential diagnostic biomarker of clopidogrel resistance.

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来源期刊
Journal of interventional cardiology
Journal of interventional cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.80
自引率
0.00%
发文量
81
审稿时长
6-12 weeks
期刊介绍: Journal of Interventional Cardiology is a peer-reviewed, Open Access journal that provides a forum for cardiologists determined to stay current in the diagnosis, investigation, and management of patients with cardiovascular disease and its associated complications. The journal publishes original research articles, review articles, and clinical studies focusing on new procedures and techniques in all major subject areas in the field, including: Acute coronary syndrome Coronary disease Congenital heart diseases Myocardial infarction Peripheral arterial disease Valvular heart disease Cardiac hemodynamics and physiology Haemostasis and thrombosis
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