脂质体分析揭示了预测急性心肌梗死后死亡和心力衰竭的潜在生物标志物。

IF 3.2 3区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Clinica Chimica Acta Pub Date : 2024-07-26 DOI:10.1016/j.cca.2024.119892
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引用次数: 0

摘要

背景 急性心肌梗死(AMI)和心肌梗死后心力衰竭(pMIHF)在全世界的死亡率都很高。本研究旨在探索血脂组学特征,并确定预测急性心肌梗死后死亡和心力衰竭(HF)的潜在生物标志物。方法 在首都医科大学宣武医院采集所有血清样本,分析不同组别的临床特征和脂质组学特征。采用LC-MS/MS进行脂质组学分析,并通过接收者操作特征曲线(ROC)分析筛选潜在的生物标志物。结果 对存活组和非存活组的脂质组学分析表明,SM(d18:1/22:0)、PE(P-20:1/18:0)、PC(18:2)、LPE(18:2)、PE(P-20:0/18:0)、LPC(18:0)和PC(20:0/20:3)含量的减少,而PG(18:1/18:1)含量的增加会增加急性心肌梗死后的死亡风险。同时,对心房颤动组和非心房颤动组进行的脂质组学分析表明,PC(20:3/20:4)、LPC(20:3)、LPC(18:0)、LPC(18:2)、LPC(20:0)、LPC(18:3)、LPE(16:1)和PC(18:2/20:3)含量的减少会增加心肌梗死后心房颤动的风险。结论 一些血脂可能是预测急性心肌梗死后死亡和心房颤动的潜在生物标志物。
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Lipidomic analyses reveal potential biomarkers for predicting death and heart failure after acute myocardial infarction

Background

Acute myocardial infarction (AMI) and postmyocardial infarction heart failure (pMIHF) have high mortality rates worldwide. This study aimed to explore lipidomic profiles and identify potential biomarkers for the prediction of death and heart failure (HF) after AMI.

Methods

All serum samples were collected at Xuanwu Hospital, Capital Medical University, and their clinical characteristics and lipidomic profiles were analyzed in different groups. LC-MS/MS was used for lipidomic analyses, and underlying biomarkers were screened by receiver operating characteristic (ROC) curve analysis.

Results

Lipidomic analyses of the survival and nonsurvival groups revealed that the decrease of the content of SM (d18:1/22:0), PE (P-20:1/18:0), PC (18:2), LPE (18:2), PE (P-20:0/18:0), LPC (18:0) and PC (20:0/20:3) while increase of the content of PG (18:1/18:1) could increase the risk of death after AMI. In parallel, the lipidomic analysis of the HF and non-HF groups revealed that the decrease of the content of PC (20:3/20:4), LPC (20:3), LPC (18:0), LPC (18:2), LPC (20:0), LPC (18:3), LPE (16:1) and PC (18:2/20:3) could increase the risk of HF after AMI.

Conclusion

Several lipids could be potential biomarkers for the prediction of death and HF after AMI.

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来源期刊
Clinica Chimica Acta
Clinica Chimica Acta 医学-医学实验技术
CiteScore
10.10
自引率
2.00%
发文量
1268
审稿时长
23 days
期刊介绍: The Official Journal of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) Clinica Chimica Acta is a high-quality journal which publishes original Research Communications in the field of clinical chemistry and laboratory medicine, defined as the diagnostic application of chemistry, biochemistry, immunochemistry, biochemical aspects of hematology, toxicology, and molecular biology to the study of human disease in body fluids and cells. The objective of the journal is to publish novel information leading to a better understanding of biological mechanisms of human diseases, their prevention, diagnosis, and patient management. Reports of an applied clinical character are also welcome. Papers concerned with normal metabolic processes or with constituents of normal cells or body fluids, such as reports of experimental or clinical studies in animals, are only considered when they are clearly and directly relevant to human disease. Evaluation of commercial products have a low priority for publication, unless they are novel or represent a technological breakthrough. Studies dealing with effects of drugs and natural products and studies dealing with the redox status in various diseases are not within the journal''s scope. Development and evaluation of novel analytical methodologies where applicable to diagnostic clinical chemistry and laboratory medicine, including point-of-care testing, and topics on laboratory management and informatics will also be considered. Studies focused on emerging diagnostic technologies and (big) data analysis procedures including digitalization, mobile Health, and artificial Intelligence applied to Laboratory Medicine are also of interest.
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