miR-3591-5p 在先天性心脏病相关肺动脉高压患者中的表达和诊断价值

IF 4.6 2区 医学 Q1 RESPIRATORY SYSTEM Lung Pub Date : 2024-12-01 Epub Date: 2024-10-25 DOI:10.1007/s00408-024-00754-7
Wei Zhang, Ying Hua, Dongdong Zheng, Wei Wang, Rong Huang, Qianqian Chen, Xiaofei Li
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引用次数: 0

摘要

研究目的本研究探讨了 miR-3591-5p 在先天性心脏病相关性肺动脉高压(CHD-PAH)中的表达和诊断价值:根据平均肺动脉压(PAPm)将110名先天性心脏病患者分为四组。通过反转录聚合酶链反应测定血浆中 miR-3591-5p 的表达。分析了 miR-3591-5p 表达与各种临床指标的相关性及其对 CHD-PAH 患者的诊断价值:结果:无PAH组、轻度PAH组、中重度PAH组患者血浆中miR-3591-5p水平明显高于对照组,中重度PAH组明显高于无PAH组。相关分析显示,miR-3591-5p的表达水平与各种临床指标,包括PAPm、肺动脉收缩压、脑钠肽、肺血管阻力、红细胞分布宽度、尿酸、Na +、收缩压、左心房内径、左心室舒张末期内径和左心室收缩末期内径呈显著正相关。单变量和多变量回归分析发现,血浆 miR-3591-5p 水平是导致 CHD-PAH 的独立风险因素。接收者操作特征曲线分析表明,血浆miR-3591-5p水平对CHD-PAH具有中等诊断价值,当与B型钠尿肽联合使用时,诊断价值进一步提高:结论:本研究发现了CHD-PAH患者血浆中不同表达的miRNA的表达谱,重点研究了miR-3591-5p的上调。生物信息学分析表明,miR-3591-5p参与了CHD-PAH的发病机制,可作为循环生物标志物,对CHD-PAH具有诊断和预后价值。
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Expression and Diagnostic Value of miR-3591-5p in Patients with Congenital Heart Disease-Associated Pulmonary Arterial Hypertension.

Objectives: This study explored the expression and diagnostic value of differentially expressed miR-3591-5p in congenital heart disease-associated pulmonary arterial hypertension (CHD-PAH).

Methods: A total of 110 CHD patients were divided into four groups based on their mean pulmonary artery pressure (PAPm). The plasma miR-3591-5p expression was determined by reverse transcription polymerase chain reaction. The correlation between the miR-3591-5p expression and various clinical indices, as well as its diagnostic value for CHD-PAH patients, were analyzed.

Results: The plasma levels of miR-3591-5p were significantly higher in the patients in the no PAH group, mild PAH group, and moderate to severe PAH group than in the control group, and they were significantly higher in the moderate to severe PAH group than in the no PAH group. Correlation analysis revealed that the miR-3591-5p expression level was significantly positively correlated with various clinical indicators, including the PAPm, pulmonary artery systolic pressure, brain natriuretic peptide, pulmonary vascular resistance, red blood cell distribution width, uric acid, Na + , systolic blood pressure, left atrial internal dimension, left ventricular end-diastolic dimension, and left ventricular end-systolic dimension. Univariate and multivariate regression analyses identified the plasma miR-3591-5p level as an independent risk factor for CHD-PAH. Receiver operating characteristic curve analysis demonstrated that the plasma miR-3591-5p level had a moderate diagnostic value for CHD-PAH, which was further improved when combined with a B-type natriuretic peptide.

Conclusion: This study identified the expression profiles of differentially expressed plasma miRNAs in patients with CHD-PAH, focusing on the upregulation of miR-3591-5p. Bioinformatics analysis suggested that miR-3591-5p is involved in the pathogenesis of CHD-PAH and may serve as a circulating biomarker that may have diagnostic and prognostic value in CHD-PAH.

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来源期刊
Lung
Lung 医学-呼吸系统
CiteScore
9.10
自引率
10.00%
发文量
95
审稿时长
6-12 weeks
期刊介绍: Lung publishes original articles, reviews and editorials on all aspects of the healthy and diseased lungs, of the airways, and of breathing. Epidemiological, clinical, pathophysiological, biochemical, and pharmacological studies fall within the scope of the journal. Case reports, short communications and technical notes can be accepted if they are of particular interest.
期刊最新文献
Update 2025: Management of Non‑Small-Cell Lung Cancer. Dasatinib-Associated Chylothorax: A Review of Cases Reported to the FDA Adverse Event Reporting System and the Published Literature. Plasma Reticulocalbin 3 (RCN3) is a Novel Biomarker for the Early Diagnosis of Hepatopulmonary Syndrome in Cirrhotic Patients. Relationship of Lung Function and the Preserved Ratio Impaired Spirometry Pattern with Aortic and Left Ventricular Structure and Function on Magnetic Resonance Imaging: The Jackson Heart Study. Comparative Efficacy of CFTR Modulators: A Network Meta-analysis.
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