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冠心病患者血清同型半胱氨酸、miR-1、miR-126和 miR-208的相关性分析
引用本文:金洁,;王俊,;王磊,;蔡晓敏,;王立军,;宫剑滨.冠心病患者血清同型半胱氨酸、miR-1、miR-126和 miR-208的相关性分析[J].东南国防医药,2014(4):363-366.
作者姓名:金洁  ;王俊  ;王磊  ;蔡晓敏  ;王立军  ;宫剑滨
作者单位:[1]空军杭州航空医学鉴定训练中心内科,浙江杭州310007; [2]南京大学医学院南京军区南京总医院心脏内科,江苏南京210002
摘    要:目的:结合冠状动脉狭窄程度,探讨冠心病患者血清同型半胱氨酸( Hcy)与微小RNA( miR-1、miR-126及miR-208)之间的相互关系。方法选取行冠脉造影术的患者共102名,根据造影结果分为对照组和观察组,检测Hcy、miR-1、miR-126及miR-208水平,同时对冠脉造影结果进行评价并计算Gensini积分,应用相关及线性回归分析Hcy、miRNA( miR-1、miR-126、miR-208)以及Gensini积分的相互关系。结果观察组血清Hcy、miRNA(miR-1、miR-126、miR-208)水平均高于对照组,血清Hcy、miR-1和miR-126水平分别与Gensini积分呈正相关相关系数(r)分别为0.575、0.649、0.499,P均<0.01],偏相关分析校正后它们之间仍然呈正相关( r’分别为0.693、0.621、0.532,P均<0.05);而血清Hcy与miR-1、miR-126水平亦呈正相关(r分别为0.513、0.56,P均<0.01),偏相关分析校正后排除年龄,体重指数,高血压和高脂血症病史的影响,其间仍然呈正相关(r’分别为0.599、0.614,P均<0.05),而与miR-208无显著相关性。结论血清Hcy、miRNA(miR-1、miR-126、miR-208)均是评价冠心病的独立危险因素,其水平均随着冠脉病变严重程度的加重而增加。

关 键 词:冠心病  同型半胱氨酸  微小核糖核酸-1  微小核糖核酸-126  微小核糖核酸-208

Correlation analysis of Hcy,miR-1,miR-126 and miR-208 in coronary heart disease patients
Institution:JIN Jie, WANG Jun, WANG Lei, CAI Xiao-min, WANG Li-jun, GONG Jian-bin ( 1. Department of Internal, Hangzhou Air Force Medical Appraisement Center, Zhejiang 310007, China ;2. Department of Cardiology, Medical School of Nanjing University, Nanjing General Hospital of Nanjing Military Command, Nanjing , Jiangsu 210002, China)
Abstract:Objective To study the correlation between miRNA (miR-1,miR-126,miR-208) and homocysteine (Hcy) con-bining on the severity of stenosis of coronary artery .Methods One hundred and two patients undergoing quantitative coronary angiogra -phy were involved in this study .Patients were categorized into control group and coronary artery disease ( CAD) group.The concentra-tion of Hcy and miRNA (miR-1,miR-126,miR-208) were measured.The severity scale of coronary artery stenosis was quantitatively assessed according to coronary angiography by Gensini score .The correlation analysis and linear regression were used to show the asso-ciation of Hcy,miRNA (miR-1,miR-126 and miR-208) and Gensini score.Results The concentration of Hcy and miRNA (miR-1, miR-126 and miR-208) were higher in CAD group than those in control group .In the correlation analysis ,Gensini score was positively associated with Hcy,miR-1 and miR-126 (r=0.575,0.649,and 0.499,P〈0.01) and the positive correlation between them remained significant after revising partial correlation analysis (r'=0.693,0.621,and 0.532,P〈0.05).Hcy was influenced by miR-1 and miR-126 both in the Spearson correlation analysis (r=0.513,0.56,P〈0.01) and partial correlation analysis (r'=0.599,0.614,P〈0.05),but not by miR-208.Conclusion Hcy,miRNA (miR-1,miR-126 and miR-208) are independent risk factor for coronary heart disease and are increased along with stenosis of coronary arteries .
Keywords:coronary heart disease  homocysteine  miR-1  miR-126  miR-208
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