循环微小RNA(miRNA)被认为是可以用于冠状动脉疾病(CAD)的监测和/或诊断目的的研究热点。由于不同的疾病特征可能反映在改变的谱或血浆miRNA浓度上,miRNA的组合可以为CAD提供更可靠的非侵入性生物标志物。
我们研究了一组14-miRNA,使用生物信息学数据库和当前文献,在73名CAD患者中使用定量实时PCR技术搜索涉及CAD的miRNA,与73名对照相比,然后对14-miRNA进行功能和途径富集分析。
我们的结果揭示了正在研究的14个循环miRNA中的3个;miRNAmiR133a,miR155和miR208a下调。而11个miRNAs以从最高倍数变化到最低倍数的降序上调:miR-182,miR-145,miR-21,miR-126,miR-200b,miR-146A,miR-205,miR-135b,miR-196b,miR-140b和,miR-223。ROC曲线分析表明miR-145、miR-182、miR-133a和,miR-205是优异的生物标志物,作为CAD中的生物标志物具有最高的AUC。除miR-208外,所有研究中的miRNA均显示与血脂异常具有统计学意义。MiR-126和miR-155显示出与BMI等级有关的意义。而只有miR-133a在肥胖患者中表现出显著意义。MiR-135b和miR-140b与壁运动严重度指数显著相关。正在研究的miRNAS的途径富集分析揭示了与脂肪酸生物合成相关的途径,ECM-受体相互作用,蛋白聚糖在癌症中,和信徒的交界处。
这项研究的结果鉴定了可以区分CAD患者与正常受试者的差异表达的循环miRNA特征。这些结果为miRNA表达与CAD发病机制相关的重要作用提供了新的见解。
Circulating microRNAs (miRNAs) are considered a hot spot of research that can be employed for monitoring and/or diagnostic purposes in coronary artery disease (CAD). Since different disease features might be reflected on altered profiles or plasma miRNAs concentrations, a combination of miRNAs can provide more reliable non-invasive biomarkers for CAD.
We investigated a panel of 14-miRNAs selected using bioinformatics databases and current literature searching for miRNAs involved in CAD using quantitative real-time PCR technique in 73 CAD patients compared to 73 controls followed by function and pathway enrichment analysis for the 14-miRNAs.
Our results revealed three out of the 14 circulating miRNAs understudy; miRNAs miR133a, miR155 and miR208a were downregulated. While 11 miRNAs were up-regulated in a descending order from highest fold change to lowest: miR-182, miR-145, miR-21, miR-126, miR-200b, miR-146A, miR-205, miR-135b, miR-196b, miR-140b and, miR-223. The ROC curve analysis indicated that miR-145, miR-182, miR-133a and, miR-205 were excellent biomarkers with the highest AUCs as biomarkers in CAD. All miRNAs under
study except miR-208 revealed a statistically significant relation with dyslipidemia. MiR-126 and miR-155 showed significance with BMI grade, while only miR-133a showed significance with the obese patients in general. MiR-135b and miR-140b showed a significant correlation with the Wall Motion Severity Index. Pathway enrichment analysis for the miRNAS understudy revealed pathways relevant to the fatty acid biosynthesis, ECM-receptor interaction, proteoglycans in cancer, and adherens junction.
The results of this
study identified a differentially expressed circulating miRNAs signature that can discriminate CAD patients from normal subjects. These results provide new insights into the significant role of miRNAs expression associated with CAD pathogenesis.