河北医科大学学报

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急性脑梗死患者血清中miR-21-5p与炎性因子的相关性分析

  

  1. 1.上海市徐汇区中心医院神经内科,上海 200031;2.第二军医大学附属长征医院神经内科,上海 200003
  • 出版日期:2016-06-25 发布日期:2017-01-16
  • 作者简介:虞莉娜(1981-),女,浙江镇海人,上海市徐汇区中心医院主治医师,医学硕士,从事脑血管疾病诊治研究。

The correlation analysis of serum miR-21-5p and inflammatory factor in acute cerebral infarction patients

  1. 1.Department of Internal Neurology, the Central Hospital of Xuhui District, Shanghai 200031, China;
    2.Department of Internal Neurology, Changzheng Hospital affiliated to the
    Second Military Medical University, Shanghai 200003, China
  • Online:2016-06-25 Published:2017-01-16

摘要: [摘要] 目的 探讨急性脑梗死患者外周血 miR-21-5p 与炎性因子白细胞介素 6 ( interleukin-6 , IL-6 )、 IL-8 、 C
反应蛋白( C-reactionprotein ,
CRP )的相关性。方法 收集首次发病的急性脑梗死患者 64 例,病程 24~48h ,同期选
择健康体检者 60 例为对照组。实时荧光定量 PCR 方法检测 2 组血清中 miR-21-5p 的表达量, ELISA 检测血清 IL-
6 、 IL-8 及 CRP 的水平,并与 miR-21-5p 进行相关性分析。分别在入院时及出院后检测急性脑梗死患者的美国国立
卫生研究院卒中量表( NIHStrokeScale , NIHSS )评分和日常生活活动能力(
ActivitiesofDailyLiving , ADL )评分。
结果 脑梗死组血清 miR-21-5p 、 IL-6 、 IL-8 、 CRP 水平均高于对照组,且 miR-21-5p 与 IL-6 、 IL-8 、 CRP 表达水平均呈
正相关。出院后 miR-21-5p 相对低表达组 NIHSS 评分低于 miR-21-5p 相对高表达组, ADL 评分高于 miR-21-5p
相对高表达组。结论 急性脑梗死患者血清中 miR-21-5p 表达上调与血清炎性因子 IL-6 、 IL-8 以及 CRP 的水平呈
正相关。 miR-21-5p 有可能作为预测急性脑梗死预后的一种潜在的生物学标志。

关键词: 脑梗死, 微RNAs, 白细胞介素类, C反应蛋白质

Abstract: [Abstract]  ObjectiveTo investigate the correlation between serum miR215p and inflammatory cytokines interleukin6(IL6), IL8 and Creactionprotein(CRP) in patients with acute cerebral infarction(ACI). MethodsBlood samples were collected from 64 inpatients with acute cerebral infarction(duration 24-48h) and from 60 healthy physical examinees with matching age and gender as control group. Realtime quantitative PCR was performed to examine the expression profiles of serum miR215p in ischemic stroke patients and in control subjects. The ELISA method was used to detect the level of serum IL6, IL8 and CRP from two groups. Correlation analysis was made between miR215p and inflammatory factors. NIH Stroke Scale(NIHSS) scores and Activities of Daily Living(ADL) scores analysis were used to analyze the clinical prognosis of cerebral infarction patients within and after admission. ResultsThe levels of serum miR215p, IL6, IL8, CRP in the cerebral infarction group were higher than those in the control group. And miR215p were positively correlated with the expression levels of IL6, IL8 and CRP in ACI patient. After discharge, the NIHSS score of miR215p in relatively low expression group was lower than that in relatively high expression group, while the ADL score of miR215p in relatively low expression group was higher than that of miR215p in relatively high expression group. ConclusionThe upregulated miR215p expression in serum of patients with acute cerebral infarction was positively correlated with the level of serum inflammatory factors IL8, IL6 and CRP. MiR215p may serve as a potential biomarker for predicting the prognosis of patients with acute cerebral infarction.

Key words: brain infarction; micrornas, interleukins, Creactive protein