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山东大学学报（医学版） ›› 2016, Vol. 54 ›› Issue (8): 55-59.doi: 10.6040/j.issn.1671-7554.0.2015.1345

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培哚普利对慢性心力衰竭患者血浆miR-423-5p的调控及对心功能的影响

姜蕴珊1,谈红2,李晓燕2,苏莉3,张国明2,张红明2,孟楠1   

  1. 1.锦州医科大学济南军区总医院研究生培养基地, 山东 济南 250031;2.济南军区总医院心内科, 山东 济南 250031;3.济南军区总医院干部二科, 山东 济南 250031
  • 收稿日期:2015-12-28 出版日期:2016-08-10 发布日期:2016-08-10
  • 通讯作者: 谈红. E-mail:tanhong3769@163.com E-mail:tanhong3769@163.com
  • 基金资助:
    贵州省科技攻关项目(SY20103081);济南军区总医院院长基金(2013MS05)

Effects of perindopril on the expression of plasma miR-423-5p and cardiac function in patients with heart failure

JIANG Yunshan1, TAN Hong2, LI Xiaoyan2, SU Li3, ZHANG Guoming2, ZHANG Hongming2, MENG Nan1   

  1. 1. Base of Postgraduate Education, General Hospital of Jinan Military Command, Jinzhou Medical University, Jinan 250031, Shandong, China;
    2. Department of Cardiology, General Hospital of Jinan Military Command, Jinan 250031, Shandong, China;
    3. Second Department of Cadre, General Hospital of Jinan Military Command, Jinan 250031, Shandong, China
  • Received:2015-12-28 Online:2016-08-10 Published:2016-08-10

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摘要： 目的 探讨不同剂量培哚普利对慢性心力衰竭患者血浆miR-423-5p表达的影响及与心功能之间的相关性。 方法 选取慢性心力衰竭患者75例,随机分为常规组(常规药物治疗)、小剂量组(常规药物+4 mg/d培哚普利)和大剂量组(常规药物+8 mg/d培哚普利),每组25例。选取同期健康查体心功能正常人群25例(正常对照组)。经药物治疗4周,检测各组治疗前后左室舒张末内径(LVEDD)、左室射血分数(LVEF)、氨基末端脑利钠肽前体(NT-proBNP)及血浆miR-423-5p的表达水平。 结果 基线水平常规组、小剂量组、大剂量组LVEF的表达均显著低于正常对照组(P<0.05),LVEDD、NT-proBNP及血浆miR-423-5p的表达均显著高于正常对照组(P<0.05);治疗4周后常规组、小剂量组、大剂量组LVEF的表达均较治疗前显著升高(P<0.05),LVEDD、NT-proBNP、血浆miR-423-5p的表达均较治疗前显著降低(P<0.05);治疗后小剂量组和大剂量组LVEF的表达均显著高于常规组(P<0.05),LVEDD、NT-proBNP、血浆miR-423-5p的表达均显著低于常规组(P<0.05);同时,与小剂量组比较,大剂量组LVEF、LVEDD、NT-proBNP、血浆miR-423-5p的表达水平变化呈显著差异(P<0.05)。 结论 培哚普利可以降低慢性心力衰竭患者血浆miR-423-5p的表达水平,进而改善左室功能,其改善程度与药物剂量呈正相关。

关键词: 培哚普利, 左室射血分数, 氨基末端脑利钠肽前体, 心力衰竭, MicroRNA-423-5p

Abstract: Objective To explore the effects of perindopril with different doses on the expression of plasma miR-423-5p in patients with chronic heart failure(CHF)and its correlation with the cardiac function. Methods A total of 75 CHF patients were randomly divided into 3 groups: routine group(n=25, treated with routine medicine), low-dose group(n=25, treated with 4 mg/d perindopril), and high-dose group(n=25, treated with 8 mg/d perindopril). Another 25 healthy controls were enrolled in the control group. After 4 weeks of treatment, pre- and post-treatment levels of LVEDD, LVEF, NT-proBNP, and miR-432-5p of all subjects were measured. Results The baseline level of LVEF of the routine, low-dose and high-dose groups were remarkably lower than that of the control group(P<0.05), while the 山 东 大 学 学 报 (医 学 版)54卷8期 -姜蕴珊,等.培哚普利对慢性心力衰竭患者血浆miR-423-5p的调控及对心功能的影响 \=-baseline levels of LVEDD, NT-proBNP and miR-423-5p of the routine, low-dose and high-dose groups were significantly higher than those of the control group(P<0.05). After 4 weeks of treatment, the level of LVEF of the routine, low-dose and high-dose groups remarkably increased(P<0.05), while the levels of LVEDD, NT-proBNP and miR-423-5p remarkably decreased(P<0.05). After treatment, the LVEF of the low-dose and high-dose groups was significantly higher than that of the routine group(P<0.05), while the LVEDD, NT-proBNP and miR-423-5p levels were significantly lower than those of the routine group(P<0.05). Compared with the low-dose group, the high-dose group had more significant different levels of LVEF, LVEDD, NT-proBNP, and miR-423-5p(P<0.05). Conclusion Perindopril can reduce the plasma miR-423-5p expression in CHF patients, and improve the cardiac function in a dose dependent manner.

Key words: Left ventricular ejection fraction, Heart failure, MicroRNA-423-5p, Perindopril, N-terminal pro-brain natriuretic peptide

中图分类号: 

  • R541.4
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