山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (3): 94-98.doi: 10.6040/j.issn.1671-7554.0.2019.1405
金海燕1,张炎1,2,马小莉1,韩羽1,3,赵蕙琛1,刘元涛1,张玉超1
JIN Haiyan1, ZHANG Yan1,2, MA Xiaoli1, HAN Yu1,3, ZHAO Huichen1, LIU Yuantao1, ZHANG Yuchao1
摘要: 目的 探讨2型糖尿病(T2DM)合并冠状动脉粥样硬化性心脏病(CAD)患者血清miR-122和miR-33a表达的改变及其意义。 方法 收集2016年7月至2018年7月收治的2型糖尿病患者32例(T2DM组)、冠心病患者32例(CAD组)、2型糖尿病合并冠心病患者32例(T2DM+CAD组)的临床资料,另选择同期体检的健康者32例(对照组)。经分离提纯血浆总microRNA,采用实时定量PCR法检测miR122和miR33a的表达量。 结果 与对照组相比,T2DM组、CAD组和T2DM+CAD组血浆miR122mRNA表达量明显增加(P<0.05);与T2DM组相比,CAD组和T2DM+CAD组miR-122mRNA表达量明显增加(P<0.05)。miR-122对CAD组和T2DM+CAD组的ROC曲线下面积分别为0.72±0.05与0.77±0.04。各组间miR-33a表达水平无明显差异(P>0.05)。 结论 血浆miR-122是2型糖尿病合并冠心病较好的辅助诊断指标。
中图分类号:
| [1] | 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2013年版)[J]. 中国糖尿病杂志, 2014, 88(7): 1227-1245. |
| [2] | Hu DY, Pan CY, Yu JM. The relationship between coronary artery disease and abnormal glucose regulation in China: the China Heart Survey [J]. Eur Heart J, 2006, 27(21): 2573-2579. |
| [3] | Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC guideline for the management of patients with Non-ST-Elevation acute coronary syndromes: a report of the American college of cardiology/American heart association task force on practice guidelines [J]. J Am Coll Cardiol, 2014, 64(24): e139-228. |
| [4] | Lewis AP, Jopling CL. Regulation and biological function of the liver-specific miR-122 [J]. Biochem Soc Trans, 2010, 38(6): 1553-1557. |
| [5] | Najafi-Shoushtari SH, Kristo F, Li Y, et al. MicroRNA-33 and the SREBP host genes cooperate to control cholesterol homeostasis [J]. Science, 2010, 328(5985): 1566-1569. |
| [6] | Dávalos A, Goedeke L, Smibert P, et al. miR-33a/b contribute to the regulation of fatty acid metabolism and insulin signaling [J]. Proc Natl Acad Sci USA, 2018, 108(22): 9232-9237. |
| [7] | Sacco J, Adeli K. MicroRNAs: emerging roles in lipid and lipoprotein metabolism [J]. Curr Opin Lipidol, 2012, 23(3): 220-225. |
| [8] | Poornima IG, Parikh P, Shannon RP. Diabetic cardiomyopathy: the search for a unifying hypothesis [J]. Circ Res, 2006, 98(5): 596-605. |
| [9] | Htay T, Soe K, Lopez-Perez A, et al. Motality and cardiovascular disease in type 1 and type 2 diabetes [J]. Curr Cardiol Rep, 2019, 21(6): 45-51. |
| [10] | Zlotorynski E. Insights into the kinetics of microRNA biogenesis and turnover [J]. Nat Rev Mol Cell Biol, 2019, 20(9): 511. |
| [11] | Reichholf B, Herzog VA, Fasching N, et al. Time-resolved small RNA sequencing unravels the molecular principels of miroRNA homeostasis [J]. Mol Cell, 2019, 75(4): 756-768. |
| [12] | Rottiers V, Naar AM. MicroRNAs in metabolism and metabolic disorders [J]. Nat Rev Mol Cell Biol, 2012, 13(4): 239-250. |
| [13] | Giral H, Kratzer A, Landmesser U. MicroRNAs in lipid metabolism and atherosclerosis [J]. Best Prac Res Clin Endocrinol Metab, 2016, 30(5): 665-676. |
| [14] | Koyama S, Horie T, Nishino T, et al. Identification of differential roles of microRNA-33a and -33b during atherosclerosis progression with genetically modified mice [J]. J Am Heart Assoc, 2019, 8(13): e012609. |
| [15] | Esau C, Davis S, Murray SF, et al. miR-122 regulation of lipid metabolism revealed by in vivo antisense targeting [J]. Cell Metab, 2006, 3(2): 87-98. |
| [16] | Sedgeman LR, Michell DL, Vickers KC. Integrative roles of microRNAs in lipid metabolism and dyslipidemia [J]. Curr Opin Lipidol, 2019, 30(3): 165-171. |
| [17] | Iliopoulos D, Drosatos K, Hiyama Y, et al. MicroRNA-370 controls the expression of MicroRNA-122 and Cpt1α and affects lipid metabolism [J]. J Lipid Res, 2010, 51(6): 1513-1523. |
| [18] | Valdmanis PN, Kim HK, Chu K, et al. miR-122 removal in the liver activates imprinted microRNAs and enables more effective microRNA-mediated gene repression [J]. Nat Commun, 2018, 9(1): 5321-5329. |
| [19] | Naderi M, Pazouki A, Arefian E, et al. Two triacylglycerol pathway genes, CTDNEP1 and LPIN1, are down-regulated by has-miR-122-5p in hepatocytes [J]. Atch Iran Med, 2017, 20(3): 165-171. |
| [20] | Wen J, Friedman JR. miR-122 regulates hepatic lipid metabolism and tumor suppression [J]. J Clin Invest, 2012, 122(8):2773-2776. |
| [21] | Tsai WC, Hsu SD, Hsu CS, et al. MicroRNA-122 plays a critical role in liver homeostasis and hepatocarcinogenesis [J]. J Clin Invest, 2012, 122(8): 2884-2897. |
| [22] | Willeit P, Skroblin P, Moschen AR, et al. Circulating microRNA-122 is associated with the risk of new-onset-metabolic syndrome and type 2 diabetes [J]. Diabetes, 2017, 66(2): 347-357. |
| [23] | Castano C, Kalko S, Novials A, et al. Obesity-associated exosomal miRNAs modulate glucose and lipid metabolism in mice [J]. Diabetes, 2018, 115(48): 12158-12163. |
| [24] | 吴霞, 王学法, 金鑫. 急性冠脉综合征患者血浆miR-122和miR-3149 表达的临床意义[J]. 山东医药, 2017, 57(4): 88-90. |
| [25] | Shah R, Murthy V, Pacold M, et al. Extracellular RNAs are associated with insulin resistance and metabolic phenotypes [J]. Diabetes Care, 2017, 40(4): 546-553. |
| [26] | Gao W, He HW, Wang ZM, et al. Plasma levels of lipometabolism-related miR-122 and miR-370 are increased in patients with hyperlipidemia and associated with coronary artery disease [J]. Lipids Health Dis, 2012, 11: 55-62. doi: 10.1186/1476-511X-11-55 |
| [27] | Najafi-Shoushtari SH, Kristo F, Li Y, et al. MicroRNA-33a and the SREBP host genes cooperate to control cholesterol homeostasis [J]. Science, 2010, 328(5985): 1566-1569. |
| [28] | Platania CBM, Maisto R, Trotta MC, et al. Retina and circulating miRNA expression patterns in diabetic retinopathy: an in silic and in vivo approach [J]. Br J Pharmacol, 2019, 176(13): 2179-2194. |
| [1] | 孟晓梅,郝亚平,王亮,于晓,唐与晓. 血清Isthmin1、Gremlin2水平与2型糖尿病患者视网膜病变的相关性[J]. 山东大学学报 (医学版), 2025, 63(9): 102-107. |
| [2] | 申路佳,逯天威,巩伟明,赵岩松,王淑康,袁中尚. 代谢风险评分在2型糖尿病人群心血管结局预测中的应用[J]. 山东大学学报 (医学版), 2025, 63(8): 69-78. |
| [3] | 陈莹莹,王鲁,胡锡峰,朱高培,薛付忠. 基于贝叶斯网络的2型糖尿病患者并发脑卒中风险预测[J]. 山东大学学报 (医学版), 2025, 63(8): 94-102. |
| [4] | 李金泉,高美芳,闫飞,董明. 136例2型糖尿病患者肌肉痉挛的发生频率及危险因素[J]. 山东大学学报 (医学版), 2023, 61(5): 20-24. |
| [5] | 张天鑫,张婷,黄鑫,韩佳沂,王淑康. 氨基酸与2型糖尿病因果关系的孟德尔随机化分析[J]. 山东大学学报 (医学版), 2023, 61(5): 102-107. |
| [6] | 韩梅,孟维静,陶子琨,杨希,徐雅琪,穆华夏,卜伟晓,王素珍,石福艳. 基于G-计算的高血压、抑郁在2型糖尿病与认知功能之间的因果多中介分析[J]. 山东大学学报 (医学版), 2023, 61(10): 101-108. |
| [7] | 赵美茹,朱迪,刘淋,管庆波,张栩. 简易胰岛素抵抗指标与698例2型糖尿病患者发生高尿酸血症风险的关联[J]. 山东大学学报 (医学版), 2022, 60(12): 44-51. |
| [8] | 于书卷,王美娟,陈丽,曹英娟,吕晓燕,刘雪燕,林鹏,颜景政. 老年2型糖尿病患者轻度认知功能障碍的影响因素[J]. 山东大学学报 (医学版), 2022, 60(11): 108-112. |
| [9] | 吕丽,姜璐,陈诗鸿,庄向华,宋玉文,王殿辉,安文娟,李倩,潘喆. 210例绝经后2型糖尿病发生骨质疏松的相关因素[J]. 山东大学学报 (医学版), 2021, 59(7): 19-25. |
| [10] | 郑凤杰,宋玉文,孙爱丽,潘喆,王殿辉,娄能俊,吕丽, 庄向华,陈诗鸿. 糖尿病周围神经病变与肌少症的关联性[J]. 山东大学学报 (医学版), 2021, 59(6): 38-44. |
| [11] | 刘萍,宋玉文,王萍,田光伟,郑凤杰,吕丽,杜娇娇,张静,庄向华,陈诗鸿. 维生素D缺乏与2型糖尿病合并抑郁状态的相关性[J]. 山东大学学报 (医学版), 2021, 59(6): 51-56. |
| [12] | 张宝文,雷香丽,李瑾娜,罗湘俊,邹容. miR-21-5p靶向调控TIMP3抑制2型糖尿病肾病小鼠肾脏系膜细胞增殖及细胞外基质堆积[J]. 山东大学学报 (医学版), 2020, 1(7): 7-14. |
| [13] | 王余余,高丽,陈少华. 94例2型糖尿病患者急性脑梗死后认知障碍与甲状腺功能的关联性[J]. 山东大学学报 (医学版), 2020, 58(5): 56-61. |
| [14] | 唐博,邵静,崔静,孙健平. 2型糖尿病发病与高密度脂蛋白关系的机制研究[J]. 山东大学学报 (医学版), 2020, 58(3): 99-106. |
| [15] | 曾雁冰,王秋鹏,方亚. 厦门市糖尿病“三师共管”模式的卫生经济学评价[J]. 山东大学学报 (医学版), 2019, 57(8): 89-94. |
|
||