[1]张亚杰,王玉琳,董晓娇,等.急性缺血性脑卒中患者血清lncRNASNHG12表达水平检测及临床意义[J].现代检验医学杂志,2022,37(02):121-125.[doi:10.3969/j.issn.1671-7414.2022.02.025]
 ZHANG Ya-jie,WANG Yu-lin,DONG Xiao-jiao,et al.Detection of Serum lncRNA SNHG12 Expression Level in Patients with Acute Ischemic Stroke and Its Clinical Significance[J].Journal of Modern Laboratory Medicine,2022,37(02):121-125.[doi:10.3969/j.issn.1671-7414.2022.02.025]
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急性缺血性脑卒中患者血清lncRNASNHG12表达水平检测及临床意义()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第37卷
期数:
2022年02期
页码:
121-125
栏目:
论 著
出版日期:
2022-03-15

文章信息/Info

Title:
Detection of Serum lncRNA SNHG12 Expression Level in Patients with Acute Ischemic Stroke and Its Clinical Significance
文章编号:
1671-7414(2022)02-121-05
作者:
张亚杰王玉琳董晓娇刘宏丽
(秦皇岛市第一医院神经内科,河北秦皇岛 066000)
Author(s):
ZHANG Ya-jie WANG Yu-lin DONG Xiao-jiao LIU Hong-li
(Department of Neurology, the First Hospital of Qinhuangdao, Hebei Qinhuangdao 066000,China)
关键词:
急性缺血性脑卒中长链非编码RNA小核仁RNA宿主基因12
分类号:
R743.3;R392.11
DOI:
10.3969/j.issn.1671-7414.2022.02.025
文献标志码:
A
摘要:
目的 通过检测急性缺血性脑卒中患者血清长链非编码RNA 小核仁RNA 宿主基因12(long non-coding RNA small nucleolar RNA host gene 12,lncRNA SNHG12)表达变化情况,探究其在急性缺血性脑卒中的临床意义。方法 选取2019 年3 月~ 2021 年2 月秦皇岛市第一医院神经内科收治的95 例急性缺血性脑卒中(acute ischemic stroke, AIS)患者作为研究组,根据美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分将患者分为轻度组29 例、中度组36 例、重度组30 例;选取同期医院健康体检者72 例作为对照组;实时荧光定量PCR 法检测研究组患者入院24 h 内、治疗1 周后、治疗2 周后以及对照组体检当日血清lncRNA SNHG12 表达情况;采用Pearson相关系数法分析急性缺血性脑卒中患者血清lncRNA SNHG12 表达水平与NIHSS 评分的相关性;受试者工作特征曲线评估血清lncRNA SNHG12 表达水平对急性缺血性脑卒中的诊断价值。结果 与对照组比较,入院24 h 内轻度组、中度组、重度组血清lncRNA SNHG12 表达水平依次升高(1.29±0.17,1.52±0.26,1.80±0.43 vs 1.01±0.12),差异有统计学意义(F=68.522,P=0.000);研究组患者入院24 h 内、治疗1 周后、治疗2 周后血清lncRNA SNHG12 表达水平依次降低(1.45±0.25,1.30±0.24,1.18±0.17),差异有统计学意义(F=35.003,P=0.000);研究组患者入院24h 内血清lncRNA SNHG12 表达水平与NIHSS 评分呈正相关(r=0.358,P=0.000);入院24 h 内血清lncRNA SNHG12表达水平评估急性缺血性脑卒中发生的曲线下面积为0.953(95% CI:0.923~0.982),敏感度和特异度分别为86.30%,95.80%。结论 急性缺血性脑卒中患者血清lncRNA SNHG12 表达水平显著升高,和患者疾病严重程度相关,对急性缺血性脑卒中有较高的诊断价值。
Abstract:
Objective To explore the changes in the expression of long non-coding RNA small nucleolar RNA host gene 12 (lncRNA SNHG12) in the serum of patients with acute ischemic stroke(AIS), and explore its clinical significance in acute ischemic stroke. Methods From March 2019 to February 2021, 95 patients with acute ischemic stroke to the department of neurology, the First Hospital of Qinhuangdao were selected as the study group, according to National Institute of Health Stroke Scale (NIHSS) score, the patients were divided into mild group 29 cases, moderate group 36 cases and severe group 30 cases. 72 healthy people who had physical examination in the hospital during the same period served as the control group. The expression of serum lncRNA SNHG12 in the study group was detected by real-time fluorescent quantitative PCR within 24 hours after admission, 1 week after treatment, 2 weeks after treatment and on the day of physical examination in the control group; Pearson correlation coefficient method was used to analyze the correlation between serum lncRNA SNHG12 expression level and NIHSS score of patients with acute ischemic stroke. Receiver operating characteristic curve was used to assess the value of serum lncRNA SNHG12 expression in samples for the diagnosis of acute ischemic stroke. Results Compared with the control group, the expression level of serum lncRNA SNHG12 in mild group, moderate group and severe group were increased in turn within 24 hours after admission (1.29±0.17, 1.52±0.26, 1.80±0.43 vs 1.01±0.12),the difference was statistically significant(F=68.522, P=0.000). The expression levels of serum lncRNA SNHG12 in the study group decreased in turn within 24 hours after admission, 1 week after treatment and 2 weeks after treatment (1.45±0.25, 1.30±0.24, 1.18±0.17), the difference was statistically significant (F=35.003, P=0.000). The expression level of serum lncRNA SNHG12 was positively correlated with NIHSS score in the study group within 24 hours after admission (r=0.358, P=0.000). The area under the curve of serum lncRNA SNHG12 expression level within 24 hours after admission in evaluating the occurrence of acute ischemic stroke was 0.953 (95% CI: 0.923~0.982), the sensitivity and specificity were 86.30% and 95.80%, respectively. Conclusion The expression level of serum lncRNA SNHG12 in patients with acute ischemic stroke was significantly increased, which was related to the severity of the disease, and has high diagnostic value for acute ischemic stroke.

参考文献/References:

[1] 申青仙, 张赛, 涂悦, 等.急性缺血性脑卒中的临床治疗研究进展[J]. 中国医药, 2020, 15(4):633-636. SHEN Qingxian, ZHANG Sai, TU Yue, et al. Research progress in clinical treatment of acute ischemic stroke [J]. China Medicine, 2020, 15(4):633-636.
[2] HE Mingli, WANG Hongrui, TANG Yi, et al. Optimal blood pressure levels in different phases of peripheral thrombolysis period in acute ischemic stroke[J]. Journal of Hypertension, 2021, 39(7): 1453-1461.
[3] WOLSKA M, JAROSZ-POPEK J, JUNGER E, et al. Long non-coding RNAs as promising therapeutic approach in ischemic stroke: a comprehensive review[J]. Molecular Neurobiology, 2021, 58(4): 1664-1682.
[4] WANG Jue, CAO Bin, ZHAO Haiping, et al. Long noncoding RNA H19 prevents neurogenesis in ischemic stroke through p53/Notch1 pathway[J]. Brain Research Bulletin, 2019, 150(31): 111-117.
[5] REN Weimin, YANG Xiaobo. Pathophysiology of long non-coding RNAs in ischemic stroke[J]. Frontiers in Molecular Neuroscience, 2018, 11(1): 96.
[6] LU Ping, XIAO Shihui, CHEN Shaoze, et al. LncRNA SNHG12 downregulates RAGE to attenuate hypoxiareoxygenation- induced apoptosis in H9c2 cells[J]. Bioscience Biotechnology and Biochemistry, 2021, 85(4): 866-873.
[7] 钟应强, 赵世光. 长链非编码RNA SNHG12 在神经 系统疾病中研究进展[J]. 国际神经病学神经外科学 杂志, 2020, 47(2): 216-220. ZHONG Yingqiang, ZHAO Shiguang. Research advances in long non-coding RNA small nucleolar RNA host gene 12 in nervous system diseases [J]. Journal of International Neurology and Neurosurgery, 2020, 47(2): 216-220.
[8] 中华医学会神经病学分会.中华医学会神经病学分 会脑血管病学组. 中国急性缺血性脑卒中诊治指南 2018[J]. 中华神经科杂志, 2018, 51(9):666-682. Chinese Society of Neurology, Chinese Stroke Society. Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2018 [J]. Chinese Journal of Neurology, 2018, 51(9):666-682.
[9] CHALOS V, VAN DER ENDE N, LINGSMA H F, et al. National institutes of health stroke scale: an alternative primary outcome measure for trials of acute treatment for ischemic stroke[J]. Stroke, 2020, 51(1): 282-290.
[10] 郭春宣, 钟纯正, 李琦, 等. 老年急性缺血性脑卒中 患者血清微小RNA-24 和微小RNA-29b 表达及神经 功能预后评估价值[J]. 中华危重病急救医学, 2020, 32(1):78-82. GUO Chunxuan, ZHONG Chunzheng, LI Qi, et al. Expressions and neural function prognostic evaluation of serum microRNA-24 and microRNA-29b in elderly patients with acute ischemic stroke[J]. Chinese Critical Care Medicine, 2020, 32(1): 78-82.
[11] LI Xiaobo, WU Fan, JIANG Chao, et al. Novel peripheral blood cell ratios: Effective 3-month postmechanical thrombectomy prognostic biomarkers for acute ischemic stroke patients [J]. Journal of Clinical Neuroscience, 2021, 89: 56-64.
[12] ALVES H C, TREURNIET K M, JANSEN I, et al. Thrombus migration paradox in patients with acute ischemic stroke[J]. Stroke, 2019, 50(11): 3156-3163.
[13] NANNONI S, SCHERZ-MOUSSA Y A, AMIGUET M, et al. Acute ischaemic stroke in the absence of established vascular risk factors: Patient characteristics, stroke mechanism and long-term outcome[J]. European Journal of Neurology, 2021, 28(4): 1275-1283.
[14] SAGNIER S, OKUBO G, CATHELINE G, et al. Chronic cortical cerebral microinfarcts slow down cognitive recovery after acute ischemic stroke[J]. Stroke, 2019, 50(6): 1430-1436.
[15] DENG Yiming, CHEN Duanduan, GAO Feng, et al. Silencing of long non-coding RNA GAS5 suppresses neuron cell apoptosis and nerve injury in ischemic stroke through inhibiting DNMT3B-dependent MAP4K4 methylation [J]. Translational Stroke Research, 2020, 11(5): 950-966.
[16] 韩晶晶, 杨帆, 周旭强, 等. 急性缺血性脑卒中患者 血清小而密低密度脂蛋白胆固醇水平与心脑血管狭 窄程度的相关性研究[J]. 现代检验医学杂志, 2020, 35(3):42-46. HAN Jingjing, YANG Fan, ZHOU Xuqiang, et al. Study on the correlation between low density lipoprotein( LDL) cholesterol level and the severity of cardiovascular and cerebrovascular stenosis in patients with acute ischemic stroke [J]. Journal of Modern Laboratory Medicine, 2020, 35(3):42-46.
[17] WU Rile, YUN Qiang, ZHANG Jianping, et al. Long non-coding RNA GAS5 retards neural functional recovery in cerebral ischemic stroke through modulation of the microRNA-455-5p/PTEN axis[J]. Brain Research Bulletin, 2021, 167: 80-88.
[18] DENG Yiming, CHEN Duanduan, WANG Luyao, et al. Silencing of long noncoding RNA nespas aggravates microglial cell death and neuroinflammation in ischemic stroke[J]. Stroke, 2019, 50(7): 1850-1858.
[19] CHEN Miao, WANG Feng, WANG Haorong. Silencing of lncRNA XLOC_035088 protects middle cerebral artery occlusion-induced ischemic stroke by notch1 signaling[J]. Journal of Neuropathology and Experimental Neurology, 2021, 80(1): 60-70.
[20] ZHANG Bo, WANG Dan, JI Tiefeng, et al. Overexpression of lncRNA ANRIL up-regulates VEGF expression and promotes angiogenesis of diabetes mellitus combined with cerebral infarction by activating NF- κB signaling pathway in a rat model[J]. Oncotarget, 2017, 8(10): 17347-17359.
[21] YAO Xiaoxi, YAO Rui, HUANG Fengzhen, et al. LncRNA SNHG12 as a potent autophagy inducer exerts neuroprotective effects against cerebral ischemia/ reperfusion injury[J]. Biochemical and Biophysical Research Communications, 2019, 514(2): 490-496.
[22] LONG Faqing, SU Qingjie, ZHOU Jingxia, et al. LncRNA SNHG12 ameliorates brain microvascular endothelial cell injury by targeting miR-199a[J]. Neural Regeneration Research, 2018, 13(11): 1919-1926.
[23] YIN Weilan, YIN Weiguo, HUANG Baisheng, et al. LncRNA SNHG12 inhibits miR-199a to upregulate SIRT1 to attenuate cerebral ischemia/reperfusion injury through activating AMPK signaling pathway[J]. Neuroscience Letters, 2019, 690: 188-195.

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备注/Memo

备注/Memo:
基金项目:河北省医学科学研究课题计划项目(20201321);秦皇岛市科学技术研究与发展计划项目(201902A117)。
作者简介:张亚杰(1984-),女,硕士,主治医师,研究方向:脑血管病、中枢神经系统感染,E-mail:zhangyajie857@163.com。
通讯作者:刘宏丽(1979-),女,硕士,主任医师,研究方向:脑血管病、神经免疫,E-mail:zhangyajiedoctor@163.com。
更新日期/Last Update: 1900-01-01