Relationship between serum miR-183-5p and miR-339-3p levels and the severity and prognosis of patients with acute pancreatitis
10.3969/j.issn.1673-4130.2024.11.015
- VernacularTitle:血清miR-183-5p和miR-339-3p水平与急性胰腺炎患者严重程度及预后的关系
- Author:
Lei SUN
1
;
Haitang WU
;
Jianxin XIONG
Author Information
1. 海南省第二人民医院消化内科,海南五指山 572200
- Keywords:
acute pancreatitis;
microRNA-183-5p;
microRNA-339-3p
- From:
International Journal of Laboratory Medicine
2024;45(11):1353-1357
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between serum microRNA-183-5p(miR-183-5p)and microRNA-339-3p(miR-339-3p)levels and the severity and prognosis of patients with acute pancreatitis(AP).Methods A total of 175 AP patients admitted to the hospital from July 2021 to July 2023 were collect-ed as AP group.According to the acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ)score,the AP patients were divided into mild group(108 cases)and severe group(67 cases).According to the progno-sis,the AP patients were divided into good prognosis group(114 cases)and poor prognosis group(61 cases).A total of 160 healthy people who underwent physical examination in the hospital during the same period were selected as the control group.The expression levels of serum miR-183-5p and miR-339-3p were detected by re-al-time fluorescent quantitative PCR.The levels of tumor necrosis factor(TNF)-α and C-reactive protein(CRP)were determined by enzyme-linked immunosorbent assay.Pearson correlation analysis was used to ana-lyze the correlation of serum miR-183-5p and miR-339-3p levels with TNF-α,CRP and APACHE Ⅱ score in AP patients.Multivariate Logistic regression was used to analyze the influencing factors of poor prognosis in AP patients.Receiver operating characteristic(ROC)curve was used to analyze the predictive value of serum miR-183-5p and miR-339-3p levels for poor prognosis.Results Compared with the control group,the level of miR-183-5p in the AP group was increased,and the level of miR-339-3p was decreased,the difference was sta-tistically significant(t=17.497,19.113,all P＜0.05).Compared with the mild group,the serum levels of miR-183-5p,TNF-α,CRP and APACHE Ⅱ score in the severe group were increased,and the level of miR-339-3p was decreased(t=10.582,5.972,11.991,13.864,2.224,all P＜0.05).The level of serum miR-183-5p in AP patients was positively correlated with TNF-α,CRP and APACHE Ⅱ score(r=0.623,0.570,0.679,all P＜0.05).The level of miR-339-3p was negatively correlated with TNF-α,CRP and APACHE Ⅱ score(r=-0.655,-0.600,-0.756,all P＜0.05).The level of serum miR-183-5p in the poor prognosis group was higher than that in the good prognosis group,and the level of miR-339-3p was lower than that in the good prognosis group,the difference was statistically significant(t=5.324,5.436,all P＜0.05).TNF-α,CRP,A-PACHEⅡ score,and miR-183-5p were independent risk factors for poor prognosis in AP patients,and miR-339-3p was a protective factor for poor prognosis(all P＜0.05).The area under the curve of miR-183-5p,miR-339-3p levels and their combination to predict poor prognosis of AP patients was 0.760,0.731 and 0.836,respectively,and the predictive value of combined miR-183-5p and miR-339-3p was higher than that of single prediction(Z=2.952,2.892,all P＜0.05).Conclusion The serum level of miR-183-5p is increased and miR-339-3p is decreased in AP patients,which are closely related to the severity and prognosis of AP pa-tients and may be used as markers for the evaluation of the condition and prognosis of AP.
