Serum levels of miR‐21 and miR‐155 in T2DM + CHD patients and their relationship with lipid me‐tabolism/
10.3969/j.issn.1008-0074.2019.04.08
- VernacularTitle:2 型糖尿病合并冠心病患者血清 miR‐21 、 miR‐155 水平与脂代谢的关系
- Author:
Yi‐fu SHI
1
;
Yan ZHANG
;
Yi WANG
;
Fang XIA
;
Jie LIANG
;
Rong‐li HAN
;
Hong‐mei XUE
;
Guang‐ming SONG
;
Yan‐jun HU
Author Information
1. 上海市徐汇区大华医院心内科
- Keywords:
Diabetes mellitus,type 2;
Coronary disease;
MicroRNAs
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2019;28(4):419-423
- CountryChina
- Language:Chinese
-
Abstract:
To explore serum levels of miR‐21 and miR‐155 in patients with T2DM complicated CHD and their relationship with lipid metabolism .Methods : A total of 134 T2DM patients treated in our hospital from 2016 to 2017 , were divided into T2DM + CHD group (n=60) and pure T2DM group (n=74).Blood glucose and blood lipid levels and serum miR‐21 and miR‐155 levels were measured and were compared between two groups .Results :There were no significant difference in general data , blood pressure , body mass index (BMI) , glycosylated hemo‐globin A1c (HbA1c) , plasma glucose and total cholesterol (TC) between two groups , P>0. 05 all.Compared with pure T2DM group , there were significant rise in levels of triglyceride (TG) [ (1. 89 ± 0.92) mmol/L vs.(2. 75 ± 1.61) mmol/L] , LDL‐C [ (2.83 ± 0.79) mmol/L vs.(3. 52 ± 1.24) mmol/L] and serum miR‐21 [ (0. 93 ± 0. 15) vs.(1. 86 ± 0.24 )] , and significant reductions in levels of HDL‐C [ (1.35 ± 0. 34 ) mmol/L vs.(0. 94 ± 0.31 ) mmol/L] and serum miR‐155 [ (0. 95 ± 0.19) vs.(0. 27 ± 0. 10)] in T2DM + CHD group , P=0.001 all.Multiva‐riate Logistic regression analysis indicated that TG , LDL‐C and miR‐21 were independent risk factors for T2DM +CHD (OR=2. 800~4. 986 , P<0.05 all) , while HDL‐C and miR‐155 were its independent protective factors (OR=0.314 , 0.327 , P< 0.05 both).Pearson correlation analysis indicated that serum miR‐21 level was significant positively correlated with TG and LDL‐C levels ( r=0. 415 , 0.506 , P<0.05 or <0. 01) , and serum miR‐155 level was significant inversely correlated with TG and LDL‐C levels ( r= -0. 397 ,-0. 526 , P<0.05 or <0. 01 ).Con‐clusion : Serum miR‐21 level was significant positively correlated with TG and LDL‐C levels , but serum miR‐155 level was significant inversely correlated with TG and LDL‐C levels ,