Correlation among serum lncRNA H19,miR-140-5p expression levels and cognitive dysfunction in elderly patients with cerebral hemorrhage
10.3969/j.issn.1008-0074.2024.05.22
- VernacularTitle:老年脑出血患者血清lncRNA H19和miR-140-5p表达水平与认知功能障碍的相关性
- Author:
Tie JIN
1
;
Ji DING
;
Kai CUI
;
Min LI
Author Information
1. 国药葛洲坝中心医院重症医学科,湖北宜昌 443000
- Keywords:
Cerebral hemorrhage;
Cognition disorders;
RNA,Untranslated;
MicroRNAs
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(5):620-624
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate serum long non-coding RNA H19(lncRNA H19),microRNA-140-5p(miR-140-5p)expression levels in elderly patients with cerebral hemorrhage,and their correlation with cognitive dysfunction.Methods:A total of 131 elderly patients with cerebral hemorrhage who were treated in Gezhouba Central Hospital of Sinop-harm between January 2020 and January 2022 were selected.According to score of Mini-Mental State Examination(MMSE),the patients were divided into normal cognitive function group(n=79,MMSE score≥ 26 points)and cognitive dysfunction group(n=52,MMSE score＜26 points);another 60 cases undergoing physical examination simultaneously were regarded as the control group.General data were collected in all groups,the serum expression levels of lncRNA H19 and miR-140-5p were measured;the correlation among MMSE score,serum expression levels of lncRNA H19 and miR-140-5p was analyzed by Pearson method;multivariate Logistic regression model was used to analyze risk factors of cog-nitive dysfunction in elderly patients with cerebral hemorrhage.Results:Compared with the normal cognitive function group,patients in cognitive dysfunction group had significant higher score of National Institutes of Health Stroke Scale(NIHSS)and serum lncRNA H19 expression,and significant lower MMSE score and miR-140-5p expression(P＜0.001 all).In patients with cognitive dysfunction,MMSE score was inversely correlated with serum lncRNA H19 expression level(r=-0.643,P＜0.001),and positively correlated with miR-140-5p expression level(r=0.612,P＜0.001),and ln-cRNA H19 expression was inversely correlated with miR-140-5p expression(r=-0.561,P＜0.001).Multivariate Lo-gistic regression analysis indicated that lncRNA H19 was independent risk factor for cognitive dysfunction in elderly patients with cerebral hemorrhage(OR=2.576,P=0.002),while miR-140-5p was its independent protective factor(OR=0.659,P=0.038).Conclusion:Serum lncRNA H19 and miR-140-5p expression levels are closely associated with cog-nitive dysfunction in elderly patients with cerebral hemorrhage,and their detection may have important significance for clinical assessment of these patients.
