Why the study?
Chronic heart failure is a progressive disorder with high morbidity and poor prognosis, prompting analysis of the serum expression and clinical value of miR-182-5p and brain-derived neurotrophic factor.
Does the combination of serum miR-182-5p and BDNF improve the diagnosis and predict prognosis in patients with chronic heart failure?
Does the combination of serum miR-182-5p and BDNF improve the diagnosis and predict prognosis in patients with chronic heart failure?
The combination of serum miR-182-5p and BDNF serves as a potential diagnostic and prognostic biomarker for chronic heart failure.
OBJECTIVE: Chronic heart failure (CHF) is a general progressive disorder with high morbidity and poor prognosis. This study analyzed the serum expression and clinical value of miR-182-5p and brain-derived neurotrophic factor (BDNF) in CHF patients. METHODS: A total of 82 CHF patients were selected as the study subjects (15 cases in NYHA stage I, 29 cases in stage II, 27 cases in stage III, and 11 cases in stage IV), with another 78 healthy people as the controls. The expression of serum miR-182-5p was detected by RT-qPCR. BDNF expression was measured by ELISA. Furthermore, the Pearson coefficient was used to analyze the correlation of miR-182-5p/BDNF with BNP and LVEF. ROC curve was employed to assess the potential of miR-182-5p or/and BDNF for the diagnosis of CHF. Kaplan-Meier survival curve was implemented to evaluate the prognostic value of miR-182-5p and BDNF. RESULTS: Serum miR-182-5p level was elevated and BDNF expression was lowered in CHF patients. Serum miR-182-5p in CHF patients was positively-related with BNP and inversely-correlated with LVEF, while serum BDNF was negatively-linked with BNP and positively-correlated with LVEF. ROC curve indicated the diagnostic value of serum miR-182-5p and BDNF for CHF and the diagnostic accuracy of miR-182-5p combined with BDNF was improved. Kaplan-Meier analysis unveiled that miR-182-5p low expression and BDNF high expression could predict the overall survival in CHF patients. CONCLUSION: miR-182-5p expression is increased and BDNF level is decreased in CHF patients. miR-182-5p combined with BDNF can assist the diagnosis of CHF and predict a poor prognosis.
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Fang et al. (2022) studied this question.
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