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The diagnostic value of serum miRNA-155-5p, miRNA-133a-3p for myocardial injury in sepsis |
Cai Hua-zhong, Qin Xiao-meng, Zhou Feng, Miao Zhen-jun, Wang Yan, Jia Yu, Ren Guo-qing |
Department of Emergency Medicine Center, Affiliated Hospital of Jiangsu University, Zhenjiang 212001, China |
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Abstract Objective To evaluate the diagnostic value of serum miRNA-155-5p, miRNA-133a-3p for myocardial injury in sepsis. Methods Septic patients admitted to the hospital were divided into control group ( n =48) and myocardial injury group ( n =40) according to cardiac ultrasound. The level of serum miRNA-155-5p and miRNA-133a-3p were also detected. The diagnostic value of the level of serum miRNA-155-5p and miRNA-133a-3p was analyzed by ROC curve. Results Compared with the control group, the expression levels of serum miRNA-155-5p[(2.02±0.45) vs. (2.89±0.37)]and miRNA-133a-3p[(1.93±0.37) vs. (2.42±0.22)] in patients with myocardial injury of sepsis were significantly increased( P <0.05). ROC curve analysis indicated that detection of miRNA-155-5p (AUC=0.92, 95% CI 0.86~0.97, P =0.028, sensitivity 97.50%, specificity 72.92%) and miRNA-133a-3p (AUC=0.87, 95% CI 0.80~ 0.95 , P =0.040, sensitivity 95.00%, specificity 70.00%) were of high diagnostic value for myocardial injury in patients with sepsis. Conclusion Detection of the expression of miRNA-155-5p and miRNA-133a-3p in serum is helpful for the diagnosis of myocardial injury in sepsis.
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Corresponding Authors:
Ren Guo-qing, E-mail: 534584150@qq.com
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