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纸质出版:2015
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唐建英,雷湫宇,张莹,王沂芹,王代红,赵景宏.MicroRNA-30a在评估慢性肾衰竭血液透析效果中的作用[J].陆军军医大学学报(原第三军医大学学报),2015,37(05):485-488.
Tang Jianying,Lei Qiuyu,Zhang Ying,Wang Yiqin,Wang Daihong,Zhao Jinghong.Role of miR-30a in evaluation of dialysis effect in chronic renal failure patients[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(05):485-488.
唐建英,雷湫宇,张莹,王沂芹,王代红,赵景宏.MicroRNA-30a在评估慢性肾衰竭血液透析效果中的作用[J].陆军军医大学学报(原第三军医大学学报),2015,37(05):485-488. DOI:
Tang Jianying,Lei Qiuyu,Zhang Ying,Wang Yiqin,Wang Daihong,Zhao Jinghong.Role of miR-30a in evaluation of dialysis effect in chronic renal failure patients[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(05):485-488. DOI:
目的 分析microRNA-30a (miR-30a)在慢性肾衰竭患者透析前后血清中的表达差异,评价其在评估慢性肾衰竭血液透析效果中的作用。 方法 选取2012年10月至2013年12月本科收治的慢性肾衰竭患者40例,分别在患者透析前后采血并获得血清样本,采用mirVana PARIS Kit提取血清样本中总RNA,利用qRT-PCR法检测miR-30a的表达,临床生化检测患者透析前后血清中肌酐(Cr)、尿素氮(Ur)及β2微球蛋白(β2-MG)的含量,表达值行曼-惠特尼U检验,工作特征曲线(ROC curve)评估miR-30a在慢性肾衰竭患者透析效果中的价值。 结果 miR-30a、Ur和β2-MG在慢性肾衰竭患者透析后的表达显著低于透析前(P0.05,P0.01),ROC curve显示在患者透析后miR-30a的表达低于透析前0.25倍以上时患者可获得较好的透析效果。 结论 miR-30a可作为一种潜在的评估慢性肾衰竭血液透析效果的生物标志物。
Objective To analyze the expression level of miR-30a in the serum of patients with chronic renal failure before and after dialysis
and assess its role of miR-30a in the evaluation of dialysis effect for the patients. Methods Forty patients with chronic renal failure admitted in our department from October 2012 to December 2013 were recruited in this study. Their blood samples were obtained before or after dialysis. The total RNAs were extracted from the serum samples by mirVana PARIS Kit
and the expression of miR-30a was detected by quantitative reverse-transcriptase polymerase chain reaction (qRT-PCR). The serum levels of urea nitrogen (Ur) and β2-microglobulin (β2-MG) were measured by biochemical assay. Mann-Whitney U test were used to analyze serum miR-30a expression before or after dialysis with the levels of Ur and β2-MG. Receiver operating characteristic (ROC) curve was used to evaluate the value of miR-30a in distinguishing the patients before dialysis from those after dialysis. Results The levels of miR-30a
Ur and β2-MG were significantly lower in the serum of patients after dialysis than the values before dialysis (P0.05
P0.01). ROC curve revealed that the cutoff value was 0.25 (after dialysis/before dialysis) for the serum level of miR-30a
indicating a better dialysis effect. Conclusion miR-30a is a novel biomarker in the evaluation of dialysis effect in the patients with chronic renal failure.
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