Diagnostic potential of differentially expressed Homer1, IL-1β, and TNF-α in coronary artery disease

Xuan Jing1, Shan-Shan Chen2, Wei Jing3

  • 1Department of Clinical Laboratory Medicine and Center for Gene Diagnosis, Zhongnan Hospital of Wuhan University, Wuhan 430071, China. jx05070103@163.com.

Insights

Homer1, interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) gene expression is elevated in coronary artery disease (CAD) patients. Homer1 shows diagnostic potential for unstable plaque (UAP) in CAD.

Area of Science:

  • Cardiovascular Research
  • Molecular Biology
  • Inflammation Studies

Background:

  • Inflammation is increasingly recognized as a key factor in coronary artery disease (CAD) pathogenesis.
  • Specific inflammatory cytokines and genes, including interleukin-1β (IL-1β), tumor necrosis factor-α (TNF-α), and Homer, are implicated in CAD.
  • Understanding the role of these molecules is crucial for diagnosing and treating cardiovascular events.

Purpose of the Study:

  • To investigate the gene expression levels of Homer1, Homer2, Homer3, IL-1β, and TNF-α in peripheral blood leukocytes of CAD patients.
  • To assess the diagnostic value of these genes in distinguishing CAD patients from controls and within different CAD subgroups.
  • To explore Homer1 as a potential biomarker and therapeutic target in CAD.

Main Methods:

  • Gene expression analysis using real-time polymerase chain reaction (PCR).
  • Study population included 163 CAD patients across different stages and 68 healthy controls.
  • Receiver operating characteristic (ROC) curve analysis was employed to evaluate diagnostic performance.

Main Results:

  • Significantly higher mRNA levels of Homer1, IL-1β, and TNF-α were observed in CAD patients compared to controls.
  • No significant differences in Homer1, IL-1β, and TNF-α mRNA levels were found among acute myocardial infarction (AMI), unstable angina (UAP), and stable angina (SAP) subgroups.
  • Homer1 demonstrated superior diagnostic value for UAP compared to IL-1β and TNF-α.

Conclusions:

  • Homer1, IL-1β, and TNF-α are elevated in CAD patients, suggesting their involvement in the disease process.
  • Homer1 may serve as a valuable diagnostic biomarker for unstable plaque in CAD.
  • These findings highlight Homer1 as a potential therapeutic target for CAD management and atherosclerotic plaque stabilization.

Related Concept Videos

Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
483
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
785
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
1.2K