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[Differential expression of lncRNA in patients with coronary artery disease plus clopidogrel resistance]
Wenjian Xie1, Beibei Huang2, Qian Yin2
1Department of Cardiology, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China.
Insights
Clopidogrel resistance in coronary artery disease patients is linked to specific long non-coding RNA (lncRNA) changes. Two lncRNAs are upregulated, and one is downregulated in resistant patients, offering potential biomarkers.
Area of Science:
- Genomics
- Cardiovascular Medicine
- Molecular Biology
Background:
- Coronary artery disease (CAD) is a leading cause of mortality worldwide.
- Clopidogrel is a key antiplatelet medication used after percutaneous coronary intervention (PCI).
- Clopidogrel resistance can lead to adverse cardiovascular events.
Purpose of the Study:
- To investigate the differential expression of long non-coding RNAs (lncRNAs) in patients with CAD experiencing clopidogrel resistance.
- To identify specific lncRNAs associated with clopidogrel resistance.
Main Methods:
- Patients undergoing PCI and treated with clopidogrel were enrolled.
- Patients were categorized into clopidogrel-sensitive and clopidogrel-resistant groups based on platelet aggregation.
- lncRNA expression profiling was performed using microarray and validated with real-time RT-PCR.
Main Results:
- lncRNA microarray analysis revealed 11 upregulated and 8 downregulated lncRNAs in peripheral leukocytes of clopidogrel-resistant patients.
- Real-time RT-PCR confirmed the differential expression of three specific lncRNAs: NONHSAT083775.2 and NONHSAT107804.2 were upregulated, while NONHSAT133455.2 was downregulated in the resistant group.
Conclusions:
- Clopidogrel resistance in CAD patients is associated with distinct lncRNA expression patterns.
- Upregulation of NONHSAT083775.2 and NONHSAT107804.2, and downregulation of NONHSAT133455.2 in leukocytes may serve as potential indicators of clopidogrel resistance.
Objective:
To explore differential expression of long non-coding RNA (lncRNA) in patients with coronary artery disease plus clopidogrel resistance. Methods: Patients underwent percutaneous coronary intervention (PCI) and treated with clopidogrel were recruited, and their clinical data and blood samples were collected. Patients were divided into a clopidogrel sensitive group and a clopidogrel resistance group according to platelet aggregation rate. lncRNA microarray and real-time RT-PCR were performed in 5 and 34 patients in each group, respectively. Results: lncRNA microarray showed that 11 lncRNAs in peripheral leukocytes were up-regulated and 8 lncRNAs were down-regulated in clopidogrel resistant group. Real-time PCR indicated that two lncRNAs (NONHSAT083775.2 and NONHSAT107804.2) in leukocytes were up-regulated and one lncRNA (NONHSAT133455.2) was down-regulated in the clopidogrel resistant group compared with the clopidogrel sensitive group, consistent with the results of lncRNA microarray. Conclusion: Clopidogrel resistance is associated with the up-regulation of lncRNA NONHSAT083775.2 and NONHSAT107804.2 and the down-regulation of NONHSAT133455.2.
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