[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.
Abstract

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