Study on the admission levels of circulating cell-free DNA in patients with acute myocardial infarction using

Konstantinos Agiannitopoulos1, Pinelopi Samara1, Eirini Papadopoulou2

  • 1Division of Genetics and Biotechnology, Department of Biology, National and Kapodistrian University of Athens, Athens, Greece.

Insights

Circulating cell-free DNA (cf-DNA) levels are elevated in patients with acute myocardial infarction (AMI). Quantifying cf-DNA using novel methods like the Qubit 3.0 ss-DNA assay may aid in diagnosing AMI.

Area of Science:

  • Biochemistry
  • Cardiology
  • Molecular Diagnostics

Background:

  • Circulating cell-free DNA (cf-DNA) originates from cell death, a process significantly increased during acute myocardial infarction (AMI).
  • Assessing cf-DNA levels in plasma is crucial for understanding its role in AMI pathogenesis and diagnosis.

Purpose of the Study:

  • To quantify cf-DNA levels in patients admitted with AMI using various techniques.
  • To compare the efficacy of different cf-DNA quantification methods, including Qubit 3.0, NanoDrop, and qPCR.
  • To evaluate the potential of cf-DNA as a biomarker for AMI diagnosis and management.

Main Methods:

  • Plasma cf-DNA was analyzed from 80 ST-elevation myocardial infarction (STEMI) patients and 50 healthy controls.
  • Quantification methods included Qubit 3.0 (single-stranded and double-stranded DNA assays), NanoDrop, and quantitative PCR (qPCR).

Main Results:

  • cf-DNA levels were significantly higher in AMI patients compared to healthy controls.
  • The Qubit 3.0 single-stranded DNA assay yielded the highest cf-DNA concentration values, comparable to qPCR.
  • NanoDrop and Qubit 3.0 double-stranded DNA assays provided lower cf-DNA concentration values.

Conclusions:

  • Elevated cf-DNA levels are associated with AMI, supporting its role in conditions involving massive cell death.
  • Novel cf-DNA quantification methodologies, particularly the Qubit 3.0 ss-DNA assay, show promise for improving AMI diagnosis and clinical management.