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TRPV6 Is Associated with Prognosis of ST-Elevation Acute Myocardial Infarction
Huiying Zhang1, Pengfei Ding2, Lei Zheng3
1School of Statistics, ShanXi University of Finance and Economics, Taiyuan, Shanxi Province.
Insights
Lower expression of Transient Receptor Potential Vanilloid 6 (TRPV6) is linked to poorer outcomes in ST-elevation acute myocardial infarction (STEMI) patients. This suggests TRPV6 may be a biomarker for STEMI prognosis.
Area of Science:
- Cardiology
- Biomarkers
- Molecular Biology
Background:
- ST-elevation acute myocardial infarction (STEMI) is a critical cardiovascular event.
- Understanding novel biomarkers for STEMI prognosis is crucial for patient management.
Purpose of the Study:
- To investigate the association between Transient Receptor Potential Vanilloid 6 (TRPV6) expression and clinical outcomes in STEMI patients.
- To explore the relationship between TRPV6 levels and various clinical and laboratory parameters in STEMI.
Main Methods:
- Observational study including 221 STEMI patients, 50 NSTEMI patients, and 50 healthy controls.
- Serum TRPV6 levels measured by ELISA; correlation analysis with clinical characteristics, cardiac biomarkers (CK-MB, TnI, NT-pro-BNP, CRP), and LVEF.
- Kaplan-Meier curves used for survival analysis.
Main Results:
- Serum TRPV6 levels were significantly lower in STEMI and NSTEMI patients compared to healthy controls.
- Deceased STEMI patients exhibited lower TRPV6 and higher NT-pro-BNP and CK-MB levels.
- Lower TRPV6 levels correlated with reduced LVEF, higher GRACE scores, elevated cardiac biomarkers, and increased incidence of adverse cardiovascular events and mortality.
Conclusions:
- Reduced TRPV6 expression is associated with adverse clinical outcomes and poor prognosis in STEMI patients.
- TRPV6 may serve as a potential biomarker for predicting prognosis in STEMI.
Objective:
To investigate the relationship between Transient Receptor Potential Vanilloid 6 (TRPV6) and ST-elevation acute myocardial infarction (STEMI) patients.
Methods:
This observational research included a total of 221 patients with STEMI admitted during January 2017~August 2019. Additionally, 50 cases of non-ST-elevation acute myocardial infarction (NSTEMI) patients and 50 healthy individuals were enrolled as the control. Serum levels of TRPV6 were detected by ELISA method. The relationship between TRPV6, clinical characteristics, laboratory indices of CK-MB, TnI, NT-pro-B-type natriuretic peptide (NT-pro-BNP), C-reactive protein (CRP), and the left ventricular ejection fraction (LVEF%) was analyzed by statistical methods. K-M curve was performed for survival time.
Results:
Serum levels of TRPV6 were remarkably lower in STEMI and NSTEMI patients compared with the healthy control. Levels of NT-pro-BNP and CK-MB were significantly higher and serum levels of TRPV6 were dramatically lower in deceased STEMI patients in comparison with the surviving patients. The levels of TRPV6 were negatively correlated with CK-MB and NT-pro-BNP. Meanwhile, TRPV6 was negatively expressed in tissues of STEMI patients and positively expressed in normal tissues. Patients with lower TRPV6 levels had remarkably lower LVEF ratio, higher GRACE scores, higher CK-MB and NT-pro-BNP levels, as well as higher ratios of cardiovascular death, malignant arrhythmia, cumulative MACE, and shorter survival time than patients with higher TRPV6.
Conclusion:
The lower expression of TRPV6 was associated with poor clinical outcomes and prognosis of STEMI patients.
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