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Published on: September 26, 2018
Circ_0000284: A risk factor and potential biomarker for prehypertension and hypertension
Mingjun Chen1, Yingying Cai1,2, Jianhui Guo1
1Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, 350122, China.
Insights
Circular RNA (circRNA) circ_0000284 is upregulated in hypertension and may serve as an early diagnostic biomarker. This finding offers new insights into hypertension
Area of Science:
- Cardiovascular Research
- Molecular Biology
- Genetics
Background:
- The role of circular RNAs (circRNAs) in disease development is recognized, yet their specific involvement in prehypertension and hypertension remains largely unexplored.
- Understanding the molecular mechanisms underlying hypertension is crucial for developing effective diagnostic and therapeutic strategies.
Purpose of the Study:
- To investigate the potential role of circ_0000284 in the molecular regulation of prehypertension and hypertension.
- To assess the diagnostic value of circ_0000284 in identifying individuals with prehypertension and hypertension.
Main Methods:
- Real-time fluorescence quantitative polymerase chain reaction (qRT-PCR) was used to measure circ_0000284 expression in 300 subjects (100 normal, 100 prehypertension, 100 hypertension).
- Multivariate logistic regression models, ROC curve analysis, and Spearman correlation were employed to evaluate diagnostic accuracy and clinical correlations.
Main Results:
- Circ_0000284 expression was significantly upregulated in the prehypertension and hypertension groups compared to the normal blood pressure group, with a notable increasing trend during hypertension progression (P < 0.05).
- ROC analysis indicated a high diagnostic ability for circ_0000284 in hypertension (AUC = 0.812) and a potential for early diagnosis of prehypertension (AUC = 0.628).
- Spearman correlation revealed a positive correlation between circ_0000284 expression and serum sodium (Na) and creatine kinase-MB (CKMB) levels.
Conclusions:
- Upregulated circ_0000284 is identified as an independent risk factor for prehypertension and hypertension.
- Circ_0000284 shows promise as a biomarker for the early diagnosis of hypertension and for distinguishing intermediate stages of its development.
- The study provides novel insights into the association between circ_0000284 and cardiac injury during hypertension progression.
Abstract:
CircRNAs have been shown to be involved in the development of certain diseases, but their application in prehypertension and hypertension remains unclear. We aimed to explore the potential role of circ_0000284 in revealing the molecular regulatory mechanisms of prehypertension and hypertension. We enrolled a total of 100 patients with normal blood pressure, 100 patients with prehypertension and 100 patients with hypertension. The expression of circ_0000284 among the groups was detected by real-time fluorescence quantitative polymerase chain reaction (qRT‒PCR). Multivariate logistic models were constructed combining conventional risk factors with circ_0000284. A receiver operating characteristic curve (ROC) was used to analyze the diagnostic value of circRNAs in the clinical model. Spearman correlation was used to analyze the correlation of circ_0000284 and the biochemical characteristics of all subjects. The results showed that circ_0000284 was differentially expressed among the normal blood pressure group, prehypertensive group and hypertensive group and showed a significantly upregulated trend in the progression to hypertension (P < 0.05). The ROC curve revealed a high diagnostic ability of circ_0000284 in hypertension in the clinical model (AUC = 0.812). Circ_0000284 also presented a certain ability for early diagnosis of prehypertension (AUC = 0.628). Spearman correlation showed that circ_0000284 was positively correlated with Na and CKMB. Our study suggested that upregulated expression of circ_0000284 was an independent risk factor for prehypertension and hypertension. Circ_0000284 was a potential fingerprint for the early diagnosis of hypertension and distinguished the intermediate stage of hypertension development. Moreover, our study provided new insight into the correlation between circ_0000284 and cardiac injury in the progression to hypertension.
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