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Published on: September 28, 2017
Molecular subtypes of ischemic heart disease based on circadian rhythm
Zhaokai Zhou1,2, Ge Zhang3, Zhan Wang2
1Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.
Insights
Circadian rhythm disruption (CRD) significantly impacts coronary heart disease (CAD) progression and prognosis. A novel CRD score identifies distinct patterns and offers potential for personalized CAD therapies.
Area of Science:
- Cardiology
- Chronobiology
- Genomics
Background:
- Coronary atherosclerotic heart disease (CAD) is a leading global chronic illness.
- Circadian rhythm disruption (CRD) is linked to various disease progressions, but its role in CAD is unclear.
Purpose of the Study:
- To investigate the association between CRD and CAD development.
- To establish quantitative markers for CRD in CAD patients.
Main Methods:
- Utilized a Circadian rhythm disruption score (CRDscore) to quantify CRD levels in CAD samples.
- Analyzed CRDscore distributions across different CAD subtypes.
Main Results:
- A high CRDscore was significantly associated with adverse prognosis in CAD patients.
- CRDscore demonstrated a substantial correlation with CAD progression.
- Distinct CRDscore distributions were observed among various CAD subtypes.
Conclusions:
- This study reveals the relationship between CRD and CAD at the single-cell level.
- Established reliable markers for CAD development, treatment, and prognosis.
- Suggests potential for circadian rhythm-based therapies in personalized CAD management.
Abstract:
Coronary atherosclerotic heart disease (CAD) is among the most prevalent chronic diseases globally. Circadian rhythm disruption (CRD) is closely associated with the progression of various diseases. However, the precise role of CRD in the development of CAD remains to be elucidated. The Circadian rhythm disruption score (CRDscore) was employed to quantitatively assess the level of CRD in CAD samples. Our investigation revealed a significant association between high CRDscore and adverse prognosis in CAD patients, along with a substantial correlation with CAD progression. Remarkably distinct CRDscore distributions were also identified among various subtypes. In summary, we have pioneered the revelation of the relationship between CRD and CAD at the single-cell level and established reliable markers for the development, treatment, and prognosis of CAD. A deeper understanding of these mechanisms may offer new possibilities for incorporating "the therapy of coronary heart disease based circadian rhythm" into personalized medical treatment regimens.
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