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Beclin 1 level combined with Gensini score and low-density lipoprotein cholesterol correlate strongly with
Yuting Qu1,2, Ying Xue1, Xiaowei Xiong3
1Beijing University of Chinese Medicine Beijing 100029, China.
Insights
Serum Beclin 1 levels are significantly decreased in patients with multi-vessel disease (MVD). Lower Beclin 1, combined with Gensini score and LDL-C, effectively predicts MVD risk.
Area of Science:
- Cardiovascular Research
- Biochemistry
- Medical Diagnostics
Background:
- Coronary heart disease (CHD) diagnosis relies on complex assessments.
- Identifying reliable biomarkers for disease severity, such as multi-vessel disease (MVD), is crucial.
- Beclin 1, a protein involved in autophagy, is being investigated for its role in cardiovascular conditions.
Purpose of the Study:
- To determine the correlation between serum Beclin 1 levels and the presence of MVD.
- To evaluate the predictive value of Beclin 1, in conjunction with established markers, for MVD.
Main Methods:
- Retrospective analysis of 169 participants, including 106 with CHD.
- Categorization into single-vessel disease (SVD) and MVD groups based on coronary angiography.
- Measurement of serum Beclin 1 using enzyme-linked immunosorbent assay.
- Statistical analysis including logistic regression and ROC curves.
Main Results:
- Serum Beclin 1 levels were significantly lower in MVD patients compared to controls and SVD patients.
- Gensini score was an independent risk factor for MVD.
- Beclin 1 and LDL-C were identified as independent protective factors against MVD.
- A combined model (Gensini score + Beclin 1 + LDL-C) demonstrated high predictive accuracy (AUC=0.936) for MVD.
Conclusions:
- Serum Beclin 1 levels are a significant indicator in patients with coronary heart disease.
- The combination of Beclin 1, Gensini score, and LDL-C offers robust predictive value for MVD.
- Beclin 1 may serve as a valuable biomarker for assessing MVD severity.
Objective:
To investigate the correlation between serum Beclin 1 levels and multi-vessel disease (MVD).
Methods:
A total of 169 participants were enrolled in this retrospective study. Based on coronary angiographic findings, 106 patients diagnosed with coronary heart disease (CHD) were categorized into single-vessel disease (SVD) and MVD groups, and their Gensini scores were calculated respectively. General demographic data and serum biochemical indicators were collected. Serum Beclin 1 concentration was detected by enzyme-linked immunosorbent assay. The differential expression of Beclin 1 among the three groups was compared and analyzed. Logistic regression models and receiver operating characteristic (ROC) curves were used to explore the association between Beclin 1 level and MVD.
Results:
Compared to the control group, Beclin 1 levels were significantly decreased in both the groups, with the lowest level observed in the MVD group [2.45 (1.69, 4.17), 2.64 (2.24, 2.89), 1.09 (0.66, 1.78), P<0.001]. Multivariate analysis results demonstrated that Gensini score was an independent risk factor for MVD (OR = 1.045, 95% CI: 1.018-1.090, P<0.001), while Beclin 1 (OR = 0.372, 95% CI: 0.174-0.695, P = 0.001) and low-density lipoprotein cholesterol (LDL-C) (OR = 0.295, 95% CI: 0.128-0.619, P<0.001) served as independent protective factors against MVD The combined model (Gensini score + Beclin 1 + LDL-C yielded an AUC of 0.936, with an optimal predictive probability cutoff of ≥0.664, a sensitivity of 0.911, and a specificity of 0.963. Compared to the basic model (Gensini score + LDL-C), the combined model exhibited a higher AUC, indicating that the addition of Beclin 1 effectively improved the predictive efficacy for MVD.
Conclusion:
The combination of Beclin 1 level, Gensini score, and LDL-C had good predictive value for MVD.
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