[1]龚铭杰 黄 炜 施振华 王君祥.血浆外泌体miR-212、miR-132与颅脑损伤严重程度和Rotterdam CT评分的关系[J].中国临床神经外科杂志,2021,26(09):676-678.[doi:10.13798/j.issn.1009-153X.2021.09.007]
 GONG Ming-jie,HUANG Wei,SHI Zhen-hua,et al.Relationship of plasma exosomal levels of miR-212 and miR-132 to severity and Rotterdam CT score of patents with traumatic brain injury[J].,2021,26(09):676-678.[doi:10.13798/j.issn.1009-153X.2021.09.007]
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血浆外泌体miR-212、miR-132与颅脑损伤严重程度和Rotterdam CT评分的关系()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年09期
页码:
676-678
栏目:
论著
出版日期:
2021-09-25

文章信息/Info

Title:
Relationship of plasma exosomal levels of miR-212 and miR-132 to severity and Rotterdam CT score of patents with traumatic brain injury
文章编号:
1009-153X(2021)09-0676-03
作者:
龚铭杰 黄 炜 施振华 王君祥
215500 江苏,徐州医科大学附属常熟医院(常熟市第二人民医院)神经外科(龚铭杰、黄 炜、施振华、王君祥)
Author(s):
GONG Ming-jie HUANG Wei SHI Zhen-hua WANG Jun-xiang.
Department of Neurosurgery, Changshu No.2 Pepole’s Hospital, Changshu 215500, China
关键词:
颅脑损伤外泌体血浆微小核糖核酸miRNAmiR-132miR-212Rotterdam CT评分
Keywords:
Traumatic brain injury Plasma Exosome MicroRNA miR-132 miR-212 Rotterdam CT score
分类号:
R 651.1+5; Q 786
DOI:
10.13798/j.issn.1009-153X.2021.09.007
文献标志码:
A
摘要:
目的 探讨血浆外泌体miR-212、miR-132水平与颅脑损伤(TBI)严重程度和Rotterdam CT评分的关系。方法 前瞻性收集2019年3月~2020年10月收治的TBI共76例,另选择我院体检的健康成年人38例为对照。提取血浆外泌体并采用实时荧光定量PCR法检测miR-212、miR-132表达水平。结果 76例TBI中,轻型19例,中型35例,重型22例。TBI血浆外泌体miR-212、miR-132水平均明显低于对照组(P<0.05)。与轻型TBI比较,中、重型TBI组血浆外泌体miR-132水平明显降低(P<0.05);与中型TBI比较,重型TBI血浆外泌体miR-212、miR-132水平明显降低(P<0.05)。血浆外泌体miR-212((r=0.396)、miR-132(r=0.716)水平与入院GCS评分呈明显正相关(P<0.001)。血浆外泌体miR-212水平(r=-0.375)和miR-132水平(r=-0.613)与入院Rotterdam CT评分呈明显负相关(P<0.05)。结论 TBI病人血浆外泌体miR-132、miR-212水平明显下降,并且随着TBI损伤程度加重和入院Rotterdam CT评分增加而明显降低。这提示血浆miR-132、miR-212可能是TBI潜在的生物标记物。
Abstract:
Objective To investigate the relationship of plasma exosomal levels of miR-212 and miR-132 to the severity and Rotterdam CT score of patients with traumatic brain injury (TBI). Methods A total of 76 TBI patients were enrolled prospectively from March 2019 to October 2020 and 38 healthy volunteers were recruited as the control. The plasma exosomal levels of miR-212 and miR-132 were detected using real-time fluorescent quantitative PCR. Results Of 76 TBI patients, 19 suffered from mild TBI, 35 moderate and 22 severe. The plasma exosomal levels of miR-212 and miR-132 in the TBI group significantly decreased compared to those in control group (P<0.05). As the severity of TBI increased, the plasma exosomal levels of miR-212 and miR-132 significantly decreased(P<0.05). The plasma exosomal levels of miR-212 (r=0.396) and miR-132 (r=0.716) were positively significantly correlated with the GCS score on admittion (P<0.05). The plasma exosomal levels of miR-212 (r=-0.375) and miR-132 (r=-0.613) were negatively significantly correlated with the Rotterdam CT score on admittion (P<0.05). Conclusions The plasma exosomal levels of miR-132 and miR-212 in TBI patients significantly decrease, and they decrease significantly as the severity of TBI increase and the Rotterdam CT score increase. Our results suggest that the plasma exosomal levels of miR-132 and miR-212 may be potential biomarkers of TBI.

参考文献/References:

[1] Kerr N, de Rivero Vaccari JP, Dietrich WD, et al. Neural-respiratory inflammasome axis in traumatic brain injury [J]. Exp Neurol, 2020, 323: 113080.
[2] Katar S, Aydin Ozturk P, Ozel M, et al. The use of rotterdam CT score for prediction of outcomes in pediatric traumatic brain injury patients admitted to emergency service [J]. Pediatr Neurosurg, 2020, 55(5): 237-243.
[3] Willis EF, MacDonald KPA, Nguyen QH, et al. Repopula-ting microglia promote brain repair in an IL-6-dependent manner [J]. Cell, 2020, 180(5): 833-846.e16.
[4] Vignard V, Labbé M, Marec N, et al. MicroRNAs in tumor exosomes drive immune escape in melanoma [J]. Cancer Immunol Res, 2020, 8(2): 255-267.
[5] Rodríguez-Gómez JA, Kavanagh E, Engskog-Vlachos P, et al. Microglia: agents of the CNS pro-inflammatory response [J]. Cells, 2020, 9(7): 1717.
[6] Aten S, Page CE, Kalidindi A, et al. miR-132/212 is induced by stress and its dysregulation triggers anxiety-related behavior [J]. Neuropharmacology, 2019, 144: 256-270.
[7] Zhang W, Ou X, Wu X. Proteomics profiling of plasma exosomes in epithelial ovarian cancer: a potential role in the coagulation cascade, diagnosis and prognosis [J]. Int J Oncol, 2019, 54(5): 1719-1733.
[8] 汪 军,谢 鹏,董 鑫,等. Rotterdam CT评分和Hel-sinki CT评分在颅脑损伤预后评估中的价值[J]. 中国临床神经外科杂志,2020,25(7):468-470.
[9] Korotkov A, Puhakka N, Gupta SD, et al. Increased expres-sion of miR142 and miR155 in glial and immune cells after traumatic brain injury may contribute to neuroinflammation via astrocyte activation [J]. Brain Pathol, 2020, 30(5): 897-912.
[10] Pascual M, Ibá?ez F, Guerri C. Exosomes as mediators of neuron-glia communication in neuroinflammation [J]. Neural Regen Res, 2020, 15(5): 796-801.
[11] Atif H, Hicks SD. A review of microRNA biomarkers in traumatic brain injury [J]. J Exp Neurosci, 2019, 13: 1179069519832286.
[12] Xiao X, Jiang Y, Liang W, et al. miR-212-5p attenuates ferroptotic neuronal death after traumatic brain injury by targeting Ptgs2 [J]. Mol Brain, 2019, 12: 78.
[13] Burek M, K?nig A, Lang M, et al. Hypoxia-Induced micro-RNA-212/132 alter blood-brain barrier integrity through inhibition of tight junction-associated proteins in human and mouse brain microvascular endothelial cells [J]. Transl Stroke Res, 2019, 10(6): 672-683.
[14] Xu B, Zhang Y, Du XF, et al. Neurons secrete miR-132-containing exosomes to regulate brain vascular integrity [J]. Cell Res, 2017, 27(7): 882-897.
[15] Toledo JA, Namias R Sr, Milano MJ. A novel automated calculation of basal cistern effacement status on computed tomographic imaging in traumatic brain injury [J]. Cureus, 2021, 13(2): e13144.
[16] Jiang C, Cao J, Williamson C, et al. Midline shift vs. mid-surface shift: correlation with outcome of traumatic brain injuries [J]. Proceedings (IEEE Int Conf Bioinformatics Biomed), 2019, 2019: 1083-1086.
[17] Glancz LJ, Poon MTC, Hutchinson PJ, et al. Drains result in greater reduction of subdural width and midline shift in burr hole evacuation of chronic subdural haematoma [J].Acta Neurochir (Wien), 2020, 162(6): 1455-1466.
[18] 李浩浩,柳文辉,董志辉. 颅脑损伤患者CT征象特点及预后分析[J]. 中国CT和MRI杂志,2019,17(1):25-27.
[19] 陈慧敏,姚梦雅,黄利民,等. 红细胞分布宽度和血小板分布宽度联合格拉斯哥昏迷评分对重度创伤性颅脑损伤患者预后的评估价值[J]. 医学研究生学报,2020,33(5):493-497.

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备注/Memo

备注/Memo:
基金项目:苏州市青年科技项目(KJXW2020067)
通讯作者:王君祥,E-mail:hospital2003@163.com
更新日期/Last Update: 1900-01-01