miR-486-5p Serves as a Diagnostic Biomarker for Sepsis and Its Predictive Value for Clinical Outcomes

Baobin Sun, Shubin Guo Emergency Medicine Clinical Research Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing, 100020, People’s Republic of ChinaCorrespondence: Shubin GuoEmergency Medicine Clinical Research Cent...

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Autores principales:	Sun B, Guo S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	mir-486-5p sepsis diagnosis biomarker predictive Pathology RB1-214 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/20c2f8d504e546e3a761742703abe33e
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spelling	oai:doaj.org-article:20c2f8d504e546e3a761742703abe33e2021-12-02T16:06:46ZmiR-486-5p Serves as a Diagnostic Biomarker for Sepsis and Its Predictive Value for Clinical Outcomes1178-7031https://doaj.org/article/20c2f8d504e546e3a761742703abe33e2021-07-01T00:00:00Zhttps://www.dovepress.com/mir-486-5p-serves-as-a-diagnostic-biomarker-for-sepsis-and-its-predict-peer-reviewed-fulltext-article-JIRhttps://doaj.org/toc/1178-7031Baobin Sun, Shubin Guo Emergency Medicine Clinical Research Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing, 100020, People’s Republic of ChinaCorrespondence: Shubin GuoEmergency Medicine Clinical Research Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, 8 South Workers Stadium Road, Chaoyang District, Beijing, 100020, People’s Republic of ChinaTel + 86-10-85231000Email biansuidan271@163.comBackground: As a molecular detection method, miRNA can quickly diagnose and prevent diseases, intervene in disease as early as possible, and reduce mortality. This study was to investigate the potential clinical diagnostic and predictive significance of miR-486-5p in sepsis and its correlation with inflammation and disease severity.Methods: The serum miR-486-5p in 108 sepsis, 60 pneumonia-infected, and 101 healthy controls were detected by RT-qPCR. Spearman coefficient detects the correlation between serum miRNA and disease severity indicators (APACHE II, SOFA scores), and inflammation indicators (CRP, PCT), respectively. The diagnostic significance of miR-486-5p in sepsis was analyzed by the ROC curve. Kaplan–Meier estimator and Cox regression hazards analysis of the predictive significance of serum miR-486-5p in 28-day survival from sepsis.Results: Serum miR-486-5p was increased in sepsis patients compared with healthy control and pneumonia-infected patients (P < 0.001). And increased serum miR-486-5p was positively associated with disease severity (SOFA score and APACHE II score) and inflammation (CRP and PCT). Serum miR-486-5p can not only identify sepsis patients from healthy controls (AUC = 0.914) but also significantly distinguish sepsis patients from pneumonia-infected patients (AUC = 0.814), showing good potential as a diagnostic biomarker for sepsis. In addition, serum miR-486-5p was an independent predictor of 28-day survival (log-rank P = 0.012), and patients with high levels of miR-486-5p had a poorer overall 28-day survival (HR = 3.057, 95% CI = 1.385– 17.817, P = 0.014).Conclusion: miR-486-5p is a potential diagnostic biomarker for sepsis, and its high level is significantly correlated with the disease severity and inflammation. In addition, miR-486-5p were predictive risk factors for 28-day survival in sepsis patients.Keywords: miR-486-5p, sepsis, diagnosis biomarker, predictiveSun BGuo SDove Medical Pressarticlemir-486-5psepsisdiagnosis biomarkerpredictivePathologyRB1-214Therapeutics. PharmacologyRM1-950ENJournal of Inflammation Research, Vol Volume 14, Pp 3687-3695 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mir-486-5p sepsis diagnosis biomarker predictive Pathology RB1-214 Therapeutics. Pharmacology RM1-950
spellingShingle	mir-486-5p sepsis diagnosis biomarker predictive Pathology RB1-214 Therapeutics. Pharmacology RM1-950 Sun B Guo S miR-486-5p Serves as a Diagnostic Biomarker for Sepsis and Its Predictive Value for Clinical Outcomes
description	Baobin Sun, Shubin Guo Emergency Medicine Clinical Research Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing, 100020, People’s Republic of ChinaCorrespondence: Shubin GuoEmergency Medicine Clinical Research Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, 8 South Workers Stadium Road, Chaoyang District, Beijing, 100020, People’s Republic of ChinaTel + 86-10-85231000Email biansuidan271@163.comBackground: As a molecular detection method, miRNA can quickly diagnose and prevent diseases, intervene in disease as early as possible, and reduce mortality. This study was to investigate the potential clinical diagnostic and predictive significance of miR-486-5p in sepsis and its correlation with inflammation and disease severity.Methods: The serum miR-486-5p in 108 sepsis, 60 pneumonia-infected, and 101 healthy controls were detected by RT-qPCR. Spearman coefficient detects the correlation between serum miRNA and disease severity indicators (APACHE II, SOFA scores), and inflammation indicators (CRP, PCT), respectively. The diagnostic significance of miR-486-5p in sepsis was analyzed by the ROC curve. Kaplan–Meier estimator and Cox regression hazards analysis of the predictive significance of serum miR-486-5p in 28-day survival from sepsis.Results: Serum miR-486-5p was increased in sepsis patients compared with healthy control and pneumonia-infected patients (P < 0.001). And increased serum miR-486-5p was positively associated with disease severity (SOFA score and APACHE II score) and inflammation (CRP and PCT). Serum miR-486-5p can not only identify sepsis patients from healthy controls (AUC = 0.914) but also significantly distinguish sepsis patients from pneumonia-infected patients (AUC = 0.814), showing good potential as a diagnostic biomarker for sepsis. In addition, serum miR-486-5p was an independent predictor of 28-day survival (log-rank P = 0.012), and patients with high levels of miR-486-5p had a poorer overall 28-day survival (HR = 3.057, 95% CI = 1.385– 17.817, P = 0.014).Conclusion: miR-486-5p is a potential diagnostic biomarker for sepsis, and its high level is significantly correlated with the disease severity and inflammation. In addition, miR-486-5p were predictive risk factors for 28-day survival in sepsis patients.Keywords: miR-486-5p, sepsis, diagnosis biomarker, predictive
format	article
author	Sun B Guo S
author_facet	Sun B Guo S
author_sort	Sun B
title	miR-486-5p Serves as a Diagnostic Biomarker for Sepsis and Its Predictive Value for Clinical Outcomes
title_short	miR-486-5p Serves as a Diagnostic Biomarker for Sepsis and Its Predictive Value for Clinical Outcomes
title_full	miR-486-5p Serves as a Diagnostic Biomarker for Sepsis and Its Predictive Value for Clinical Outcomes
title_fullStr	miR-486-5p Serves as a Diagnostic Biomarker for Sepsis and Its Predictive Value for Clinical Outcomes
title_full_unstemmed	miR-486-5p Serves as a Diagnostic Biomarker for Sepsis and Its Predictive Value for Clinical Outcomes
title_sort	mir-486-5p serves as a diagnostic biomarker for sepsis and its predictive value for clinical outcomes
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/20c2f8d504e546e3a761742703abe33e
work_keys_str_mv	AT sunb mir4865pservesasadiagnosticbiomarkerforsepsisanditspredictivevalueforclinicaloutcomes AT guos mir4865pservesasadiagnosticbiomarkerforsepsisanditspredictivevalueforclinicaloutcomes
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miR-486-5p Serves as a Diagnostic Biomarker for Sepsis and Its Predictive Value for Clinical Outcomes

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