ZHANG Yingjie, WANG Shibo, ZHU Jing, WANG Jing, YU Dawei. Expression of plasma exosomal microRNA-202-5p in patients with severe traumatic brain injury and its value in predicting prognosis[J]. Journal of Clinical Medicine in Practice, 2022, 26(19): 61-65. DOI: 10.7619/jcmp.20220746
Citation: ZHANG Yingjie, WANG Shibo, ZHU Jing, WANG Jing, YU Dawei. Expression of plasma exosomal microRNA-202-5p in patients with severe traumatic brain injury and its value in predicting prognosis[J]. Journal of Clinical Medicine in Practice, 2022, 26(19): 61-65. DOI: 10.7619/jcmp.20220746

Expression of plasma exosomal microRNA-202-5p in patients with severe traumatic brain injury and its value in predicting prognosis

More Information
  • Received Date: March 07, 2022
  • Available Online: October 23, 2022
  • Objective 

    To observe the expression level of plasma exosomal microRNA-202-5p (miR-202-5p) in patients with severe traumatic brain injury (sTBI) and its value in predicting prognosis.

    Methods 

    A total of 78 patients with sTBI were selected as study objects, and were divided into poor prognosis group and good prognosis group according to Glasgow Prognosis Scale (GOS) score, and 50 normal people in the same period were selected as control group. The plasma exosomes were extracted, and the expression level of miR-202-5p was detected. Logistic regression analysis was used to explore the factors associated with poor prognosis, and receiver operating characteristic (ROC) curve was used to analyze the prognostic value of miR-202-5p.

    Results 

    The expression level of plasma exosomal miR-202-5p of STBI patients was (0.84±0.09), which was lower than (3.72±0.16) of the normal subjects (t=12.235, P < 0.01); the Glasgow Coma Scale (GCS) score, miR-202-5p level and Rotterdam CT score of patients with poor prognosis were lower than those of patients with good prognosis, and the Acute Physiology and Chronic Health Status Ⅱ (APACHE Ⅱ) score was higher than that of patients with good prognosis (P < 0.05). GCS score, miR-202-5p level, APACHE Ⅱ score and Rotterdam CT score were independent risk factors affecting the prognosis of patients. The level of miR-202-5p was positively correlated with Rotterdam CT score and GCS score (r= 0.703, 0.711, P < 0.01), and negatively correlated with APACHE Ⅱscore (r=-0.693, P < 0.01). The effect of area under ROC curve (AUC) of miR-202-5p in predicting prognosis of patients was better than that of APACHE Ⅱ score, Rotterdam CT score and GCS score.

    Conclusion 

    The low expression of plasma exosomal miR-202-5p of sTBI patients can reflect the prognosis of the disease.

  • [1]
    CAPIZZI A, WOO J, VERDUZCO-GUTIERREZ M. Traumatic Brain Injury: An Overview of Epidemiology, Pathophysiology, and Medical Management[J]. Med Clin North Am, 2020, 104(2): 213-238. doi: 10.1016/j.mcna.2019.11.001
    [2]
    BICK H, WASFIE T, LABOND V, et al. Traumatic brain injury in the elderly with high Glasgow Coma scale and low injury severity scores: factors influencing outcomes[J]. Am J Emerg Med, 2022, 51: 354-357. doi: 10.1016/j.ajem.2021.11.005
    [3]
    MOHAMED HUSSEIN N, ZHU P Y, MENG S, et al. Early death prediction in children with traumatic brain injury using computed tomography scoring systems[J]. J Clin Neurosci, 2022, 95: 164-171. doi: 10.1016/j.jocn.2021.12.007
    [4]
    PANARO M A, BENAMEUR T, PORRO C. Extracellular Vesicles miRNA Cargo for Microglia Polarization in Traumatic Brain Injury [J]. Biomolecules, 2020, 10(6): 901. doi: 10.3390/biom10060901
    [5]
    GUEDES V A, DEVOTO C, LEETE J, et al. Extracellular vesicle proteins and microRNAs as biomarkers for traumatic brain injury[J]. Front Neurol, 2020, 11: 663. doi: 10.3389/fneur.2020.00663
    [6]
    CHEN J, SUN Q, LIU G Z, et al. Effect of miR-202-5p-mediated ATG7 on autophagy and apoptosis of degenerative nucleus pulposus cells[J]. Eur Rev Med Pharmacol Sci, 2020, 24(2): 517-525.
    [7]
    李冰. miR-202-5p下调eIF4E并减少自噬来保护脑缺血再灌注损伤的机制研究[D]. 贵阳: 贵州医科大学, 2020.
    [8]
    秦少强, 梁惠清, 王晓元, 等. miR-202-5p靶向下调SOX6表达对缺氧复氧诱导的心肌细胞氧化应激的影响研究[J]. 中国免疫学杂志, 2021, 37(5): 541-546. doi: 10.3969/j.issn.1000-484X.2021.05.006
    [9]
    SCERRATI A, DE ROSA S, MONGARDI L, et al. Standard of care, controversies, and innovations in the medical treatment of severe traumatic brain injury[J]. J Neurosurg Sci, 2018, 62(5): 574-583.
    [10]
    COOK N F. The Glasgow Coma scale: a European and global perspective on enhancing practice[J]. Crit Care Nurs Clin N Am, 2021, 33(1): 89-99. doi: 10.1016/j.cnc.2020.10.005
    [11]
    GARZA N, TOUSSI A, WILSON M, et al. The increasing age of TBI patients at a single level 1 trauma center and the discordance between GCS and CT Rotterdam scores in the elderly[J]. Front Neurol, 2020, 11: 112. doi: 10.3389/fneur.2020.00112
    [12]
    TAFRIHI M, HASHEMINASAB E. MiRNAs: biology, biogenesis, their web-based tools, and databases[J]. Microrna Shariqah United Arab Emir, 2019, 8(1): 4-27.
    [13]
    PEGTEL D M, GOULD S J. Exosomes[J]. Annu Rev Biochem, 2019, 88(3): 487-514.
    [14]
    SHA R, ZHANG B, HAN X, et al. Electroacupuncture Alleviates Ischemic Brain Injury by Inhibiting the miR-223/NLRP3 Pathway[J]. Med Sci Monit, 2019, 25(5): 4723-4733.
    [15]
    XIAO X, JIANG Y, LIANG W, et all. miR-212-5p attenuates ferroptotic neuronal death after traumatic brain injury by targeting Ptgs2[J]. Mol Brain, 2019, 12(1): 78. doi: 10.1186/s13041-019-0501-0
    [16]
    LONG X B, YAO X L, JIANG Q, et al. Astrocyte-derived exosomes enriched with miR-873a-5p inhibit neuroinflammation via microglia phenotype modulation after traumatic brain injury[J]. J Neuroinflammation, 2020, 17(1): 89. doi: 10.1186/s12974-020-01761-0
    [17]
    LI B, HUANG Z, MENG J, et al. miR-202-5p attenuates neurological deficits and neuronal injury in MCAO model rats and OGD-induced injury in Neuro-2a cells by targeting eIF4E-mediated induction of autophagy and inhibition of Akt/GSK-3β pathway[J]. Mol Cell Probes, 2020, 51: 101497. doi: 10.1016/j.mcp.2019.101497
    [18]
    覃燕生. 血浆外泌体miR-202-5p表达与动脉瘤性蛛网膜下腔出血患者病情和预后的关系[D]. 南宁: 广西医科大学, 2019.
    [19]
    侯剑, 刘瑞. 标准大骨瓣减压术治疗重型颅脑损伤患者的临床观察[J]. 实用临床医药杂志, 2020, 24(21): 36-38, 42. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202021011.htm
    [20]
    马玉霞, 田君, 曾子桓, 等. 血小板/淋巴细胞比值对重型创伤性颅脑损伤患者预后的预测价值[J]. 医学理论与实践, 2022, 35(4): 548-550, 564. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL202204003.htm
    [21]
    李瑞豪. 颅内压监测联合经颅多普勒、鹿特丹CT评分对重型颅脑创伤患者预后评估[D]. 兰州: 兰州大学, 2019.
    [22]
    张博, 杨明飞. 鹿特丹CT评分评估行去骨瓣减压术颅脑外伤患者的预后[J]. 实用医学杂志, 2018, 34(8): 1368-1371, 1375. doi: 10.3969/j.issn.1006-5725.2018.08.036
    [23]
    LIU C, XIE J, XIAO X, et al. Clinical predictors of prognosis in patients with traumatic brain injury combined with extracranial trauma[J]. Int J Med Sci, 2021, 18(7): 1639-1647. doi: 10.7150/ijms.54913
    [24]
    SHARMA B, TIMMONS B W. Pediatric traumatic brain injury and exercise medicine: a narrative review[J]. Pediatr Exerc Sci, 2019, 31(4): 393-400. doi: 10.1123/pes.2017-0286
  • Related Articles

    [1]LEI Yan, HAN Huixian, LI Linchen, XIE Guifang, ZHAO Na. Effects of immune-enhancing food and activity program on immunologic function and inflammatory factors in human papillomavirus infected women[J]. Journal of Clinical Medicine in Practice, 2023, 27(10): 97-101. DOI: 10.7619/jcmp.20222889
    [2]QU Hui, HE Jin′e, LI Jia, LI Yamei, WANG Kuanfeng. Effect of probiotics on the immune function and clinical efficacy in children with recurrent respiratory tract infection[J]. Journal of Clinical Medicine in Practice, 2019, 23(7): 80-83. DOI: 10.7619/jcmp.201907021
    [3]HUANG Bin, HUANG Yi. Effect of laparoscopic complete mesenterectomy on clinical outcomes and immunity function in elderly patients with rectal cancer[J]. Journal of Clinical Medicine in Practice, 2017, (23): 31-34. DOI: 10.7619/jcmp.201723010
    [4]YOU Lisi, CHEN Xiaoyan, YE Bin. Efficacy of thymosin combined with chemotherapy in treatment of patients with non-small cell lung cancer and its influence on immune function[J]. Journal of Clinical Medicine in Practice, 2017, (5): 42-45. DOI: 10.7619/jcmp.201705012
    [5]QIN Huajun, LI Changjin, WANG Qiyi. Efficacy of lienal polypeptide injection combined with conventional therapy in treatment of children with recurrent respiratory infection and their influence on immune function[J]. Journal of Clinical Medicine in Practice, 2017, (1): 97-99,108. DOI: 10.7619/jcmp.201701029
    [6]YOU Wenzhong, ZHOU Fawei, XIANG Erying, HUANG Hua. Efficacy of intravenous immunoglobulin on infectious mononucleosis in children and its influence on T lymphocyte subpopulation[J]. Journal of Clinical Medicine in Practice, 2016, (7): 117-120. DOI: 10.7619/jcmp.201607034
    [7]QIN Yang. Efficacy of specific immunotherapy in treatment of patients with allergic rhinitis and its influence on immunological function[J]. Journal of Clinical Medicine in Practice, 2016, (3): 95-97,111. DOI: 10.7619/jcmp.201603029
    [8]SHI Xufeng, XU Fei. Efficacy of laparoscopic radical operation for gastric cancer and its influence on the immune function[J]. Journal of Clinical Medicine in Practice, 2014, (13): 133-134,137. DOI: 10.7619/jcmp.201413045
    [9]ZHANG Guolong, TAO Yuejin. Clinical efficacy of integrated Chinese and western medicine on acute secretory otitis media and its influence on peripheral blood T lymphocyte subgroup and immunoglobulin level[J]. Journal of Clinical Medicine in Practice, 2013, (19): 44-46. DOI: 10.7619/jcmp.201319015
    [10]Efficacy and influence of serum IgE of magnesium isoglycyrrhizinate in the treatment of chronic urticaria[J]. Journal of Clinical Medicine in Practice, 2013, (14): 97-98,101. DOI: 10.7619/jcmp.201314034
  • Cited by

    Periodical cited type(1)

    1. 张向前,兰堃田,李伟明. 外周血循环肿瘤细胞动态变化与晚期食管癌化疗患者预后的关系. 医药论坛杂志. 2024(21): 2261-2265 .

    Other cited types(2)

Catalog

    Article views (187) PDF downloads (13) Cited by(3)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return