Serum N-Acetylneuraminic Acid Is Associated with Atrial Fibrillation and Left Atrial Enlargement

Purpose. Recent studies have indicated that N-acetylneuraminic acid (Neu5Ac) plays a key role in severe coronary artery diseases, involving RhoA signaling pathway activation, which is critically involved in cardiac fibrosis. There is convincing evidence from many studies that left atrium fibrosis is...

Full description

Saved in:
Bibliographic Details
Main Authors: Wei Hu, Jing Xie, Tongjian Zhu, Guannan Meng, Meng Wang, Zhen Zhou, Fuding Guo, Hui Chen, Zhuo Wang, Songyun Wang, Huafen Liu, Hong Jiang
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/1358098
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850215802503954432
author Wei Hu
Jing Xie
Tongjian Zhu
Guannan Meng
Meng Wang
Zhen Zhou
Fuding Guo
Hui Chen
Zhuo Wang
Songyun Wang
Huafen Liu
Hong Jiang
author_facet Wei Hu
Jing Xie
Tongjian Zhu
Guannan Meng
Meng Wang
Zhen Zhou
Fuding Guo
Hui Chen
Zhuo Wang
Songyun Wang
Huafen Liu
Hong Jiang
author_sort Wei Hu
collection DOAJ
description Purpose. Recent studies have indicated that N-acetylneuraminic acid (Neu5Ac) plays a key role in severe coronary artery diseases, involving RhoA signaling pathway activation, which is critically involved in cardiac fibrosis. There is convincing evidence from many studies that left atrium fibrosis is involved in the pathophysiology of AF. Therefore, we speculated that Neu5Ac may be associated with atrial fibrillation (AF) and involved in the development of AF. This study aims to investigate the clinical relationship between Neu5Ac and AF and left atrial enlargement. Methods. Forty-five patients with AF (AF group) and forty-five patients with non-AF (control group) matched for age, sex, and hospitalization date were recruited for our study. Plasma concentrations of Neu5Ac from peripheral venous blood were analyzed using enzyme-linked immunosorbent assay (ELISA). The baseline characteristics, plasma level of Neu5Ac, and echocardiographic characteristics were evaluated. Results. The plasma level of Neu5Ac was significantly higher in the AF group than in the control group (107.66 ± 47.50 vs 77.87 ± 39.09  ng/ml; P<0.05); the left atrial diameters were positively correlated with the plasma Neu5Ac level (R = 0.255; P<0.05). The plasma Neu5Ac level (R = 0.368; P<0.05) and the left atrial diameters (R = 0.402; P<0.05) were positively correlated with AF history times. Neu5Ac (odds ratio 1.018, 95% CI 1.003–1.032; P<0.05) and the left atrial diameter (odds ratio 1.142, 95% CI 1.020–1.280; P<0.05) were independent risk factors for AF in multivariate regression analysis. Conclusions. Serum Neu5Ac is associated with atrial fibrillation, and the mechanism may involve left atrial enlargement.
format Article
id doaj-art-86e30f8684ec4959b653e03d49e78e2e
institution OA Journals
issn 2090-8016
2090-0597
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Cardiology Research and Practice
spelling doaj-art-86e30f8684ec4959b653e03d49e78e2e2025-08-20T02:08:31ZengWileyCardiology Research and Practice2090-80162090-05972020-01-01202010.1155/2020/13580981358098Serum N-Acetylneuraminic Acid Is Associated with Atrial Fibrillation and Left Atrial EnlargementWei Hu0Jing Xie1Tongjian Zhu2Guannan Meng3Meng Wang4Zhen Zhou5Fuding Guo6Hui Chen7Zhuo Wang8Songyun Wang9Huafen Liu10Hong Jiang11Department of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Cardiovascular Research Institute, Wuhan University, Hubei Key Laboratory of Cardiology, Wuhan, Hubei 430060, ChinaPurpose. Recent studies have indicated that N-acetylneuraminic acid (Neu5Ac) plays a key role in severe coronary artery diseases, involving RhoA signaling pathway activation, which is critically involved in cardiac fibrosis. There is convincing evidence from many studies that left atrium fibrosis is involved in the pathophysiology of AF. Therefore, we speculated that Neu5Ac may be associated with atrial fibrillation (AF) and involved in the development of AF. This study aims to investigate the clinical relationship between Neu5Ac and AF and left atrial enlargement. Methods. Forty-five patients with AF (AF group) and forty-five patients with non-AF (control group) matched for age, sex, and hospitalization date were recruited for our study. Plasma concentrations of Neu5Ac from peripheral venous blood were analyzed using enzyme-linked immunosorbent assay (ELISA). The baseline characteristics, plasma level of Neu5Ac, and echocardiographic characteristics were evaluated. Results. The plasma level of Neu5Ac was significantly higher in the AF group than in the control group (107.66 ± 47.50 vs 77.87 ± 39.09  ng/ml; P<0.05); the left atrial diameters were positively correlated with the plasma Neu5Ac level (R = 0.255; P<0.05). The plasma Neu5Ac level (R = 0.368; P<0.05) and the left atrial diameters (R = 0.402; P<0.05) were positively correlated with AF history times. Neu5Ac (odds ratio 1.018, 95% CI 1.003–1.032; P<0.05) and the left atrial diameter (odds ratio 1.142, 95% CI 1.020–1.280; P<0.05) were independent risk factors for AF in multivariate regression analysis. Conclusions. Serum Neu5Ac is associated with atrial fibrillation, and the mechanism may involve left atrial enlargement.http://dx.doi.org/10.1155/2020/1358098
spellingShingle Wei Hu
Jing Xie
Tongjian Zhu
Guannan Meng
Meng Wang
Zhen Zhou
Fuding Guo
Hui Chen
Zhuo Wang
Songyun Wang
Huafen Liu
Hong Jiang
Serum N-Acetylneuraminic Acid Is Associated with Atrial Fibrillation and Left Atrial Enlargement
Cardiology Research and Practice
title Serum N-Acetylneuraminic Acid Is Associated with Atrial Fibrillation and Left Atrial Enlargement
title_full Serum N-Acetylneuraminic Acid Is Associated with Atrial Fibrillation and Left Atrial Enlargement
title_fullStr Serum N-Acetylneuraminic Acid Is Associated with Atrial Fibrillation and Left Atrial Enlargement
title_full_unstemmed Serum N-Acetylneuraminic Acid Is Associated with Atrial Fibrillation and Left Atrial Enlargement
title_short Serum N-Acetylneuraminic Acid Is Associated with Atrial Fibrillation and Left Atrial Enlargement
title_sort serum n acetylneuraminic acid is associated with atrial fibrillation and left atrial enlargement
url http://dx.doi.org/10.1155/2020/1358098
work_keys_str_mv AT weihu serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT jingxie serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT tongjianzhu serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT guannanmeng serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT mengwang serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT zhenzhou serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT fudingguo serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT huichen serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT zhuowang serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT songyunwang serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT huafenliu serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement
AT hongjiang serumnacetylneuraminicacidisassociatedwithatrialfibrillationandleftatrialenlargement