Diagnostic Value of Let‐7a‐5p in Essential Hypertension
ABSTRACT This study aimed to investigate the role of let‐7a‐5p in the pathogenesis of essential hypertension (EH) and its correlation with the renin‐angiotensin‐aldosterone system (RAAS) biomarkers. Ninety‐eight EH patients and 24 healthy controls (HC) enrolled in the study were assayed for the rela...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-03-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.70033 |
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| Summary: | ABSTRACT This study aimed to investigate the role of let‐7a‐5p in the pathogenesis of essential hypertension (EH) and its correlation with the renin‐angiotensin‐aldosterone system (RAAS) biomarkers. Ninety‐eight EH patients and 24 healthy controls (HC) enrolled in the study were assayed for the relative expression of let‐7a‐5p in plasma by quantitative real‐time polymerase chain reaction (Q‐PCR), and biomarkers of the RAAS system, including angiotensin‐converting enzyme 2 (ACE2), Ang (1‐7), MAS1, angiotensin‐converting enzyme (ACE), angiotensin II (Ang II), and angiotensin II type 1 receptor (AT1R), were determined by enzyme‐linked immunosorbent assay (ELISA) The expression levels of the biomarkers of RAAS system were determined. The results showed that the expression levels of let‐7a‐5p in the plasma of EH patients were remarkably higher than those of HC. The prediction model of combined let‐7a‐5p showed high accuracy by constructing a subject operating characteristic (ROC) curve with an area under the curve (AUC) of 0.885, and the reliability of the model was further verified by the Hosmer–Lemeshow (H–L) goodness‐of‐fit test, the Model Calibration Curve, and the Decision Curve Analysis. Spearman correlation analysis revealed that the expression of let‐7a‐5p was positively correlated with ACE (r = 0.352, p < 0.001), and mediation analysis indicated that ACE partially mediated between let‐7a‐5p and the development of hypertension. The present study concludes with the potential of let‐7a‐5p as a companion diagnostic biomarker for EH. It suggests that there may be a complex regulatory mechanism between it and specific RAAS biomarkers, which provides a new perspective on the pathogenesis and diagnosis of EH. |
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| ISSN: | 1524-6175 1751-7176 |