MIR-155 as a potential biomarker for disease severity in st-segment elevation myocardial infarction: insights from a university-affiliated cardiovascular center

Background: MiR-155 plays a role in inflammatory pathways and cardiovascular diseases, though its relationship with inflammation, atherosclerosis, and outcomes in ST-elevation myocardial infarction (STEMI) is not well established. Objective: To investigate associations between miR-155 levels, inflam...

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Main Authors: Ailyn Morales-Rentería, Amina Ruiz-Santos, Luis M. Amezcua-Castillo, Jazmín A. Guerra-López, Kietseé A. Díaz-Domínguez, José L. Sánchez-Gloria, Héctor Gonzalez-Pacheco, Luis M. Amezcua-Guerra
Format: Article
Language:English
Published: Permanyer 2025-01-01
Series:Revista de Investigación Clínica
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Online Access:https://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=521
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author Ailyn Morales-Rentería
Amina Ruiz-Santos
Luis M. Amezcua-Castillo
Jazmín A. Guerra-López
Kietseé A. Díaz-Domínguez
José L. Sánchez-Gloria
Héctor Gonzalez-Pacheco
Luis M. Amezcua-Guerra
author_facet Ailyn Morales-Rentería
Amina Ruiz-Santos
Luis M. Amezcua-Castillo
Jazmín A. Guerra-López
Kietseé A. Díaz-Domínguez
José L. Sánchez-Gloria
Héctor Gonzalez-Pacheco
Luis M. Amezcua-Guerra
author_sort Ailyn Morales-Rentería
collection DOAJ
description Background: MiR-155 plays a role in inflammatory pathways and cardiovascular diseases, though its relationship with inflammation, atherosclerosis, and outcomes in ST-elevation myocardial infarction (STEMI) is not well established. Objective: To investigate associations between miR-155 levels, inflammation, atherosclerotic burden, and major adverse cardiovascular events (MACE) in STEMI patients. Methods: Sixty-nine STEMI patients and 16 healthy controls were recruited from a specialized university-affiliated cardiovascular center. MiR-155 expression and serum interleukin (IL)-1β, IL-6, and tumor necrosis factor levels were measured. Patients were grouped into tertiles based on miR-155 expression. Clinical data, atherosclerotic burden (through cardiac catheterization), and in-hospital MACE were recorded. Results: MiR-155 levels were significantly lower in STEMI patients compared to controls (median 54.2, vs. 152.8 arbitrary units; p = 0.003). Higher miR-155 tertiles were associated with a greater prevalence of three-vessel occlusion (34% vs. 13% vs. 4%; p = 0.007) and increased incidence of pulmonary edema (13% vs. 0% vs. 0%; p = 0.030). No significant correlation was found between miR-155 and inflammatory or myocardial markers. Conclusion: Dysregulated miR-155 expression in STEMI patients may influence disease severity and MACE risk, independent of inflammation or myocardial damage markers. (REV INVEST CLIN. 2025;77(1):6-12)
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spelling doaj-art-e20a5d03da66478d93805da2cabe02b32025-08-20T02:58:18ZengPermanyerRevista de Investigación Clínica0034-83762564-88962025-01-0177110.24875/RIC.24000189MIR-155 as a potential biomarker for disease severity in st-segment elevation myocardial infarction: insights from a university-affiliated cardiovascular centerAilyn Morales-Rentería0Amina Ruiz-Santos1Luis M. Amezcua-Castillo2Jazmín A. Guerra-López3Kietseé A. Díaz-Domínguez4José L. Sánchez-Gloria5Héctor Gonzalez-Pacheco6Luis M. Amezcua-Guerra7School of Medicine, Universidad Autónoma Metropolitana (UAM)-Xochimilco, Mexico City, MexicoSchool of Medicine, Universidad Autónoma Metropolitana (UAM)-Xochimilco, Mexico City, MexicoCoronary Care Unit, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, MexicoDepartment of Immunology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, MexicoDepartment of Immunology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, MexicoDepartment of Internal Medicine, Division of Nephrology, Rush University Medical Center, Chicago, IL, USACoronary Care Unit, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, MexicoDepartment of Immunology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico; Department of Health Care, UAM-Xochimilco, Mexico City, MexicoBackground: MiR-155 plays a role in inflammatory pathways and cardiovascular diseases, though its relationship with inflammation, atherosclerosis, and outcomes in ST-elevation myocardial infarction (STEMI) is not well established. Objective: To investigate associations between miR-155 levels, inflammation, atherosclerotic burden, and major adverse cardiovascular events (MACE) in STEMI patients. Methods: Sixty-nine STEMI patients and 16 healthy controls were recruited from a specialized university-affiliated cardiovascular center. MiR-155 expression and serum interleukin (IL)-1β, IL-6, and tumor necrosis factor levels were measured. Patients were grouped into tertiles based on miR-155 expression. Clinical data, atherosclerotic burden (through cardiac catheterization), and in-hospital MACE were recorded. Results: MiR-155 levels were significantly lower in STEMI patients compared to controls (median 54.2, vs. 152.8 arbitrary units; p = 0.003). Higher miR-155 tertiles were associated with a greater prevalence of three-vessel occlusion (34% vs. 13% vs. 4%; p = 0.007) and increased incidence of pulmonary edema (13% vs. 0% vs. 0%; p = 0.030). No significant correlation was found between miR-155 and inflammatory or myocardial markers. Conclusion: Dysregulated miR-155 expression in STEMI patients may influence disease severity and MACE risk, independent of inflammation or myocardial damage markers. (REV INVEST CLIN. 2025;77(1):6-12) https://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=521MiR-155. Myocardial infarction. Inflammation.
spellingShingle Ailyn Morales-Rentería
Amina Ruiz-Santos
Luis M. Amezcua-Castillo
Jazmín A. Guerra-López
Kietseé A. Díaz-Domínguez
José L. Sánchez-Gloria
Héctor Gonzalez-Pacheco
Luis M. Amezcua-Guerra
MIR-155 as a potential biomarker for disease severity in st-segment elevation myocardial infarction: insights from a university-affiliated cardiovascular center
Revista de Investigación Clínica
MiR-155. Myocardial infarction. Inflammation.
title MIR-155 as a potential biomarker for disease severity in st-segment elevation myocardial infarction: insights from a university-affiliated cardiovascular center
title_full MIR-155 as a potential biomarker for disease severity in st-segment elevation myocardial infarction: insights from a university-affiliated cardiovascular center
title_fullStr MIR-155 as a potential biomarker for disease severity in st-segment elevation myocardial infarction: insights from a university-affiliated cardiovascular center
title_full_unstemmed MIR-155 as a potential biomarker for disease severity in st-segment elevation myocardial infarction: insights from a university-affiliated cardiovascular center
title_short MIR-155 as a potential biomarker for disease severity in st-segment elevation myocardial infarction: insights from a university-affiliated cardiovascular center
title_sort mir 155 as a potential biomarker for disease severity in st segment elevation myocardial infarction insights from a university affiliated cardiovascular center
topic MiR-155. Myocardial infarction. Inflammation.
url https://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=521
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