已发表论文

miR-322-5p 在冠心病中的诊断价值及调控机制

 

Authors Wang M, Wang J, Xie Y

Received 6 June 2025

Accepted for publication 16 August 2025

Published 20 September 2025 Volume 2025:18 Pages 13173—13182

DOI https://doi.org/10.2147/JIR.S536945

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Qing Lin

Mingyang Wang,1,* Jing Wang,2,* Yanan Xie3 

1Department of Rehabilitation Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, People’s Republic of China; 2Geriatrics Department, China Aerospace Science & Industry Corporation 731 Hospital, Beijing, People’s Republic of China; 3Department of Cardiology, The Second Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Yanan Xie, Department of Cardiology, The Second Hospital of Hebei Medical University, No. 215, Heping West Road, Xinhua District, Shijiazhuang, Hebei, 050000, People’s Republic of China, Tel +86 0311-66003983, Email yananxie15@163.com

Background: Coronary heart disease (CHD) is a heart condition caused by narrowed or blocked coronary arteries. The miR-322-5p is closely related to inflammation and vascular diseases, yet its role in CHD remains unknown.
Objective: This study focused on investigating the clinical significance of miR-322-5p and its regulatory mechanism in CHD.
Materials and Methods: This study enrolled 160 CHD patients and 130 healthy individuals. The expression of miR-322-5p and TRAF6 was measured by RT-qPCR. The correlation between miR-322-5p and CHD was evaluated via Pearson correlation analysis. The clinical predictive performance of miR-322-5p was assessed by ROC analysis. Cell viability was assessed using the CCK-8 assay while apoptosis was analyzed by flow cytometry. Inflammatory cytokine levels were determined by ELISA.
Results: MiR-322-5p was significantly downregulated in patients with CHD and exhibited high diagnostic accuracy for CHD with an AUC of 0.882. The declined miR-322-5p was negatively correlated with Gensini score (r = − 0.611) and CRP (r = − 0.646), but positively associated with HDL-C (r = 0.598). Although miR-322-5p was reduced under pathological conditions, its upregulation enhanced cell viability and inhibited both apoptosis and inflammatory factors. TRAF6, a direct target of miR-322-5p, was negatively regulated by miR-322-5p (r = − 0.683), and high levels of TRAF6 aggravated CHD.
Conclusion: The declined miR-322-5p in CHD presented high diagnostic value. Reduced miR-322-5p exacerbated the CHD by inhibiting cell viability, enhancing apoptosis and inflammation through negatively regulating the TRAF6.

Keywords: miR-322-5p, coronary heart disease, apoptosis, inflammation