Clinical Value of Mir-320a Combined with HMGB1 in Diagnosis and Prognosis of Severe Acute Pancreatitis Complicated with Sepsis

被引:0
作者
Chen, Mingdi [1 ]
Huang, Rongxian [2 ]
Zeng, Wenchi [1 ]
Wu, Xiaodeng [1 ]
Xie, Huawen [1 ]
Li, Shiting [1 ]
Li, Zhuoji [1 ]
机构
[1] Guangdong Med Univ, Affiliated Hosp 2, Dept Crit Care Med, 12 Minyou Rd, Zhanjiang 524003, Guangdong, Peoples R China
[2] Xinxing Community Hlth Serv Ctr, Dept Clin Lab, Zhanjiang 524000, Guangdong, Peoples R China
关键词
HMGB1; Interleukin-6 (IL-6); microRNA-320a; Severe Acute Pancreatitis; Sepsis; INJURY; RATS;
D O I
10.31901/24566322.2024/24.03.892
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Severe acute pancreatitis (SAP) often leads to sepsis in severe cases. This study investigated the clinical potential of combining miR-320a with HMGB1 in diagnosing and predicting the prognosis of SAP complicated with sepsis (SAP-CS). Serum levels of miR-320a were found to be decreased, while HMGB1 levels were increased in patients with SAP-CS. The combination of miR-320a and HMGB1 showed promise in diagnosing SAP-CS (AUC = 0.9634, sensitivity = 90.70%, specificity = 93.02%). Specifically, miR-320a levels were downregulated and HMGB1 levels were elevated in patients with a poor prognosis. Furthermore, the low miR-320a group had a worse prognosis, and miR-320a, HMGB1, and IL-6 were independent factors influencing poor prognoses. Therefore, miR-320a combined with HMGB1 has the potential to be a clinical indicator for diagnosing and predicting the prognosis of SAP-CS.
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页码:292 / 298
页数:7
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