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07 September 2018 : Clinical Research  

MicroRNA 199a Is Downregulated in Patients After Coronary Artery Bypass Graft Surgery and Is Associated with Increased Levels of Sirtuin 1 (SIRT 1) Protein and Major Adverse Cardiovascular Events at 3-Year Follow-Up

Aylin Hatice Yamac1ABCDEFG, Mustafa Ahmet Huyut1BCD, Emre Yilmaz2BCD, Ilke Celikkale1BCDF, Ahmet Bacaksiz1BCDF, Yusuf Demir2BCD, Ali Riza Demir2BCD, Mehmet Erturk2BC, Nijad Bakhshaliyev1BC, Ramazan Ozdemir1DF, Ulkan Kilic3CDEFG

DOI: 10.12659/MSM.912065

Med Sci Monit 2018; 24: CLR6245-6254

Abstract

BACKGROUND: The cardioprotective protein SIRT1 is elevated in patients with coronary artery disease (CAD) to compensate for the disease-related adverse effects, but less is known about the prognostic role of SIRT 1 regulating microRNAs in patients after coronary artery bypass graft (CABG) surgery.

MATERIAL AND METHODS: The expression of the SIRT 1-specific microRNAs miR-199a and miR-195 was analyzed using real-time PCR in 68 patients referred for CABG surgery and 34 control patients undergoing heart valve surgery. In CABG patients, major adverse cardiac and cerebrovascular events (MACCEs), including all-cause death, myocardial infarction (MI), re-vascularization, heart failure symptoms ≥NYHA II, re-hospitalization for any cardiovascular reason, and stroke, were analyzed at a median follow-up (FU) of 3.2 years (range: 3.0–3.6).

RESULTS: The level of miR-199a in patients with CAD was significantly reduced compared to the control group (relative expression: 0.89±0.49 vs. 1.90±0.90, p=0.001), while SIRT 1 protein was markedly enhanced (p<0.001). In patients undergoing CABG who had MACCEs, miR-199a was significantly lower compared to patients with an uneventful FU (0.71±0.25 vs. 0.98±0.53, p=0.007). Heart failure status, death, and total MACCEs rate were inversely correlated with the amount of miR-199a (p=0.039) at 3-year FU.

CONCLUSIONS: Altered expression of miR-199a in myocardial tissue was found to be associated with SIRT 1 upregulation in patients with CAD undergoing CABG and was associated with an increased MACCEs rate at mid-term follow-up.

Keywords: Coronary Artery Bypass, Ventricular Function, Left

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750