Metabolite marker for diagnosing stable angina pectoris
A technology for stable angina pectoris and metabolic markers, which is applied in the field of biochemistry to achieve the effect of promoting standardization, improving diagnostic convenience, and accurate and reliable results
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Embodiment 1
[0030] Example 1: Screening characterization of differential metabolites in plasma between subjects with normal coronary arteries and patients with stable angina
[0031] 1. Objects and methods
[0032] 1. The source of the specimen
[0033] After obtaining the consent of the patients, the peripheral venous blood plasma of 280 patients with stable angina pectoris and 350 subjects with normal coronary arteries in Jiangsu Provincial People's Hospital from September 2010 to June 2015 were collected, and all patients or subjects with normal coronary arteries underwent coronary angiography confirmed. Patients with normal coronary arteries were age- and sex-matched with patients with stable angina. All patients with stable angina and normal coronary arteries have normal heart, lung, liver, kidney and hematopoietic functions.
[0034] The time of blood collection was in the morning on an empty stomach.
[0035] 2. Main reagents
[0036] Acetonitrile and formic acid (UPLC pure) w...
Embodiment 2
[0057] Example 2: Construction of ROC curve to verify the ability of 6 differential metabolites to diagnose stable angina pectoris
[0058] Receiver operating curve (ROC) method was used for verification, and the ability to diagnose coronary heart disease was judged by the expression levels of differential metabolites in the plasma of patients with stable angina pectoris and normal coronary arteries. The results showed that phosphorylcholine, palmitoylethanolamine, lysophosphatidylcholine (16:0), lysophosphatidylcholine (18:2), lysophosphatidylcholine (18:1), phosphatidylinositol (20 :4 / 0:0) These 6 differential metabolites have a strong ability to diagnose patients with stable angina pectoris and normal coronary arteries individually, and the area under the ROC curve (AUC) is greater than 0.7, which has clinical diagnostic significance; At the time of diagnosis, with the increase of the combined number, the AUC further increased, and the highest value was achieved when all 6 ...
Embodiment 3
[0067] Example 3: Application in Screening for Drugs for Treatment or Alleviation of Stable Angina Pectoris
[0068] The blood plasma of 160 patients with stable angina pectoris before and after drug treatment was detected, and the results showed that: with the increase of the course of drug treatment, the patient's condition was gradually relieved, and the levels of the 6 metabolic markers provided by the present invention in plasma gradually increased. It tends to the level of healthy people, and there is no significant difference (P>0.05) between the plasma levels of healthy people and those after complete cure. This result is consistent with the detection results of coronary angiography. Therefore, the metabolic markers provided by the present invention can be used to screen drugs for treating or alleviating stable angina.
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