This invention provides a biomarker for
collateral circulation in CTO patients, MIA3, and its application, belonging to the field of
biotechnology. This invention reveals and verifies a significant
positive correlation between
plasma MIA3 levels and the quality of
collateral circulation formation in CTO patients, and its predictive
efficacy for good
collateral circulation is superior to that of the known key
angiogenesis factor VEGFA. This allows MIA3 to serve as a high-value, minimally invasive
molecular marker for early, non-invasive identification of a patient's collateral circulation formation potential before interventional
surgery, thereby enabling
risk stratification and providing an objective basis for
individualized treatment decisions (such as whether more aggressive intervention is needed). This invention clarifies that MIA3 is a key link in regulating collateral
angiogenesis; by targeting and upregulating MIA3 activity, collateral
angiogenesis and maturation in ischemic areas can be precisely promoted, providing a novel non-pharmacological, non-
surgical treatment strategy for CTO patients.