Whole blood transcriptome profile at hospital admission discriminates between patients with ST-segment elevation and non-ST-segment elevation acute myocardial infarction

Gli infarti ST-elevation e non ST-elevation sono entità fisiopatologiche distinte? (Sci Rep 2020 May 26;10(1):8731)

5 Giugno Giu 2020 one month ago
  • Chiesa M, Piacentini L, Bono E, Milazzo V, Campodonico J, Marenzi G, Colombo GI

Whether ST-segment (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) should be regarded as distinct pathophysiological entities is a matter of debate. We tested the hypothesis that peripheral blood gene-expression profiles at presentation distinguish STEMI from NSTEMI.

The Authors performed a case-control study collecting whole-blood from 60 STEMI and 58 NSTEMI (defined according to the third universal definition of MI) consecutive patients on hospital admission. We used RNA-sequencing for the discovery phase, comparing 15 STEMI vs. 15 NSTEMI patients, matched for age, sex, and cardiovascular risk factors, and quantitative PCR in the remaining unmatched patients for validating top-significant genes.

The results unveil distinctive pathological traits for these two MI subtypes and provide insights into the early assessment of injury extent. This could translate into RNA-based disease-specific biomarkers for precision diagnosis and risk stratification.


Reference
1. Chiesa M, Piacentini L, Bono E, Milazzo V, Campodonico J, Marenzi G, Colombo GI. Whole blood transcriptome profile at hospital admission discriminates between patients with ST-segment elevation and non-ST-segment elevation acute myocardial infarction. Sci Rep 2020 May 26;10(1):8731. Go to PubMed