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Research ArticleOriginal Article
Open Access

Correlation between plasma glutathione peroxidase 4 and N-acetylneuraminic acid levels with clinical risk stratification and prognosis of patients with acute coronary syndrome

Miao-Nan Li, Bing-Wei Bao, Ding Si-Yu, Ji Chun-Fei, Shi Xiao-Jun, Gao Da-Sheng, Gao Qin and Wang Hong-Ju
Saudi Medical Journal October 2022, 43 (10) 1103-1110; DOI: https://doi.org/10.15537/smj.2022.43.10.20220444
Miao-Nan Li
From the Department of Cardiovascular Disease (Li, Bao, Ding, Ji, Shi, D-S. Gao, Q. Gao, Wang), The First Affiliated Hospital of Bengbu Medical College, and from the Department of Physiology (Q. Gao), Key Laboratory of Cardiovascular and Cerebrovascular Diseases, Bengbu Medical College, Bengbu, China.
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Bing-Wei Bao
From the Department of Cardiovascular Disease (Li, Bao, Ding, Ji, Shi, D-S. Gao, Q. Gao, Wang), The First Affiliated Hospital of Bengbu Medical College, and from the Department of Physiology (Q. Gao), Key Laboratory of Cardiovascular and Cerebrovascular Diseases, Bengbu Medical College, Bengbu, China.
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Ding Si-Yu
From the Department of Cardiovascular Disease (Li, Bao, Ding, Ji, Shi, D-S. Gao, Q. Gao, Wang), The First Affiliated Hospital of Bengbu Medical College, and from the Department of Physiology (Q. Gao), Key Laboratory of Cardiovascular and Cerebrovascular Diseases, Bengbu Medical College, Bengbu, China.
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Ji Chun-Fei
From the Department of Cardiovascular Disease (Li, Bao, Ding, Ji, Shi, D-S. Gao, Q. Gao, Wang), The First Affiliated Hospital of Bengbu Medical College, and from the Department of Physiology (Q. Gao), Key Laboratory of Cardiovascular and Cerebrovascular Diseases, Bengbu Medical College, Bengbu, China.
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Shi Xiao-Jun
From the Department of Cardiovascular Disease (Li, Bao, Ding, Ji, Shi, D-S. Gao, Q. Gao, Wang), The First Affiliated Hospital of Bengbu Medical College, and from the Department of Physiology (Q. Gao), Key Laboratory of Cardiovascular and Cerebrovascular Diseases, Bengbu Medical College, Bengbu, China.
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Gao Da-Sheng
From the Department of Cardiovascular Disease (Li, Bao, Ding, Ji, Shi, D-S. Gao, Q. Gao, Wang), The First Affiliated Hospital of Bengbu Medical College, and from the Department of Physiology (Q. Gao), Key Laboratory of Cardiovascular and Cerebrovascular Diseases, Bengbu Medical College, Bengbu, China.
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Gao Qin
From the Department of Cardiovascular Disease (Li, Bao, Ding, Ji, Shi, D-S. Gao, Q. Gao, Wang), The First Affiliated Hospital of Bengbu Medical College, and from the Department of Physiology (Q. Gao), Key Laboratory of Cardiovascular and Cerebrovascular Diseases, Bengbu Medical College, Bengbu, China.
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Wang Hong-Ju
From the Department of Cardiovascular Disease (Li, Bao, Ding, Ji, Shi, D-S. Gao, Q. Gao, Wang), The First Affiliated Hospital of Bengbu Medical College, and from the Department of Physiology (Q. Gao), Key Laboratory of Cardiovascular and Cerebrovascular Diseases, Bengbu Medical College, Bengbu, China.
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  • For correspondence: [email protected]
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  • Figure 1
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    Figure 1

    - Determination of cut-off levels for plasma glutathione peroxidase 4 (GPX4) and N-acetyl-neuraminic acid (Neu5Ac) in auxiliary diagnosis of acute coronary syndrome. A) GPX4 receiver operating characteristic (ROC) curve; B) Neu5Ac ROC curve; and C) combined GPX4 and Neu5Ac curve.

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    Figure 2

    - Correlation between plasma glutathione peroxidase 4 (GPX4) and N-acetyl-neuraminic acid (Neu5Ac) levels with thrombolysis in myocardial infarction (TIMI) risk stratification: A) GPX4 is negatively correlated with TIMI risk score; B) Neu5Ac is positively correlated with TIMI risk score.

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    Figure 3

    - Predictive value of glutathione peroxidase 4 and N-acetyl-neuraminic acid for long-term endpoint events in acute coronary syndrome patients. GPX4: glutathione peroxidase 4, Neu5Ac: N-acetyl-neuraminic acid

Tables

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    Table 1

    - Comparison of demographic and baseline clinical characteristics of patients between groups.

    VariablesACS group (n=305)Control group (n=108)t/χ2P-values
    Age (years), mean±SD63.88±10.76*57.01±9.845.3460.000
    Male197 (0.6)*43 (0.4)19.6030.000
    Smoker51 (0.2)*8 (0.1)6.9280.008
    Hypertension197 (0.7)59 (0.6)3.3580.067
    DM77 (0.3)*10 (0.1)12.2590.000
    AF14 (0.1)5 (0.1)0.7690.381
    Previous stroke24 (0.1)7 (0.1)0.0460.830
    FBG (mmol/L)5.16 (4.60-7.00)*4.99 (4.57-5.81)3.8480.000
    UA (µmol/L)305.00 (253.00-374.00)*284.50 (245.25-357.75)2.2520.025
    SCr (µmol/L)67.00 (61.00-75.00)*64.00 (57.00-69.00)4.6350.000
    TC (mmol/L)3.81 (3.05-4.54)3.54 (2.90-4.67)0.8550.442
    TG (mmol/L)1.35 (0.92-1.92)1.21 (0.85-1.66)1.3360.182
    LDL-C (mmol/L)1.93 (1.42-2.69)0.95 (0.79-1.17)0.3060.760
    HDL-C (mmol/L)0.87 (0.72-1.04)*1.21 (0.85-1.66)2.1740.030
    Lp(a) (mg/L)225.00 (82.50-373.50)224.00 (120.75-461.50)0.8190.413
    CRP (mg/L)1.80 (0.60-5.00)1.40 (0.69-3.95)0.7050.481
    D-dimer (mg/L)0.26 (0.19-0.44)0.23 (0.08-0.39)0.5240.600
    GPX4 (ng/mL)104.39 (89.12-115.38)*130.98 (98.27-148.56)7.4490.000
    Neu5Ac (ng/mL)250.00 (130.67-318.50)*239.50 (111.48-285.75)2.3660.018

    Values are presented as a number and precentage (%) and median (minimum-maximum). *p-value of <0.05 versus control. ACS: acute coronary syndrome, DM: diabetes mellitus, AF: atrial fibrillation, FBG: fasting blood glucose, UA: uric acid, SCr: serum creatinine, TC: total cholesterol, TG: triglyceride, LDL-C: low-density lipoprotein cholesterol, HDL-C: high-density lipoprotein cholesterol, Lp(a): lipoprotein(a), CRP: C-reactive protein, GPX4: glutathione peroxidase 4, Neu5Ac: N-acetylneuraminic acid, SD: standard deviation

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      Table 2

      - Determination of risk factors for major adverse cardiac events by COX regression analysis.

      VariablesBOR (95% CI)P-values
      GPX4 (ng/mL)-0.240.976 (0.955-0.997)0.026
      Neu5Ac (ng/mL)0.0011.001 (1.000-1.002)0.003
      TC (mmol/L)0.3831.466 (1.084-1.982)0.013
      HDL-C (mmol/L)-0.9660.381 (0.073-1.977)0.250
      Hypertension0.0301.031 (0.452-2.349)0.943
      DM0.1381.148 (0.467-2.821)0.763
      AF0.1691.184 (0.154-9.122)0.871

      OR: odds ratio, CI: confidence interval, GPX4: glutathione peroxidase 4, Neu5Ac: N-acetylneuraminic acid, TC: total cholesterol, HDL-C: high-density lipoprotein cholesterol, DM: diabetes mellitus, AF: atrial fibrillation

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      Correlation between plasma glutathione peroxidase 4 and N-acetylneuraminic acid levels with clinical risk stratification and prognosis of patients with acute coronary syndrome
      Miao-Nan Li, Bing-Wei Bao, Ding Si-Yu, Ji Chun-Fei, Shi Xiao-Jun, Gao Da-Sheng, Gao Qin, Wang Hong-Ju
      Saudi Medical Journal Oct 2022, 43 (10) 1103-1110; DOI: 10.15537/smj.2022.43.10.20220444

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      Correlation between plasma glutathione peroxidase 4 and N-acetylneuraminic acid levels with clinical risk stratification and prognosis of patients with acute coronary syndrome
      Miao-Nan Li, Bing-Wei Bao, Ding Si-Yu, Ji Chun-Fei, Shi Xiao-Jun, Gao Da-Sheng, Gao Qin, Wang Hong-Ju
      Saudi Medical Journal Oct 2022, 43 (10) 1103-1110; DOI: 10.15537/smj.2022.43.10.20220444
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      Keywords

      • acute coronary syndrome
      • N-acetyl-neuraminic acid
      • plasma glutathione peroxidase 4
      • plasma TIMI risk score
      • prognosis

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