Journal Article

Predictive value of long non‐coding RNA intersectin 1‐2 for occurrence and in‐hospital mortality of severe acute pancreatitis

Li, Jun, Chen, Xuanlan, Yu, Li, Bu, Xiaofen, Xiong, Peng, Chen, Zhen

2020

Overview

Background This study aimed to investigate the predictive value of long non‐coding RNA intersectin 1‐2 (lnc‐ITSN1‐2) for severe acute pancreatitis (SAP) risk, and its correlation with disease severity and in‐hospital mortality in SAP patients. Methods Plasma samples from 60 SAP, 60 moderate‐severe acute pancreatitis (MSAP) and 60 mild acute pancreatitis (MAP) patients were collected within 24 hours, and plasma samples from 60 age and gender‐matched healthy controls (HCs) were collected when enrollment. Lnc‐ITSN1‐2 was detected by reverse transcription‐quantitative polymerase chain reaction. In AP patients, disease severity was evaluated and in‐hospital deaths were recorded. Results Lnc‐ITSN1‐2 was increased in SAP patients compared with MSAP, MAP patients, and HCs, and it is well‐discriminated SAP patients from MSAP patients (area under curve (AUC): 0.699, 95% confidence interval (CI): 0.605‐0.792), MAP patients (AUC: 0.862, 95% CI: 0.798‐0.926), and HCs (AUC: 0.958, 95% CI: 0.925‐0.990). For disease severity, lnc‐ITSN1‐2 was positively correlated with Ranson's score, acute pathologic and chronic health evaluation (APACHE) II score, sequential organ failure assessment (SOFA) score, and C‐reactive protein (CRP) in SAP patients, MSAP patients, and MAP patients; meanwhile, the correlation coefficients were highest in SAP patients. Furthermore, lnc‐ITSN1‐2 displayed a good predictive value for increased in‐hospital mortality in SAP (AUC: 0.803, 95% CI: 0.673‐0.933) and MSAP (AUC: 0.854, 95% CI: 0.752‐0.956) patients, which was similar with several common prognostic factors (including Ranson's score, APACHE II score, SOFA score, and CRP). Conclusion Lnc‐ITSN1‐2 might be a potential biomarker for discrimination of SAP to improve the prognosis of SAP patients.

• Publisher: John Wiley & Sons, Inc,John Wiley and Sons Inc
• Subject: Age / Aged / Cardiovascular disease / Case-Control Studies / China / disease severity / Enrollments / Etiology / Female / Gender / Gene Expression Regulation / Genetic Markers / Hospital Mortality / Hospitals / Humans / Inflammation / Intersectin / in‐hospital mortality / long non‐coding RNA intersectin 1‐2 / Male / Middle Aged / Mortality / Multiple organ dysfunction syndrome / Non-coding RNA / Pancreatitis / Pancreatitis - genetics / Pancreatitis - mortality / Pancreatitis - therapy / Patients / Polymerase chain reaction / predictive factor / Proteins / Reverse transcription / Rheumatoid arthritis / Ribonucleic acid / RNA / RNA, Long Noncoding - genetics / severe acute pancreatitis / Standard deviation / Statistical analysis / Variance analysis