Background:
The vessel restenosis is related to the inflammatory events in subendothelial
space. It is proposed that the inflammatory agents affect the prostaglandin synthesis pathway. In this
study, we investigated the COX-1, COX-2, PTGDS and miRNA-520a-5p expression levels and the
serum 15-Deoxy-Δ12,14-PGJ2 metabolite values in patients with the stenosed and re-stenosed vessels.
Furthermore, the associations between genes and miR-520 were evaluated in the monocyte transfection
studies.
Methods:
The subjects (n=60) were included three groups; healthy subjects (control (stenosis < 5%),
stent no restenosis (SNR, restenosis < 5%) and in-stent restenosis (ISR, restenosis > 70%)). The
miRNA and gene expression levels were measured by RT-qPCR technique. 15-Deoxy-Δ12,14-PGJ2
values were measured by the ELISA technique. The miR-520 was transfected into myocytes using PEI
polymer.
Results:
The monocyte COX-1, COX-2 and PTGDS gene expression levels and the serum 15-Deoxy-
Δ12,14-PGJ2 values increased significantly in the patients. Furthermore, the miR-520 correlated conversely
with the COX-1, and PTGDS gene expression levels.
Conclusion:
The results showed that the PGD2 synthesis pathway is active in the patients and, miR-
520 may be involved in the function of this pathway.