LncRNA RP11-248E9.5 and RP11-456D7.1 are Valuable for the Diagnosis of Childhood Pneumonia

Xiudong Chen, Qing Liu, Juan Chen, Yuhai Liu Department of Pediatric, Zaozhuang Maternal and Child Health Care Hospital, Zaozhuang City, Shandong Province, 277100, People’s Republic of ChinaCorrespondence: Yuhai LiuDepartment of Pediatric, Zaozhuang Maternal and Child Health Care Hospital,...

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Main Authors: Chen X, Liu Q, Chen J, Liu Y
Format: Article
Language:English
Published: Dove Medical Press 2021-03-01
Series:International Journal of General Medicine
Subjects:
Online Access:https://www.dovepress.com/lncrna-rp11-248e95-and-rp11-456d71-are-valuable-for-the-diagnosis-of-c-peer-reviewed-article-IJGM
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author Chen X
Liu Q
Chen J
Liu Y
author_facet Chen X
Liu Q
Chen J
Liu Y
author_sort Chen X
collection DOAJ
description Xiudong Chen, Qing Liu, Juan Chen, Yuhai Liu Department of Pediatric, Zaozhuang Maternal and Child Health Care Hospital, Zaozhuang City, Shandong Province, 277100, People’s Republic of ChinaCorrespondence: Yuhai LiuDepartment of Pediatric, Zaozhuang Maternal and Child Health Care Hospital, No. 25, Wenhua East Road, Shizhong District, Zaozhuang City, Shandong Province, 277100, People’s Republic of ChinaTel +86-13969417606Email liuyuhai2001860@163.comBackground: Pneumonia is a common infection of the lung parenchyma in children, and early and accurate diagnosis of childhood pneumonia (CP) is important for implementing appropriate preventive and treatment strategies. This study aimed to evaluate the diagnostic value of the combination of long non-coding RNA (lncRNA) RP11-248E9.5, RP11-456D7.1, c-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) in CP.Patients and Methods: A total of 50 healthy children (HC) and 100 CP patients were enrolled. The serum expression of RP11-248e9.5 and RP11-456d7.1 was detected by qRT-PCR. The white blood cell (WBC), hemoglobin (HB), platelet (PLT), neutrophil, and lymphocyte were analyzed by automated hematology analyzer. The serum levels of CRP and procalcitonin (PCT) were analyzed by automatic biochemical analyzer. The receiver operating characteristic (ROC) curves were applied to evaluate the diagnostic value in CP.Results: The NLR and PLR, expression of RP11-248E9.5 and RP11-456D7.1, and serum levels of CRP and PCT were significantly higher in the CP group than those in the HC group. Both RP11-248E9.5 (AUC, 0.86; sensitivity, 84%; specificity, 78%) and RP11-456D7.1 (AUC, 0.89; sensitivity, 79%; specificity, 92%) exhibited certain diagnostic value in CP. The diagnostic values of PCT, CRP, NLR and PLR in CP were limited by low sensitivity (≤ 71%). The combination of multiple indicators improved the diagnostic value. The combination of RP11-248E9.5, RP11-456D7.1, CRP, NLR, and PLR had the best diagnostic value in CP (AUC, 0.992; Sensitivity, 0.97; Specificity, 0.99).Conclusion: The combination of RP11-248E9.5, RP11-456D7.1, CRP, NLR, and PLR was a potential diagnostic strategy for CP.Keywords: childhood pneumonia, long non-coding RNA, C-reactive protein, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio
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spelling doaj.art-125e2f4193ee4336ac55101f2c0106532022-12-21T18:24:48ZengDove Medical PressInternational Journal of General Medicine1178-70742021-03-01Volume 1489590263144LncRNA RP11-248E9.5 and RP11-456D7.1 are Valuable for the Diagnosis of Childhood PneumoniaChen XLiu QChen JLiu YXiudong Chen, Qing Liu, Juan Chen, Yuhai Liu Department of Pediatric, Zaozhuang Maternal and Child Health Care Hospital, Zaozhuang City, Shandong Province, 277100, People’s Republic of ChinaCorrespondence: Yuhai LiuDepartment of Pediatric, Zaozhuang Maternal and Child Health Care Hospital, No. 25, Wenhua East Road, Shizhong District, Zaozhuang City, Shandong Province, 277100, People’s Republic of ChinaTel +86-13969417606Email liuyuhai2001860@163.comBackground: Pneumonia is a common infection of the lung parenchyma in children, and early and accurate diagnosis of childhood pneumonia (CP) is important for implementing appropriate preventive and treatment strategies. This study aimed to evaluate the diagnostic value of the combination of long non-coding RNA (lncRNA) RP11-248E9.5, RP11-456D7.1, c-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) in CP.Patients and Methods: A total of 50 healthy children (HC) and 100 CP patients were enrolled. The serum expression of RP11-248e9.5 and RP11-456d7.1 was detected by qRT-PCR. The white blood cell (WBC), hemoglobin (HB), platelet (PLT), neutrophil, and lymphocyte were analyzed by automated hematology analyzer. The serum levels of CRP and procalcitonin (PCT) were analyzed by automatic biochemical analyzer. The receiver operating characteristic (ROC) curves were applied to evaluate the diagnostic value in CP.Results: The NLR and PLR, expression of RP11-248E9.5 and RP11-456D7.1, and serum levels of CRP and PCT were significantly higher in the CP group than those in the HC group. Both RP11-248E9.5 (AUC, 0.86; sensitivity, 84%; specificity, 78%) and RP11-456D7.1 (AUC, 0.89; sensitivity, 79%; specificity, 92%) exhibited certain diagnostic value in CP. The diagnostic values of PCT, CRP, NLR and PLR in CP were limited by low sensitivity (≤ 71%). The combination of multiple indicators improved the diagnostic value. The combination of RP11-248E9.5, RP11-456D7.1, CRP, NLR, and PLR had the best diagnostic value in CP (AUC, 0.992; Sensitivity, 0.97; Specificity, 0.99).Conclusion: The combination of RP11-248E9.5, RP11-456D7.1, CRP, NLR, and PLR was a potential diagnostic strategy for CP.Keywords: childhood pneumonia, long non-coding RNA, C-reactive protein, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratiohttps://www.dovepress.com/lncrna-rp11-248e95-and-rp11-456d71-are-valuable-for-the-diagnosis-of-c-peer-reviewed-article-IJGMchildhood pneumonialong non-coding rnac-reactive proteinneutrophil-to-lymphocyte ratioplatelet-to-lymphocyte ratio
spellingShingle Chen X
Liu Q
Chen J
Liu Y
LncRNA RP11-248E9.5 and RP11-456D7.1 are Valuable for the Diagnosis of Childhood Pneumonia
International Journal of General Medicine
childhood pneumonia
long non-coding rna
c-reactive protein
neutrophil-to-lymphocyte ratio
platelet-to-lymphocyte ratio
title LncRNA RP11-248E9.5 and RP11-456D7.1 are Valuable for the Diagnosis of Childhood Pneumonia
title_full LncRNA RP11-248E9.5 and RP11-456D7.1 are Valuable for the Diagnosis of Childhood Pneumonia
title_fullStr LncRNA RP11-248E9.5 and RP11-456D7.1 are Valuable for the Diagnosis of Childhood Pneumonia
title_full_unstemmed LncRNA RP11-248E9.5 and RP11-456D7.1 are Valuable for the Diagnosis of Childhood Pneumonia
title_short LncRNA RP11-248E9.5 and RP11-456D7.1 are Valuable for the Diagnosis of Childhood Pneumonia
title_sort lncrna rp11 248e9 5 and rp11 456d7 1 are valuable for the diagnosis of childhood pneumonia
topic childhood pneumonia
long non-coding rna
c-reactive protein
neutrophil-to-lymphocyte ratio
platelet-to-lymphocyte ratio
url https://www.dovepress.com/lncrna-rp11-248e95-and-rp11-456d71-are-valuable-for-the-diagnosis-of-c-peer-reviewed-article-IJGM
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