Mammalian sterile 20-like kinase 1 acts as a candidate biomarker of mortality of emergency surgical repair for acute type a aortic dissection
Abstract Background Acute type A aortic dissection (ATAAD) is a life-threatening pathological change of the aorta. Patients who have undergone aortic surgery are usually at high risk of mortality. Aim We investigated the predictive value of serum Mammalian sterile 20-like kinase 1 (MST1) as a biomar...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-023-03144-8 |
| _version_ | 1797846117198594048 |
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| author | Xiaohui He Jing Wang Yuan Xue Shipan Wang Yanjun Dong Hongjia Zhang Meili Wang |
| author_facet | Xiaohui He Jing Wang Yuan Xue Shipan Wang Yanjun Dong Hongjia Zhang Meili Wang |
| author_sort | Xiaohui He |
| collection | DOAJ |
| description | Abstract Background Acute type A aortic dissection (ATAAD) is a life-threatening pathological change of the aorta. Patients who have undergone aortic surgery are usually at high risk of mortality. Aim We investigated the predictive value of serum Mammalian sterile 20-like kinase 1 (MST1) as a biomarker for the risk of mortality of ATAAD patients. Methods In this retrospective cohort study, we analyzed 160 consecutive ATAAD patients who had undergone emergency surgery from July 2016 to April 2017. Medical records and blood samples were collected and analyzed. ELISA assays were performed to detect the concentrations of several proteins including MST1. The relationship between these potential biomarkers and the primary endpoint of death was evaluated using Cox proportional hazard regression analysis. Results Compared with a low level (< 1330.8 ng/L), high serum MST1 level (≥ 1330.8 ng/L) was positively associated with the 30-day mortality (OR = 5.233, 95%CI, 1.843–14.862, P < 0.01) and retained predictive after adjustment for sex, age, BMI, nasopharyngeal temperature and deep hypothermia circulatory arrest time (OR = 4.628 95% CI, 1.572–13.625, P < 0.01). A pre-existing basic clinical prediction model was improved with the inclusion of preoperative serum MST1. Specifically, the area under the ROC curve for base model (history of cerebrovascular disease, creatinine, time of operation) was 0.708 (95%CI, 0.546–0.836) and markedly increased to 0.823 when taking MST1 into consideration (95%CI, 0.700–0.912, P = 0.02). Conclusion Our study suggests that high preoperative circulating MST1, with a concentration greater than 1330.8 ng/L, was correlated with the 30-day mortality of ATAAD patients who underwent emergency surgery. |
| first_indexed | 2024-04-09T17:50:52Z |
| format | Article |
| id | doaj.art-dd666c8d05b741f4bef5530fcfb4a42d |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-09T17:50:52Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-dd666c8d05b741f4bef5530fcfb4a42d2023-04-16T11:06:23ZengBMCBMC Cardiovascular Disorders1471-22612023-04-012311910.1186/s12872-023-03144-8Mammalian sterile 20-like kinase 1 acts as a candidate biomarker of mortality of emergency surgical repair for acute type a aortic dissectionXiaohui He0Jing Wang1Yuan Xue2Shipan Wang3Yanjun Dong4Hongjia Zhang5Meili Wang6Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical UniversityCollege of Veterinary Medicine, China Agricultural UniversityDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical UniversityDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical UniversityCollege of Veterinary Medicine, China Agricultural UniversityDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical UniversityBeijing Lab for Cardiovascular Precision MedicineAbstract Background Acute type A aortic dissection (ATAAD) is a life-threatening pathological change of the aorta. Patients who have undergone aortic surgery are usually at high risk of mortality. Aim We investigated the predictive value of serum Mammalian sterile 20-like kinase 1 (MST1) as a biomarker for the risk of mortality of ATAAD patients. Methods In this retrospective cohort study, we analyzed 160 consecutive ATAAD patients who had undergone emergency surgery from July 2016 to April 2017. Medical records and blood samples were collected and analyzed. ELISA assays were performed to detect the concentrations of several proteins including MST1. The relationship between these potential biomarkers and the primary endpoint of death was evaluated using Cox proportional hazard regression analysis. Results Compared with a low level (< 1330.8 ng/L), high serum MST1 level (≥ 1330.8 ng/L) was positively associated with the 30-day mortality (OR = 5.233, 95%CI, 1.843–14.862, P < 0.01) and retained predictive after adjustment for sex, age, BMI, nasopharyngeal temperature and deep hypothermia circulatory arrest time (OR = 4.628 95% CI, 1.572–13.625, P < 0.01). A pre-existing basic clinical prediction model was improved with the inclusion of preoperative serum MST1. Specifically, the area under the ROC curve for base model (history of cerebrovascular disease, creatinine, time of operation) was 0.708 (95%CI, 0.546–0.836) and markedly increased to 0.823 when taking MST1 into consideration (95%CI, 0.700–0.912, P = 0.02). Conclusion Our study suggests that high preoperative circulating MST1, with a concentration greater than 1330.8 ng/L, was correlated with the 30-day mortality of ATAAD patients who underwent emergency surgery.https://doi.org/10.1186/s12872-023-03144-8BiomarkerAcute type A aortic dissectionMammalian sterile 20-like kinase 130-day mortalityPeripheral blood |
| spellingShingle | Xiaohui He Jing Wang Yuan Xue Shipan Wang Yanjun Dong Hongjia Zhang Meili Wang Mammalian sterile 20-like kinase 1 acts as a candidate biomarker of mortality of emergency surgical repair for acute type a aortic dissection BMC Cardiovascular Disorders Biomarker Acute type A aortic dissection Mammalian sterile 20-like kinase 1 30-day mortality Peripheral blood |
| title | Mammalian sterile 20-like kinase 1 acts as a candidate biomarker of mortality of emergency surgical repair for acute type a aortic dissection |
| title_full | Mammalian sterile 20-like kinase 1 acts as a candidate biomarker of mortality of emergency surgical repair for acute type a aortic dissection |
| title_fullStr | Mammalian sterile 20-like kinase 1 acts as a candidate biomarker of mortality of emergency surgical repair for acute type a aortic dissection |
| title_full_unstemmed | Mammalian sterile 20-like kinase 1 acts as a candidate biomarker of mortality of emergency surgical repair for acute type a aortic dissection |
| title_short | Mammalian sterile 20-like kinase 1 acts as a candidate biomarker of mortality of emergency surgical repair for acute type a aortic dissection |
| title_sort | mammalian sterile 20 like kinase 1 acts as a candidate biomarker of mortality of emergency surgical repair for acute type a aortic dissection |
| topic | Biomarker Acute type A aortic dissection Mammalian sterile 20-like kinase 1 30-day mortality Peripheral blood |
| url | https://doi.org/10.1186/s12872-023-03144-8 |
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