Yıl: 2021 Cilt: 27 Sayı: 6 Sayfa Aralığı: 631 - 638 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.45470 İndeks Tarihi: 21-05-2022

The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma

Öz:
BACKGROUND: Various scoring systems have been developed to determine the trauma severity and prognosis of patients following multiple blunt trauma (MBT). However, these scoring systems do not provide exactly the desired severity assessment. In recent years, serum concentration of many specific microRNAs (miRNAs), especially for head trauma, has been shown to play an important role in determining the diagnosis, severity, and prognosis of injury. To date, however, no studies have investigated serum miRNAs in patients with MBT. Thus, this study measured the expression of miRNA-93 and -191 in the serum of adults with MBT and examined the correlations of Injury Severity Score (ISS) and Revised Trauma Score values with serum miRNA-93 and -191 levels in these patients with the aim of predicting trauma severity based on the miRNA levels. METHODS: This prospective case–control study enrolled 50 consecutive adults with MBT and age- and sex-matched 60 healthy controls. The patients were divided into ISS >16 (Group 1, major or severe trauma) and ISS ≤16 (Group 2, minor or mild-moderate trauma) groups. Serum miRNA-93 and -191 levels were assessed using quantitative real-time reverse transcription-PCR. We evaluated whether the miRNAs were differentially expressed in major and minor MBT patients and determined their utility for assessing the severity of injury. RESULTS: The mean serum miRNA-93 and -191 levels were significantly elevated in the patients compared to the controls and were higher in patients with ISS >16 compared to those with ISS ≤16, although the difference was not significant. In the patients with multitrauma, ISS was significantly, negative and weak correlated with serum miRNA-191 level (rho=−0.320, p=0.023) but not with the serum miRNA-93 level. No optimal cutoff for the serum miRNA-93 level was found with respect to trauma severity (AUC 0.617, [0.455–0.779]). However, an optimal cutoff value for serum miRNA-191 was identified, with values <1.94 indicating severe trauma (AUC 0.668 [0.511–0.826]; 65.6% sensitivity, 77.8% specificity). CONCLUSION: miRNA-191 and -93 levels were significantly upregulated in multitrauma patients compared to controls. The level of miRNA-191 in conj
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APA Sogut O, Metiner M, Kaplan O, Calik M, Çakmak S, Ümit T, Ergenç H, Akbas F, Süsgün S (2021). The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. , 631 - 638. 10.14744/tjtes.2020.45470
Chicago Sogut Ozgur,Metiner Merve,Kaplan Onur,Calik Mustafa,Çakmak Sümeyye,Ümit Tuba Betül,Ergenç Hüseyin,Akbas Fahri,Süsgün Seda The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. (2021): 631 - 638. 10.14744/tjtes.2020.45470
MLA Sogut Ozgur,Metiner Merve,Kaplan Onur,Calik Mustafa,Çakmak Sümeyye,Ümit Tuba Betül,Ergenç Hüseyin,Akbas Fahri,Süsgün Seda The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. , 2021, ss.631 - 638. 10.14744/tjtes.2020.45470
AMA Sogut O,Metiner M,Kaplan O,Calik M,Çakmak S,Ümit T,Ergenç H,Akbas F,Süsgün S The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. . 2021; 631 - 638. 10.14744/tjtes.2020.45470
Vancouver Sogut O,Metiner M,Kaplan O,Calik M,Çakmak S,Ümit T,Ergenç H,Akbas F,Süsgün S The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. . 2021; 631 - 638. 10.14744/tjtes.2020.45470
IEEE Sogut O,Metiner M,Kaplan O,Calik M,Çakmak S,Ümit T,Ergenç H,Akbas F,Süsgün S "The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma." , ss.631 - 638, 2021. 10.14744/tjtes.2020.45470
ISNAD Sogut, Ozgur vd. "The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma". (2021), 631-638. https://doi.org/10.14744/tjtes.2020.45470
APA Sogut O, Metiner M, Kaplan O, Calik M, Çakmak S, Ümit T, Ergenç H, Akbas F, Süsgün S (2021). The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. Ulusal Travma ve Acil Cerrahi Dergisi, 27(6), 631 - 638. 10.14744/tjtes.2020.45470
Chicago Sogut Ozgur,Metiner Merve,Kaplan Onur,Calik Mustafa,Çakmak Sümeyye,Ümit Tuba Betül,Ergenç Hüseyin,Akbas Fahri,Süsgün Seda The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. Ulusal Travma ve Acil Cerrahi Dergisi 27, no.6 (2021): 631 - 638. 10.14744/tjtes.2020.45470
MLA Sogut Ozgur,Metiner Merve,Kaplan Onur,Calik Mustafa,Çakmak Sümeyye,Ümit Tuba Betül,Ergenç Hüseyin,Akbas Fahri,Süsgün Seda The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. Ulusal Travma ve Acil Cerrahi Dergisi, vol.27, no.6, 2021, ss.631 - 638. 10.14744/tjtes.2020.45470
AMA Sogut O,Metiner M,Kaplan O,Calik M,Çakmak S,Ümit T,Ergenç H,Akbas F,Süsgün S The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(6): 631 - 638. 10.14744/tjtes.2020.45470
Vancouver Sogut O,Metiner M,Kaplan O,Calik M,Çakmak S,Ümit T,Ergenç H,Akbas F,Süsgün S The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(6): 631 - 638. 10.14744/tjtes.2020.45470
IEEE Sogut O,Metiner M,Kaplan O,Calik M,Çakmak S,Ümit T,Ergenç H,Akbas F,Süsgün S "The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma." Ulusal Travma ve Acil Cerrahi Dergisi, 27, ss.631 - 638, 2021. 10.14744/tjtes.2020.45470
ISNAD Sogut, Ozgur vd. "The utility of serum miRNA-93 and miRNA-191 levels for determining injury severity in adults with multiple blunt trauma". Ulusal Travma ve Acil Cerrahi Dergisi 27/6 (2021), 631-638. https://doi.org/10.14744/tjtes.2020.45470