PMID- 35058120 OWN - NLM STAT- MEDLINE DCOM- 20220405 LR - 20220614 IS - 1876-4738 (Electronic) IS - 0914-5087 (Linking) VI - 79 IP - 5 DP - 2022 May TI - Low-density lipoprotein receptor and apolipoprotein A 5, myocardial infarction biomarkers in plasma-derived exosomes. PG - 605-610 LID - S0914-5087(21)00300-2 [pii] LID - 10.1016/j.jjcc.2021.10.020 [doi] AB - OBJECTIVES: Myocardial infarction (MI), a leading cause of death around the world, displays a complex pattern of inheritance. Previously, rare mutations in low-density lipoprotein receptor (LDLR) genes and apolipoprotein A V (APOA5) have been shown to contribute to MI risk in individual families. Exosomes provide a potential source of biomarkers for MI. This study is to determine the role of LDLR and APOA5 as biomarkers for early diagnosis of MI. METHODS: In this study, we detected the levels of LDLR, APOA5, and cardiac troponin T in plasma-derived exosomes in MI patients and age-matched healthy people by enzyme linked immunosorbent assay and observed the morphology and number of exosomes using transmission electron microscope and nanoparticle tracking analysis. Oxygen-glucose deprivation (OGD) method was used to induce MI in H9C2 cardiomyocytes to explore the effect of exosomes. RESULTS: We found that the levels of LDLR and APOA5 in plasma-derived exosomes in MI patients were significantly decreased. Furthermore, exosomes of MI patients were significantly larger in size and the concentration of exosomes was higher than that of age-matched non-MI people. In vitro experiments showed that OGD treatment induced apoptosis of myocardial cells and decreased the expression of LDLR and APOA5, while addition of exosomes isolated from healthy people rescued these phenotypes. CONCLUSION: Exosomal APOA5 and LDLR are intimately associated with MI, and thereby have the potential to function as diagnostic markers of MI. CI - Copyright (c) 2021. Published by Elsevier Ltd. FAU - He, Yue AU - He Y AD - Department of Cardiology, Shanghai Xuhui District Central Hospital, Shanghai, China. FAU - Gu, Xinsheng AU - Gu X AD - Department of Cardiology, Shanghai Xuhui District Central Hospital, Shanghai, China. FAU - Hu, Ying AU - Hu Y AD - Department of Geriatric Medicine, Shanghai Xuhui District Central Hospital, Shanghai, China. FAU - Jia, Hao AU - Jia H AD - The First Department of Medical Affairs, Affiliated Renji Hospital, Shanghai JiaoTong University, Shanghai, China. FAU - Zhao, Zhibo AU - Zhao Z AD - Department of Cardiology, Shanghai Xuhui District Central Hospital, Shanghai, China. FAU - Jiang, Haisong AU - Jiang H AD - Institute of Neurology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China. Electronic address: jhsarchangle@hotmail.com. FAU - Zheng, Hongchao AU - Zheng H AD - Department of Cardiology, Shanghai Xuhui District Central Hospital, Shanghai, China. Electronic address: zhenghcao@126.com. FAU - Zhu, Fu AU - Zhu F AD - Department of Cardiology, Shanghai Xuhui District Central Hospital, Shanghai, China. Electronic address: zhufu@xh.sh.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220117 PL - Netherlands TA - J Cardiol JT - Journal of cardiology JID - 8804703 RN - 0 (APOA5 protein, human) RN - 0 (Apolipoprotein A-V) RN - 0 (Apolipoproteins) RN - 0 (Biomarkers) RN - 0 (Lipoproteins, LDL) SB - IM MH - *Apolipoprotein A-V/blood/genetics/metabolism MH - Apolipoproteins/metabolism MH - Biomarkers/blood/metabolism MH - *Exosomes/metabolism MH - Humans MH - *Lipoproteins, LDL/blood/metabolism MH - *Myocardial Infarction/blood/metabolism OTO - NOTNLM OT - Apolipoprotein A V OT - Exosome OT - Low-density lipoprotein receptor OT - Myocardial infarction OT - Nanoparticle tracking analysis OT - Transmission electron microscope COIS- Conflict of Interest Statement The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/01/22 06:00 MHDA- 2022/04/06 06:00 CRDT- 2022/01/21 05:55 PHST- 2021/04/01 00:00 [received] PHST- 2021/09/16 00:00 [revised] PHST- 2021/09/21 00:00 [accepted] PHST- 2022/01/22 06:00 [pubmed] PHST- 2022/04/06 06:00 [medline] PHST- 2022/01/21 05:55 [entrez] AID - S0914-5087(21)00300-2 [pii] AID - 10.1016/j.jjcc.2021.10.020 [doi] PST - ppublish SO - J Cardiol. 2022 May;79(5):605-610. doi: 10.1016/j.jjcc.2021.10.020. Epub 2022 Jan 17.