{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:25:52Z","timestamp":1785882352893,"version":"3.56.0"},"reference-count":45,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T00:00:00Z","timestamp":1708041600000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Hebei Provincial High-Quality Development of Public Hospitals","award":["[2022]180"],"award-info":[{"award-number":["[2022]180"]}]},{"name":"Hebei Provincial Specialty Capacity Building and Specialty Leader Training Project","award":["[2018]674"],"award-info":[{"award-number":["[2018]674"]}]},{"name":"Hebei Provincial Excellent Talents in Clinical Medicine Training Project","award":["[2019]139"],"award-info":[{"award-number":["[2019]139"]}]},{"name":"Hebei province medical technology tracking project","award":["GZ2020013"],"award-info":[{"award-number":["GZ2020013"]}]},{"name":"Hebei Clinical Medical Research Centre Project","award":["20577701D"],"award-info":[{"award-number":["20577701D"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Vascular calcification (VC) commonly occurs and seriously increases the risk of cardiovascular events and mortality in patients with hemodialysis. For optimizing individual management, we will develop a diagnostic multivariable prediction model for evaluating the probability of VC.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The study was conducted in four steps. First, identification of miRNAs regulating osteogenic differentiation of vascular smooth muscle cells (VSMCs) in calcified condition. Second, observing the role of miR-129\u20133p on VC in vitro and the association between circulating miR-129\u20133p and VC in hemodialysis patients. Third, collecting all indicators related to VC as candidate variables, screening predictors from the candidate variables by Lasso regression, developing the prediction model by logistic regression and showing it as a nomogram in training cohort. Last, verifying predictive performance of the model in validation cohort.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In cell experiments, miR-129\u20133p was found to attenuate vascular calcification, and in human, serum miR-129\u20133p exhibited a negative correlation with vascular calcification, suggesting that miR-129\u20133p could be one of the candidate predictor variables. Regression analysis demonstrated that miR-129\u20133p, age, dialysis duration and smoking were valid factors to establish the prediction model and nomogram for VC. The area under receiver operating characteristic curve of the model was 0.8698. The calibration curve showed that predicted probability of the model was in good agreement with actual probability and decision curve analysis indicated better net benefit of the model. Furthermore, internal validation through bootstrap process and external validation by another independent cohort confirmed the stability of the model.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>We build a diagnostic prediction model and present it as an intuitive tool based on miR-129\u20133p and clinical indicators to evaluate the probability of VC in hemodialysis patients, facilitating risk stratification and effective decision, which may be of great importance for reducing the risk of serious cardiovascular events.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ckj\/sfae038","type":"journal-article","created":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T07:04:27Z","timestamp":1708153467000},"source":"Crossref","is-referenced-by-count":3,"title":["Circulating miR-129-3p in combination with clinical factors predicts vascular calcification in hemodialysis 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