{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:03:18Z","timestamp":1777726998286,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine if plasma exosomal microRNAs (miRNAs) can predict survival in patients with idiopathic pulmonary arterial hypertension (IPAH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study enrolled patients with IPAH that underwent right heart catheterization. Plasma was collected and exosomal miRNAs were extracted. Exosomes were evaluated using transmission electron microscopy, Western blot analysis and particle size distribution analysis. MiRNAs were evaluated using a miRNA microarray and validated using real-time polymerase chain reaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study included 12 patients with IPAH in the study group and 48 patients with IPAH in the validation group. The mean\u2009\u00b1\u2009SD follow-up duration was 60.3\u2009\u00b1\u200935.4 months in the overall cohort. The levels of miR-596 were higher in the nonsurvivors compared with the survivors. The levels of miR-596 significantly correlated with survival time, mean right atrial pressure, pulmonary vascular resistance (PVR) and cardiac index. High levels of miR-596 and PVR were significantly associated with poor overall survival. Multivariate analysis demonstrated that exosomal miR-596 (hazard ratio [HR]\u2009=\u20092.119; 95% confidence interval [CI] 1.402, 3.203) and PVR (HR\u2009=\u20091.146; 95% CI 1.010, 1.300) were independent predictors of survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>High levels of plasma exosomal miR-596 were significantly associated with disease severity and poor prognosis of patients with IPAH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605211002379","type":"journal-article","created":{"date-parts":[[2021,4,2]],"date-time":"2021-04-02T02:24:02Z","timestamp":1617330242000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Plasma exosomal miR-596: a novel biomarker predicts survival in patients with idiopathic pulmonary artery hypertension"],"prefix":"10.1177","volume":"49","author":[{"given":"Yang","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Cardiosurgery, Weifang Traditional Chinese Hospital, Weifang, Shandong Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zuo-Gang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiosurgery, Weifang Traditional Chinese Hospital, Weifang, Shandong Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liang","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Central Laboratory, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su-Gang","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4577-3854","authenticated-orcid":false,"given":"Yuan-Yuan","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rong","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Hui","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ci-Jun","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Central Laboratory, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao-Jun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Central Laboratory, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin-Ling","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xun-Tao","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Weifang Traditional Chinese Hospital, Weifang, Shandong Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qin-Hua","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1198-6042","authenticated-orcid":false,"given":"Ping","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Cardio-Pulmonary Circulation, Shanghai Pulmonary Hospital, Tongji University, School of Medicine, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,31]]},"reference":[{"key":"bibr1-03000605211002379","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra035488"},{"key":"bibr2-03000605211002379","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2013.09.001"},{"key":"bibr3-03000605211002379","doi-asserted-by":"publisher","DOI":"10.21037\/atm-20-7339"},{"key":"bibr4-03000605211002379","doi-asserted-by":"publisher","DOI":"10.1042\/BST20120266"},{"key":"bibr5-03000605211002379","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1521230113"},{"key":"bibr6-03000605211002379","doi-asserted-by":"publisher","DOI":"10.1016\/j.ceb.2004.06.003"},{"key":"bibr7-03000605211002379","doi-asserted-by":"crossref","unstructured":"Zheng D, Huo M, Li B, et\u00a0al. 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