{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T18:36:34Z","timestamp":1766774194078,"version":"3.48.0"},"reference-count":29,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015501","name":"Qu\u1ef9 \u0110\u1ed5i m\u1edbi s\u00e1ng t\u1ea1o Vingroup","doi-asserted-by":"publisher","award":["the Master, PhD Scholarship Programme of Vingroup Innovation Foundation (VINIF), code VINIF. 2025.TS53"],"award-info":[{"award-number":["the Master, PhD Scholarship Programme of Vingroup Innovation Foundation (VINIF), code VINIF. 2025.TS53"]}],"id":[{"id":"10.13039\/501100015501","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"\n Background<\/jats:title>\n \n Polymorphisms situated within the\n microRNA-146a<\/jats:italic>\n gene have been extensively reported to fulfill a crucial regulatory function in controlling inflammatory responses and modulating gene expression. More recently, these specific genetic variants have also been implicated in the pathogenesis of coronary artery lesions; nevertheless, the current body of available evidence remains notably sparse.\n <\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n \n To investigate the characteristics of the\n microRNA-146a<\/jats:italic>\n gene polymorphisms rs2431697, rs57095329, and rs2910164, and their association with the severity of coronary artery lesions.\n <\/jats:p>\n <\/jats:sec>\n \n Materials and methods<\/jats:title>\n \n This comparative cross-sectional study included patients with acute myocardial infarction (AMI) and a control group, recruited from two hospitals in Can Tho City, Vietnam, between October 2023 and May 2025. All participants underwent clinical evaluation and coronary angiography. Subsequently, the\n microRNA-146a<\/jats:italic>\n gene polymorphisms-rs2431697, rs57095329, and rs2910164-were analyzed using gene sequencing.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 249 patients were included in the AMI group and 249 in the control group. The mean age of the patient cohort (66.65\u2009\u00b1\u200910.89 years) was similar to that of the controls (66.67\u2009\u00b1\u200914.12 years). Analysis of the rs2910164 polymorphism showed a lower frequency of the GG genotype in the AMI group compared with the control group (14.9% vs. 20.9%, p\u2009<\u20090.05), and all three SNPs met Hardy\u2013Weinberg equilibrium criteria. Among patients with AMI, 30.5% had three-vessel coronary artery disease, and severe stenosis (\u226590% luminal narrowing) was present in 78.3% of cases. Multivariate analysis demonstrated that the rs2431697 CC\u2009+\u2009TC genotype (OR = 0.10), the rs2910164 GG\u2009+\u2009CG genotype (OR = 3.23), diabetes mellitus (OR = 5.14), dyslipidemia (OR = 4.01), smoking (OR = 5.16), NT-proBNP\u2009\u2265\u2009300 pg\/mL (OR = 8.69), a GRACE score\u2009>\u2009140 (OR = 10.82), and a TIMI score\u2009>\u20094 (OR = 6.50) were independent predictors of severe coronary stenosis (p\u2009<\u20090.05).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Patients with acute myocardial infarction had a lower prevalence of the GG genotype of the rs2910164 polymorphism compared with the control group. The rs2910164 polymorphism of\n microRNA-146a<\/jats:italic>\n -particularly genotypes carrying the G allele-along with a history of diabetes mellitus, dyslipidemia, smoking, NT-proBNP\u2009\u2265\u2009300 pg\/mL, a GRACE score\u2009>\u2009140, and a TIMI score\u2009>\u20094 were identified as independent predictors of severe coronary artery stenosis. In contrast, the rs2431697 polymorphism with genotypes carrying the C allele was found to be a protective factor.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0339345","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T18:32:42Z","timestamp":1766773962000},"page":"e0339345","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Genetic association of microRNA-146a polymorphisms with the severity of coronary artery lesions in acute myocardial infarction"],"prefix":"10.1371","volume":"20","author":[{"given":"Toan Hoang","family":"Ngo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuong Quoc","family":"Ho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2384-0278","authenticated-orcid":true,"given":"Son Kim","family":"Tran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"issue":"7","key":"pone.0339345.ref001","article-title":"Global epidemiology of ischemic heart disease: results from the global burden of disease study","volume":"12","author":"MA Khan","year":"2020","journal-title":"Cureus"},{"issue":"1","key":"pone.0339345.ref002","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1186\/s12872-023-03231-w","article-title":"The global prevalence of myocardial infarction: a systematic review and meta-analysis","volume":"23","author":"N Salari","year":"2023","journal-title":"BMC Cardiovasc Disord"},{"issue":"5","key":"pone.0339345.ref003","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.carrev.2018.07.020","article-title":"The prevalence, clinical spectrum and the long term outcome of ST-segment elevation myocardial infarction in young - 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