Purpose
Severe acute pancreatitis (SAP) is a life-threatening inflammatory syndrome of the pancreas. This study aimed to analyze the clinical significance of
runt-associated transcription factor 3
(
RUNX3
) and
fibroblast growth factor receptor 2
(
FGFR2
) expression alterations in SAP.
Methods
This study included 18 SAP patients in Wuzhong People’s Hospital from November 2019 to December 2021 and 18 healthy controls.
RUNX3
and
FGFR2
expression levels were determined by RT-quantitative PCR. Correlations between
RUNX3
/
FGFR2
and sex, age, etiology, CRP, procalcitonin, AST, LDH, BUN, Acute Physiology and Chronic Health Evaluation II (APACHE II), Ranson score, Bedside Index for Severity in Acute Pancreatitis (BISAP) score, sequential organ failure assessment (SOFA), and modified computed tomography severity index (MCTSI) score were analyzed. Diagnostic values of
RUNX3
and
FGFR2
in SAP were analyzed using the receiver-operating characteristic curve. The binding of
RUNX3
to
FGFR2
was analyzed by chromatin immunoprecipitation.
Results
RUNX3
and
FGFR2
were downregulated in peripheral blood of SAP patients.
RUNX3
and
FGFR2
were negatively correlated with CRP, procalcitonin, AST, LDH, BUN, APACHE II score, Ranson score, BISAP score, SOFA score, and MCTSI score. Sensitivity and specificity of
RUNX3
level of <0.9650 for SAP diagnosis were 88.89% and 72.22%, respectively. Sensitivity and specificity of
FGFR2
level of <0.8950 for SAP diagnosis were 66.67% and 83.33%, respectively.
RUNX3
was enriched in the
FGFR2
promoter and was positively correlated with
FGFR2
.
Conclusion
RUNX3
and
FGFR2
were downregulated in peripheral blood of SAP patients and served as candidate biomarkers for SAP diagnosis.
RUNX3
bound to the
FGFR2
promoter to promote
FGFR2
transcription.