» Articles » PMID: 39680245

Molecular Insights into Wnt3a and Wnt5a Gene Expression in Venous Insufficiency

Overview
Journal Mol Biol Rep
Specialty Molecular Biology
Date 2024 Dec 16
PMID 39680245
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Chronic venous insufficiency (CVI) manifests as morphological and functional abnormalities in the venous system, primarily affecting the lower extremities and presenting as leg heaviness, oedema, and varicose veins. CVI is a common vascular disorder characterised by impaired blood flow in the veins, often leading to various clinical manifestations. To better understand the additional underlying mechanisms of CVI, it is essential to explore the role of Wnt proteins, which play a crucial role in regulating signalling processes. This study aimed to investigate the expression levels of the Wnt3a and Wnt5a genes using real-time PCR in patients with venous insufficiency compared to acontrol group.

Methods And Results: 68 participants were included, comprising 29 controls and 39 patients with venous insufficiency from Near East University Hospital. Real-time PCR was utilised for gene expression analysis on a segment of the great saphenous vein biopsy, encompassing all vascular layers, from each participant in both groups. With a significance threshold of p < 0.05, the analysis revealed a significant difference in Wnt3a gene expression (p ₌ 0.0007) and a nonsignificant difference in Wnt5a expression levels (p ₌ 0.5726) between patients with venous insufficiency and the healthy control group.

Conclusion: This study indicates fluctuations in the Wnt genes in varicose vein biopsies compared to healthy veins. Consequently, further research is essential to elucidate whether the dysregulation of the Wnt pathway induces venous insufficiency or vice versa. This may facilitate targeted interventions addressing its fundamental molecular aberrations.

References
1.
Raju S, Neglen P . Clinical practice. Chronic venous insufficiency and varicose veins. N Engl J Med. 2009; 360(22):2319-27. DOI: 10.1056/NEJMcp0802444. View

2.
Bergan J, Schmid-Schonbein G, Smith P, Nicolaides A, Boisseau M, Eklof B . Chronic venous disease. N Engl J Med. 2006; 355(5):488-98. DOI: 10.1056/NEJMra055289. View

3.
Lurie F, Passman M, Meisner M, Dalsing M, Masuda E, Welch H . The 2020 update of the CEAP classification system and reporting standards. J Vasc Surg Venous Lymphat Disord. 2020; 8(3):342-352. DOI: 10.1016/j.jvsv.2019.12.075. View

4.
Escudero Rodriguez J, Fernandez Quesada F, Bellmunt Montoya S . Prevalence and clinical characteristics of chronic venous disease in patients seen in primary care in Spain: results of the international study Vein Consult Program. Cir Esp. 2013; 92(8):539-46. DOI: 10.1016/j.ciresp.2013.09.013. View

5.
Mekky S, Schilling R, WALFORD J . Varicose veins in women cotton workers. An epidemiological study in England and Egypt. Br Med J. 1969; 2(5657):591-5. PMC: 1983630. DOI: 10.1136/bmj.2.5657.591. View