
INCREASED EXPRESSION OF CARDIOTROPHIN-1
IN CARDIOMYOPATHY PATIENTS Sharif S1,*, Saleem A1, Naz S1, Rashid F1, Iqtedar M2, Kaleem A2, Latif A1 *Corresponding Author: Dr. Saima Sharif, Department of Zoology, Lahore College for Women
University, Jail Road, Lahore, Pakistan. Tel: +92-333-409-2232. Fax: +92-042-9920-3077. E-mail:
saimasharif04@ gmail.com page: 21
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METHODOLOGY
The cross-sectional study was conducted at the
Fatima Memorial Hospital (FMH) of Lahore, Pakistan.
Permission for sampling was obtained from the Ethics
Committee of the institution. Samples were collected from
the Cardiology Department of FMH between January and
June 2016. The sample size was calculated using sample
calculator on Raosoft Inc. (http://www.raosoft.com/
samplesize.html) with 5.0% margin of error and 50.0%
confidence interval with expected prevalence of cardiac
diseases as 410/ 100,000 in our population.
The study population was divided into two groups: the
control group consisted of 20 healthy individuals and the
CM group included 20 subjects. Inclusion and exclusion
criteria were made for appropriate selection of patients
which were as follows: patients with suspected HF, patients
with left ventricular (LV) dilatation and dysfunction were
included in the study. Other acquired or congenital cardiac
diseases such as myocardial infarction, other coronary
vascular disease, myocarditis, pericardial diseases (not
mild pericardial effusion that may be secondary to HF)
and patients of any cardiac/genetic disease were excluded
from the study. Written informed consent was obtained
from the subjects before their participation in the study. A
structured questionnaire used for data collection regarding
age, gender, habits, duration of disease and family history
of disease. A blood sample (3 mL) was drawn from the
enrolled subjects and transferred immediately to EDTAcontaining
vacutainers and mixed gently for 1 min. to
prevent blood clotting and inhibiting activity of nucleases.
The sequence of human gene CT-1 was retrieved from the
National Center for Biotechnology Information (NCBI)
(www.ncbi.nlm.nih.gov) and the BLAST (basic local
alignment tool) in the bioinformatics tool (www.genome.
ucse.edu). Only exomic sequences (NM-001330.5) were
used for designing the primers (www. genome.ucse.edu).
RNA was isolated by the trizole method [10]. RNA
quantity and quality was determined using the Nano Drop™
2000/2000c spectrophotometer (Thermo Fisher Scientific,
Waltham, MA, USA). Then, cDNA synthesis was done by
the reverse transcriptase method. Furthermore, cellular
gene expression was determined by reverse-transcriptasepolymerase
chain reaction (RT-PCR). Statistical analysis
was done using the Statistical Package for the Social
Sciences (SPSS), version 23 (IBM Corporation, Armonk,
NY, USA). The statistical difference between the groups
was analyzed by the Student’s t-test. Pearson correlation
was done to determine the relationship between the CT-1
gene and demographic characteristics.
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