2型糖尿病患者血浆脂联素和抵抗素水平的测定及意义
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国家自然科学基金(30170442)资助


The Change of Plasma Adiponectin and Resistin And Their Roles in Type 2 Diabetes
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    为探讨2型糖尿病患者血浆脂联素和抵抗素水平的变化及意义。将60例2型糖尿病患者分为非肥胖糖尿病组30例(体质指数<25kg/m2)和肥胖糖尿病组30例(体质指数>25kg/m2);并选择28例健康者作对照。用酶联免疫吸附检测法测空腹血浆脂联素和抵抗素浓度;并测定各组的空腹血糖、胰岛素和血脂的水平;根据HOMA稳态模型提出的公式,计算胰岛素抵抗指数和胰岛素敏感指数,分析各指标间的相关性。结果发现,①糖尿病各组血浆脂联素的水平明显低于对照组,且肥胖糖尿病组低于非肥胖组,差异有显著性(p<0.01)。②糖尿病各组血浆抵抗素的水平明显高于对照组,而且肥胖糖尿病组明显高于非肥胖组,差异有显著性(p<0.01)。③相关分析发现,血浆脂联素浓度与体质指数、空腹血糖、胰岛素抵抗指数和甘油三酯呈显著负相关(分别为r=-0.55,p<0.01;r=-0.51,p<0.01;r=-0.52,p<0.01;r=-0.39,p<0.05),而与胰岛素敏感指数呈显著正相关(r=0.45,p<0.01);抵抗素则与体质指数、空腹血糖、胰岛素抵抗指数和甘油三酯呈显著正相关(r=0.40,p<0.01;r=0.52,p<0.01;r=0.46,p<0.01;r=0.27,p<0.05);与胰岛素敏感指数)呈显著负相关(r=-0.32,p<0.01)。此结果提示,脂联素和抵抗素都参与了胰岛素抵抗的发生过程,可能与2型糖尿病的糖脂代谢紊乱有关。

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    Aim To investigate the levels of plasma adiponectin and resistin in type 2 diabetes and to explore their roles in this disease. Methods According to the body mass index (BMI), 60 type 2 diabetes patients were divided into two groups, one group was non-obese diabetes patients with BMI < 25 kg/m2 (30 cases) and the other group was obese diabetes patients with BMI > 25 kg/m2 (30 cases). There were 28 healthy persons in the control group. ELISA technique were employed to determine the plasma adiponectin and resistin concentration; at the same time the fasting blood glucose, insulin and blood lipid were detected; insulin resistance index and insulin sensitive index were calculated by the HOMA. Results ③The levels of plasma adiponectin were decreased significantly in diabetes group compared with that in control group ( P< 0.01); moreover, the adiponectin concentration in obese diabetes group were significantly decreased compared with that in non-obese diabetes group (P< 0.01). ②The levels of plasma resistin were increased significantly in diabetes group compared with that in control group ( P< 0.05, p<0.01); furthermore, the levels of resistin in obese diabetes group were increased significantly compared with that in non-obese diabetes group ( P< 0.01). ③Plasma adiponectin correlated negatively with BMI, blood glucose, insulin resistance index and triglyceride (respectively r= -0.55, p<0.01; r = -0.51, p<0.01; r= -0.52, p<0.01; r= -0.39, p< 0.05). It was positively correlated with insulin sensitive index (r=0.45, P< 0.01). Oppositely plasma resistin correlated positively with BMI, blood glucose, triglyceride and insulin resistance index (respectively r = 0.40, p<0.01; r = 0.52, P< 0.01; r = 0.46, p<0.01; r = 0.27, p<0.05), but it was negatively correlated with insulin sensitive index ( r = -0.32, P< 0.01). Conclusion Plasma adiponectin and resistin take apart in the development of insulin resistance and they may be associated with the disorder of glucose and lipid in type 2 diabetes.

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卢慧玲,王宏伟,张木勋,林汉华.2型糖尿病患者血浆脂联素和抵抗素水平的测定及意义[J].中国动脉硬化杂志,2004,12(3):336~338.

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  • 收稿日期:2003-09-15
  • 最后修改日期:2004-02-12
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