内皮功能障碍的生物标志物和2型糖尿病的风险
James B Meigs1, Frank B Hu, Nader Rifai
1General Medicine Division, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Mass 02114, USA. jmeigs@partners.org
JAMA
|April 29, 2004
概括
高水平的E-选择素和ICAM-1可以预测女性的2型糖尿病. 这些内皮功能障碍的生物标志物甚至在没有肥胖或炎症的情况下也表明风险.
科学领域:
- 心血管研究研究心血管研究
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 内皮功能障碍与2型糖尿病有关.
- 它可能会在糖尿病的临床诊断之前.
研究的目的:
- 调查内皮功能障碍的血生物标志物是否预测初始非糖尿病女性的2型糖尿病发展.
- 评估了E-选择素,细胞间粘附分子1 (ICAM-1) 和血管细胞粘附分子1 (VCAM-1).
主要方法:
- 在护士健康研究中进行的前性,嵌套的病例对照研究.
- 包括32,826名提供血液样本的妇女;到2000年,有737人患有糖尿病.
- 基于基线生物标志物水平分析风险,以多个共同变量进行调整.
主要成果:
- 在患有糖尿病的女性中,E-选择素,ICAM-1和VCAM-1的中位数显著更高.
- 升高的E-选择素和ICAM-1预测了发生的2型糖尿病.
- 调整后的相对风险为5.43的E-选择素和3.56的ICAM-1在顶部五分之一.
结论:
- 内皮功能障碍生物标志物可以预测女性的2型糖尿病.
- 这种预测独立于肥胖和亚临床炎症.
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