1型糖尿病的发病率,临床特征和HLA基因型:一个横截面研究
Yan Chen1, Yuting Xie1, Ying Xia1
1National Clinical Research Center for Metabolic Diseases, Key Laboratory of Diabetes Immunology (Central South University), Ministry of Education, and Department of Metabolism and Endocrinology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Diabetes/metabolism research and reviews
|June 20, 2023
概括
异常型1型糖尿病 (T1D) 占T1D新发病例的近四分之一. 这些患者往往出现较晚发病,BMI较高,糖尿病不那么严重,这表明胰岛素抵抗性增加和遗传敏感性降低.
科学领域:
- 内分泌学 在内分泌学.
- 免疫遗传学 免疫遗传学
- 糖尿病研究 糖尿病研究
背景情况:
- 异常型1型糖尿病 (T1D) 是一种在临床实践中经常被忽视的亚型.
- 了解其独特的特征对于准确的诊断和管理至关重要.
研究的目的:
- 为了确定新诊断的T1D患者中特异性T1D的频率.
- 描述与特异性T1D相关的临床特征和人类白细胞抗原 (HLA) 基因型.
主要方法:
- 对1205名新诊断T1D患者的分析.
- 使用自抗体阴性个体的定制基因小组排除单基因糖尿病.
- 收集临床数据,自身抗体水平和HLA基因型.
主要成果:
- 异形T1D占新T1D病例的23.8% (284/1194). 在新T1D病例中,异形T1D占23.8%.
- 与自身免疫T1D相比,异形T1D患者的发病时间较早,BMI (成人) 更高,HbA1c更低,C水平更好.
- 异常T1D患者更有可能患有2型糖尿病 (T2D) 家庭病史和更少敏感的HLA单元型,特别是那些成人发病或保留β细胞功能的人.
结论:
- 异形T1D占T1D新诊断的很大一部分.
- 在异常T1D中,成人发病和维护β细胞功能与降低HLA敏感性和增加胰岛素抵抗有关.
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