在 AGE-RAGE 轴上添加皮奥格利塔或格利梅皮里德的抗糖尿病联合治疗:一个随机前性研究
Eugenio Ragazzi1, Silvia Burlina2, Chiara Cosma2
1Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Padova, Italy.
Frontiers in endocrinology
|August 28, 2023
概括
两种口服抗糖尿病药物pioglitazone和glimepiride在5年内在2型糖尿病患者中显著降低了先进的糖化终产物 (AGEs) 和AGE/可溶形式受体 (s-RAGE) 的比率. 皮奥格利塔显示了AGE/s-RAGE比率的较大降低.
科学领域:
- 内分泌学和新陈代谢学
- 心血管研究研究心血管研究
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 先进的糖化终产品 (AGEs) 与它们的可溶性受体 (s-RAGE) 的比率是脏和心血管疾病的风险标志物.
- 了解口服抗糖尿病治疗对AGE/s-RAGE比率的影响对于管理糖尿病相关并发症至关重要.
研究的目的:
- 评估两种口服抗糖尿病药物 - - 皮奥格利塔和格利梅皮里德在5年时间内对2型糖尿病患者的AGE/s-RAGE比率的影响.
- 为了比较pioglitazone与glimepiride在调节AGE/s-RAGE比率方面的疗效.
主要方法:
- 七十三名2型糖尿病患者被随机分配给接受皮奥格利塔或格利梅皮里德,两者与甲胺结合使用.
- 患者在基线和5年治疗后被评估为AGE和s-RAGE水平.
- 计算了AGE/s-RAGE比率并分析了显著变化的情况.
主要成果:
- 与基线相比,5年后,pioglitazone和glimepiride治疗都显著降低了AGE水平,AGE/s-RAGE比率超过50%.
- 在任何治疗组中,溶性形式受体 (s-RAGE) 水平都没有显著变化.
- 皮奥格利塔在5年后,与glimepiride相比,在AGE/s-RAGE比率上显示出更显著的降低.
结论:
- 口服抗糖尿病疗法,特别是皮奥格利塔,可以通过降低AGE/s-RAGE比率来改善内皮功能标志物,从而降低心血管风险.
- AGE-RAGE轴调节表明皮奥格利塔在治疗糖尿病相关血管并发症方面具有长期益处.
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