免费的triiodothyronine可以预测患糖尿病病的风险
Weihong Li1, Zhi Yang1, Shengjian Li1
1Department of Endocrinology and Metabolism, Nanchang People's Hospital (The Third Hospital of Nanchang), Jiangxi, China.
BMC nephrology
|October 11, 2023
概括
低的自由三氨酸 (FT3) 水平与2型糖尿病患者糖尿病病 (DKD) 的风险增加有关. 较高的FT3水平显示出对球和管状脏损伤的保护作用.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學.
- 代谢疾病 代谢疾病
背景情况:
- 低的自由三氨酸 (FT3) 水平与慢性病 (CKD) 的生存率差有关.
- 在2型糖尿病 (T2D) 中,FT3水平与损伤之间的关系需要进一步研究.
- 淋巴细胞和管状标记物对于评估损伤至关重要.
研究的目的:
- 评估T2D患者FT3水平变化与损伤之间的关联.
- 评估FT3作为糖尿病病 (DKD) 的潜在预测因素.
主要方法:
- 对452名T2D患者进行了回顾性研究.
- 测量质损伤标记物 (UACR,eGFR) 和管状损伤标记物 (NAG/Cr,β2-MG).
- 使用后勤回归模型和限制性立方线的分析.
主要成果:
- 41.6%的受试者患有DKD;随着FT3四分位数的上升,患病率下降.
- FT3与UACR,NAG/Cr和β2-MG负相关;与eGFR正相关.
- 更高的FT3四分位数显著降低了尿性白蛋白,受损EGFR,阳性β2-MG和DKD发生的风险.
结论:
- FT3与球和管状损伤密切相关,作为一种保护因素.
- 降低FT3水平 (<4.39 pmol/L) 与DKD风险增加相关.
- FT3可以作为DKD发展的独立预测指标.
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