血清内斯法-1水平是否对2型糖尿病及其微血管并发症具有预测作用? 一个案例对照研究研究
Usama A Khalil1, Osama E Mohamed1,2, Abdullah A Abdullah1
1Internal Medicine, Faculty of Medicine, Zagazig University, Zagazig, EGY.
Cureus
|February 26, 2024
概括
血清内沙丁-1水平在患有2型糖尿病 (T2DM) 和其微血管并发症的埃及患者中明显较低. 较低的nesfatin-1可能表明T2DM及其并发症风险增加,这表明潜在的保护作用.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 神经研究 神经研究
背景情况:
- 2型糖尿病 (T2DM) 是一种慢性疾病,与显著的宏血管和微血管并发症有关.
- 纳斯法-1,一种来自核丁二 (NUCB2) 的神经,调节食欲,能量平衡和体重.
研究的目的:
- 与健康对照组相比,研究埃及T2DM患者的血清内沙丁-1水平.
- 评估血清内沙丁-1水平与糖尿病微血管并发症存在之间的关联.
主要方法:
- 一个匹配的病例控制研究,涉及90名参与者 (30名健康对照,60名T2DM患者).
- T2DM患者进一步分为有 (n=30) 和没有 (n=30) 微血管并发症的患者.
- 测量了血清内沙丁-1水平,并将其与不同组进行了比较.
主要成果:
- 二型糖尿病患者的血清内沙丁-1水平明显低 (5.07±1.78 mmol/L) 比健康对照 (9.05±2.1 mmol/L) (P<0.001).
- 患有微血管并发症的T2DM患者与没有 (5.83±1.51 mmol/L) (P<0.001) 的患者相比,表现出较低的内斯法廷-1水平 (4.32±1.72 mmol/L) (P<0.001).
- 血清内沙丁-1 显示出作为T2DM检测 (AUC 94.3%) 和微血管并发症 (AUC 75.5%) 的生物标志物的潜力.
结论:
- 纳斯法-1可能在糖尿病及其微血管并发症中起着保护作用,因为随着疾病的进展,水平会下降.
- 血清内沙丁-1水平可以作为T2DM,糖尿病微血管并发症和糖尿病病的早期预测标志物.
- 针对性纳斯法廷-1疗法可能是减轻糖尿病相关发病率和死亡率的未来策略.
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