失调的24小时黑激素分泌与糖尿病视网膜病变中的内在光敏视网膜质细胞功能相关:一个横截面研究
Sirimon Reutrakul1, Jason C Park2, J Jason McAnany2
1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Illinois Chicago, Chicago, IL, USA. sreutrak@uic.edu.
Diabetologia
|February 27, 2024
概括
糖尿病视网膜病变与中断的昼夜节律有关,特别是减少了黑激素的产生和增加了睡眠的变化. 这表明受损的内在光敏感视网膜质细胞 (ipRGC) 功能有助于糖尿病患者的昼夜调节失调.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 睡眠医学 睡眠医学
背景情况:
- 糖尿病视网膜病变 (DR) 是糖尿病的一个微血管并发症.
- 昼夜系统在24小时内调节生理过程.
- 本质上光敏感的视网膜质细胞 (ipRGCs) 在昼夜节律的控制中发挥作用.
研究的目的:
- 调查糖尿病视网膜病变和昼夜系统改变之间的关联.
- 为了检查内在光敏感视网膜质细胞 (ipRGC) 在糖尿病视网膜病变中的作用.
主要方法:
- 在有或没有糖尿病视网膜病变的个体中,比较了24小时的黑激素和皮质醇概况.
- 使用照明后瞳孔反应 (PIPR) 评估ipRGC功能.
- 评估睡眠模式使用动图学.
主要成果:
- 糖尿病视网膜病变组显示较小的PIPR,较低的24小时黑激素输出,以及更大的睡眠变化.
- 在24小时皮质醇概况,睡眠时间或效率上没有显著差异.
- 在PIPR和24小时平均黑激素水平之间发现了相关性.
结论:
- ipRGC功能障碍与糖尿病视网膜病变中乱的黑色素节律有关.
- 循环节失调与糖尿病视网膜病变的病理生理学有关.
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