在2型糖尿病患者中,较低相角和慢性病进展之间的关联
Serena Low1,2,3, Sharon Li Ting Pek1, Angela Mei Chung Moh1
1Khoo Teck Puat Hospital, Singapore.
Annals of the Academy of Medicine, Singapore
|June 21, 2024
概括
下相角 (PhA) 是细胞完整性的衡量标准,与2型糖尿病患者的慢性病 (CKD) 进展有关. 这种关联部分由矩阵金属蛋白酶-2 (MMP-2) 介导.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 生物医学工程 生物医学工程
背景情况:
- 来自生物电阻分析 (BIA) 的相角 (PhA) 反映了细胞完整性和水分.
- 慢性病 (CKD) 的进展是2型糖尿病 (T2DM) 患者的一个重大问题.
- 矩阵金属蛋白酶-2 (MMP-2) 涉及到间胞纤维化.
研究的目的:
- 在T2DM患者中调查PhA和CKD进展之间的关联.
- 为了确定MMP-2是否调解PhA和CKD进展之间的关系.
主要方法:
- 对1078名T2DM患者进行前性研究.
- 通过BIA测量的PhA;通过eGFR下降定义的CKD进展.
- 使用多重免疫试验量化MMP-2水平.
- 用于协会分析的考克斯比例危险模型.
主要成果:
- 在8.6年内,43.7%的参与者经历了CKD进展.
- 较低的PhA位与增加CKD进展风险显著相关,即使在完全调整后也是如此.
- 在最低的PhA第三位和CKD进展之间的关联中,MMP-2占14.7%.
结论:
- 较低的BIA衍生的PhA与T2DM患者的CKD进展有关.
- 在这种关联中,MMP-2起着调解作用.
- PhA可能作为T2DM中CKD进展风险的潜在生物标志物.
相关概念视频
Nephrons
2.3K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.3K
Factors Affecting Renal Clearance: Renal Impairment
81
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
81
Dialysis
288
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
288
Diabetes: Symptoms, Diagnosis, and Complications
522
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
522
Chronic Pancreatitis I: Introduction
86
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
86
Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84


