淋巴功能及其在不同葡萄糖代谢状态中的影响因素
Bin Tian1, Chen Zhao2, Jia-Li Liang1
1Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
World journal of diabetes
|August 5, 2024
概括
大脑淋巴系统功能障碍在2型糖尿病 (T2DM) 中是明显的. 随着周血管空间 (DTI-ALPS) 的扩散张力成像指数在T2DM患者下降,与临床因素相关.
科学领域:
- 神经科学是一个神经科学.
- 医疗成像医学成像
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 淋巴系统从大脑中清除废物,其在改变葡萄糖代谢中的功能尚不清楚.
- 在糖尿病中影响淋巴功能障碍的因素需要进一步调查.
研究的目的:
- 在正常葡萄糖代谢 (NGM),糖尿病前期和2型糖尿病 (T2DM) 个体中,使用周周血管空间 (DTI-ALPS) 指数的扩散张力成像来评估淋巴系统功能.
- 在这些群体中探索淋巴功能的临床相关性.
主要方法:
- 对22名NGM,20名糖尿病前期患者和22名T2DM患者的横截面研究.
- 使用3.0TMRI测量基底质中的DTI-ALPS指数.
- 使用迷你精神状态检查 (MMSE) 评估认知功能.
主要成果:
- 与NGM和糖尿病前期组相比,T2DM患者的DTI-ALPS指数值明显较低.
- 在T2DM组的DTI-ALPS指数与身高和高密度脂蛋白水平相关.
- 在糖尿病前期,DTI-ALPS与葡萄糖水平,总胆固醇,LDL,糖化血红蛋白和腰部与部的比率相关.
结论:
- 淋巴系统功能障碍主要在2型糖尿病阶段观察到.
- 临床变量在不同的葡萄糖代谢状态中显著影响淋巴功能.
- 研究结果提供了对糖尿病脑损伤病理生理学和潜在的早期诊断标记的见解.
相关概念视频
Hormones Regulating Blood Glucose
3.2K
Insulin is released by beta cells of the pancreas when blood glucose levels are high. It facilitates glucose absorption and utilization in insulin-dependent cells with insulin receptors on their plasma membranes. Insulin promotes glucose uptake by increasing the number of glucose transport proteins in the cell membrane, allowing glucose to enter the cell. As a result, glucose utilization and ATP production are enhanced.
In addition to accelerating glucose uptake and utilization, insulin has...
In addition to accelerating glucose uptake and utilization, insulin has...
3.2K
Overview of Carbohydrate Metabolism
833
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
833
Glucose Homeostasis: Regulation of Blood Glucose
1.5K
Carbohydrates consumed through foods are converted into glucose, a crucial energy source for the body. In the prandial state, high blood glucose levels stimulate the secretion of insulin from the pancreas. Insulin inhibits hepatic glucose production and stimulates glucose uptake and metabolism by muscle and adipose tissue. The excess glucose is converted into glycogen and stored in the liver and muscles.
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
1.5K
Glucose Homeostasis: Pancreatic Islets and Insulin Secretion
1.2K
The pancreatic islets comprising only 1%-2% of the volume are highly vascularized and innervated mini-organs. They contain five endocrine cell types, including β cells that secrete insulin, which is synthesized as a single polypeptide chain, preproinsulin, processed to proinsulin, and finally to insulin and C-peptide. This process is complex and regulated, involving the Golgi complex, the endoplasmic reticulum, and the secretory granules of the β cell.
Insulin and C-peptide are...
Insulin and C-peptide are...
1.2K
Glucose Absorption Into the Small Intestine
31.5K
Complex carbohydrates consumed cannot be absorbed into the small intestine in their original form. First, they must be hydrolyzed to a monosaccharide form such as glucose or galactose. These monosaccharides are then transported across the intestinal membrane and into the blood via transcellular transport. The intestinal epithelial cells allow the movement of these monosaccharides with a defined 'entry' through membrane transporter proteins present on their apical membrane and...
31.5K
Pathophysiology of Diabetes
911
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
911


