低血清CTRP3与2型糖尿病患者更严重的远距离对称性多神经病变有关
Pingping Han1,2, Fan Hu1, Jia Guo1,2
1Department of Endocrinology, Central Theater Command General Hospital of the Chinese PLA, Wuhan, 430070, China.
概括
低血清C1q瘤坏死因子相关蛋白3 (CTRP3) 水平与2型糖尿病患者中远距离对称多神经病变 (DSPN) 的更高的患病率和严重程度有关. CTRP3可以作为DSPN发生和进展的预测因素.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 距离对称性多神经病变 (DSPN) 是2型糖尿病 (T2DM) 的常见并发症.
- 之前的研究表明,T2DM患者的血清C1q瘤缩因子相关蛋白3 (CTRP3) 水平较低.
- CTRP3和DSPN流行/严重程度之间的关系需要进一步调查.
研究的目的:
- 调查血清CTRP3水平与T2DM患者DSPN的患病率和严重程度之间的关联.
- 确定CTRP3是否可以预测DSPN的发生和进展.
主要方法:
- 178名T2DM患者被分为DSPN (n=89) 和非DSPN (n=89) 组.
- 评估了人体参数,神经症状,症状,神经病症症状评分 (NSS) 和神经病症残疾评分 (NDS).
- 使用ELISA测量血清CTRP3,与其他生化标志物一起测量.
主要成果:
- 与非DSPN组相比,DSPN组的血清CTRP3水平明显较低.
- CTRP3显示与积极的神经症状,NSS和NDS有负相关性.
- 较低的CTRP3水平 (<7.58 ng/mL) 与较高的神经症状发生率相关.
- CTRP3独立预测的DSPN发生 (β = -0.316,P < 0.001) 的最佳切断值为7.55 ng/mL (AUC = 0.763).
结论:
- 低血清CTRP3水平与T2DM患者的DSPN患病率和严重性增加有关.
- 血清CTRP3可以作为T2DM中DSPN的有价值的预测生物标志物.
- 这些发现表明CTRP3在病变发生或作为DSPN进展标志物的潜在作用.
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