基于尿液和血清生物标志物的糖尿病病早期检测:最新的系统性审查
Farzaneh Karimi1, Mostafa Moazamfard2, Rasul Taghvaeefar3
1Department of Physiology, Behbahan Faculty of Medical Sciences, Behbahan, Iran.
Advanced biomedical research
|December 24, 2024
概括
新的生物标志物在2型糖尿病 (T2DM) 患者中对早期糖尿病病 (DN) 检测有希望. 识别这些标志物有助于及时干预,可能减缓慢性病的进展.
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.
- 生物标志物发现发现
背景情况:
- 糖尿病病 (DN) 是慢性病 (CKD) 和2型糖尿病 (T2DM) 患者末期病的主要原因.
- 目前的诊断方法,如白蛋白尿和血清肌素,可能无法检测早期损伤.
- 早期检测和干预对于管理DN进展和改善患者结果至关重要.
研究的目的:
- 系统地审查血清和尿路生物标志物的诊断价值,以便在T2DM患者中早期检测DN.
- 确定有前途的生物标志物,可以帮助早期诊断和干预.
- 探索组合生物标志物方法的潜力,包括遗传和mRNA标志物.
主要方法:
- 一个系统的文献审查涉及人类人口的观测研究.
- 在主要的科学数据库 (PubMed,Scopus,Web of Science) 进行的搜索.
- 不包括动物和体外试验研究.
主要成果:
- 一些血清生物标志物,包括内特林-1,骨质,阿迪波内克丁,IL-6和IL-8,显示了早期DN检测的潜力.
- 尿路生物标志物,如中性粒细胞凝酶相关的卡林 (NGAL),转激素,N-乙-β-D-葡萄糖胺酶 (NAG) 和细胞因子是可靠的指标.
- 结合血清和尿路生物标志物可能会提高诊断准确度.
结论:
- 新的血清和尿路生物标志物可以改善T2DM中糖尿病病的早期检测.
- 将这些生物标志物纳入临床实践可以促进早期诊断和管理.
- 未来的研究可以探索组合生物标记器策略,包括遗传和mRNA标记器,以进行全面的DNA评估.
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