胰岛素自身抗体,D-二次体和微蛋白尿:对2型糖尿病的横截面病例对照研究
Lin-Shan Zhang1, Peng Yu2, Fei Yao3
1Department of Endocrinology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
World journal of diabetes
|February 17, 2025
概括
在2型糖尿病 (T2DM) 中,胰岛素自身抗体 (IAA) 与较高的D-二次体水平有关. 在T2DM患者中,D-二聚合物升高是白蛋白尿的独立危险因素,与IAA相互作用.
科学领域:
- 内分泌学 在内分泌学.
- 血管生物学 血管生物学
- 糖尿病研究 糖尿病研究
背景情况:
- 2型糖尿病 (T2DM) 与血管并发症如白色素尿有关.
- 胰岛素自身抗体 (IAA) 和D-二次体在T2DM相关的白蛋白尿症中的相互作用尚未得到充分理解.
研究的目的:
- 在T2DM患者中研究IAA的特征.
- 为了确定IAA和D-二次体对T2DM中albuminuria发展的影响.
主要方法:
- 对230名T2DM患者 (115名IAA阳性,115名IAA阴性) 的回顾性分析.
- 倾向性得分匹配和LASSO回归用于变量选择.
- 基于IAA和D-二次体水平的专尿预测模型的开发.
主要成果:
- 具有IAA阳性的患者表现出显著更高的D-二聚合物和血胰岛素水平.
- 在IAA阳性个体中,D-二聚物水平与尿中的白蛋白与肌素比率 (UACR) 有显著的关联.
- 在IAA阳性组中,升高的D-二次数 (>0.5g/L) 显示IAA阳性组中白色素尿的几率增加了2.88倍.
结论:
- D-二次数升高是T2DM中异常白蛋白尿的独立危险因素.
- D-二聚合物与IAA相互作用,有助于T2DM患者的albuminuria的发展.
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