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儿童急性淋巴细胞白血病幸存者的异常葡萄糖代谢和身体成分变化 青少年时期的急性淋巴细胞白血病
Warittha Supho1, Usanarat Anurathapan, Pat Mahachoklertwattana
1Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Mahidol University, Bangkok, Thailand.
Journal of pediatric hematology/oncology
|February 27, 2025
概括
儿童白血病幸存者经常发展出异常的葡萄糖代谢 (AGM),即使没有超重. 这种病因于胰岛素抵抗和胰岛素分泌量减少,影响长期健康.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 代谢健康 代谢健康
背景情况:
- 儿童急性淋巴细胞白血病 (ALL-S) 幸存者具有异常葡萄糖代谢 (AGM) 的风险较高.
- 了解这些幸存者的代谢概况对于长期的健康管理至关重要.
研究的目的:
- 在儿童急性淋巴细胞白血病幸存者的队列中评估葡萄糖代谢.
- 在这个人群中识别与异常葡萄糖代谢相关的因素.
主要方法:
- 141名儿童急性淋巴细胞白血病幸存者接受了口服葡萄糖耐受性测试 (OGTT).
- 用血葡萄糖和血清胰岛素水平计算胰岛素敏感度和分泌指数.
- 进行身体成分分析以确定脂肪质量指数 (FMI).
主要成果:
- 48%的幸存者 (141人中有67人) 呈现出异常的葡萄糖代谢 (AGM).
- 即使在非肥胖的幸存者中,AGM也存在 (98人中有33人).
- 患有AGM的幸存者表现出更高的腰围,增加FMI,降低胰岛素敏感度 (更高的HOMA-IR和更低的全身胰岛素敏感度指数),以及相对于敏感度的胰岛素分泌受损 (较低的处置指数).
结论:
- 不正常的葡萄糖代谢 (AGM) 在儿童急性淋巴细胞白血病幸存者中很普遍,不论体重指数如何.
- 这些幸存者的AGM的特点是胰岛素抵抗和胰岛素分泌量减少.
- 这些发现凸显了对所有幸存者的代谢健康监测的必要性.
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