在全身性硬化症中,溶性细胞粘附分子与心血管并发症之间的关联:对胰岛素抵抗的影响
Iván Ferraz-Amaro1,2, Zeina Ibrahim-Achi3, Antonia de Vera-González4
1Division of Rheumatology, Hospital Universitario de Canarias, 38320 Tenerife, Spain.
Journal of clinical medicine
|March 17, 2025
概括
在全身性硬化症 (SSc) 患者中,可溶性血管细胞粘附分子-1 (sVCAM-1) 水平与胰岛素抵抗有关. 测量细胞粘附分子 (CAMs) 可以识别SSc个体具有更高的心血管疾病风险.
科学领域:
- 心血管医学 心血管医学
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 可溶性细胞粘附分子 (sICAM-1,sVCAM-1,P-selectin) 与一般人群中的心血管疾病 (CVD) 有关.
- 心血管疾病在全身性硬化症 (SSc) 中很常见.
- 研究SSc患者的粘附分子对于了解心血管疾病并发症至关重要.
研究的目的:
- 探索SSc患者的sICAM-1,sVCAM-1和P-selectin血清水平与心血管并发症之间的关联.
- 为了确定粘附分子水平是否与SSc特定的表现和心脏代谢参数相关.
主要方法:
- 81名SSc患者的横截面研究.
- 临床评价,血清粘附分子水平 (sICAM-1,sVCAM-1,P-selectin),脂质样本,胰岛素抵抗指数,以及大动脉超声波.
- 多变量线性回归分析以评估关联.
主要成果:
- 疾病参数和粘附分子之间的有限关联;修改的罗丹皮肤评分与sVCAM-1正相关.
- 血清sVCAM-1与较高的胰岛素抵抗和β细胞功能指数显著相关.
- 对于sICAM-1和P-selectin与大多数参数没有发现显著的关联.
结论:
- 血清sVCAM-1独立与SSc患者的胰岛素抵抗相关.
- 细胞粘附分子 (CAMs) 的评估可以识别SSc患者的胰岛素耐药性增加.
- 在SSc中,CAM可能是分层心血管疾病风险的有价值工具.
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