在1型糖尿病患者中,与代谢功能障碍相关的脂肪性肝病的特征
Adeyinka Taiwo1,2, Himani Thakkar3, J Alan Maschek4
1Department of Internal Medicine, Division of Endocrinology and Metabolism, University of Iowa, 200 Hawkins Dr., E400 GH, Iowa City, 52242, IA, USA. adeyinka-taiwo@uiowa.edu.
患有1型糖尿病和与代谢功能失调相关的脂肪性肝病 (MASLD) 患者的BMI和胰岛素耐药性较高. 在该群体中,循环胺,二甲基甘油和三甲基甘油的增加与MASLD的发展有关.
科学领域:
- 内分泌学
- 肝病学
- 代谢综合征
背景情况:
- 代谢功能障碍相关的脂肪性肝病 (MASLD) 是代谢综合征的肝脏表现.
- MASLD进展为脂肪肝炎 (MASH) 增加了肝硬化,HCC和其他恶性瘤的风险.
- 与2型糖尿病相比,关于1型糖尿病的MASLD和脂质概况的数据有限.
研究的目的:
- 在1型糖尿病患者中研究关键脂类和MASLD之间的关联.
- 在该患者群体中确定与MASLD相关的特定脂质生物标志物.
主要方法:
- 对30名1型糖尿病患者进行横截面研究.
- 食血液抽取目标脂质组.
- 使用控制衰减参数 (CAP) 进行纤维扫描测定肥胖症.
- 由CAP分数≥248定义的病例,由CAP分数<248定义的对照.
主要成果:
- MASLD患者的BMI和24小时胰岛素剂量明显高于对照组.
- 病例显示血液中总胺,二甲醇和三甲醇的水平升高.
- 循环中的二糖胺,糖胺,二糖醇和三糖醇与肥胖症得分有显著的相关性.
- 没有与纤维化得分相关的脂类.
结论:
- 患有MASLD的1型糖尿病患者的BMI较高,可能出现胰岛素耐药性.
- 在1型糖尿病中,循环二胺,胺,二糖醇和三糖醇的升高与MASLD的发病有关.
- 这些脂质可以作为1型糖尿病中MASLD的潜在生物标志物.
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