糖尿病患者与阿司匹林耐药性相关的因素:代谢和炎症概况分析
Bo Chen1, Zisheng Li1, Jianyong Zhao2
1Department of Nuclear Medicine, Chaohu Hospital Affiliated to Anhui Medical University, Hefei, Anhui, China.
PloS one
|September 11, 2025
概括
糖尿病患者表现出较高的阿司匹林耐药性,原因是血栓素的产量增加,与炎症和肥胖有关. 这凸显了糖尿病患者个性化心血管预防策略的必要性.
科学领域:
- 心血管医学 心血管医学
- 内分泌学 在内分泌学.
- 血栓形成研究研究
背景情况:
- 糖尿病 (DM) 与动脉样硬化事件的增加有关.
- 阿司匹林 (ASA) 在预防DM患者心血管事件的疗效不一致.
- 了解DM中阿司匹林耐药机制对于改善心血管疾病预防至关重要.
研究的目的:
- 在糖尿病患者中调查与生物化学阿司匹林耐药性相关的因素.
- 根据不充分的血栓生物合成抑制来定义生物化学阿司匹林耐药性.
- 为改善糖尿病患者心血管疾病预防提供见解.
主要方法:
- 预期病例对照研究,比较了53名DM患者和66名健康对照.
- 评估代谢-炎症标志物 (BMI,LDL-C,CysC,hs-CRP,HOMA-IR) 和尿液中的11-脱甲 B2 (11dhTxB2) 的评价.
- 生物化学阿司匹林耐药性定义为ASA后的尿路11dhTxB2 ≥1500 pg/mg肌.
主要成果:
- 糖尿病患者的基线代谢-炎症标志物较高,尿液11dhTxB2.2.基线高60%.
- 在DM患者中,生物化学阿司匹林耐药性的患病率是DM患者的2.7倍 (20.8%与7.6%相比).
- 较高的BMI和全身炎症 (hs-CRP) 与阿司匹林后减弱的血栓糖抑制有很强的关联.
结论:
- 糖尿病患者表现出高血栓生物合成和增加的生物化学抗阿司匹林.
- 体重指数升高和全身炎症是阿司匹林在DM治疗效率降低的关键因素.
- 针对代谢控制和炎症的个性化心血管预防策略建议用于高风险糖尿病人群.
相关概念视频
Coronary Artery Disease I: Introduction
893
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
893
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
248
Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
248
Factors Affecting Protein-Drug Binding: Patient-Related Factors
305
Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
305
Factors Affecting Drug Biotransformation: Biological
525
Biological factors significantly impact drug metabolism, influencing drug clearance, efficacy, and potential toxicity.
Species differences: Variations in enzyme systems across species can cause disparities in drug metabolism. For instance, humans may metabolize certain drugs faster than rodents, altering therapeutic effects.
Strain differences: Genetic variations within a species can result in differing enzyme activity, impacting drug response and toxicity. For example, some mouse strains may...
Species differences: Variations in enzyme systems across species can cause disparities in drug metabolism. For instance, humans may metabolize certain drugs faster than rodents, altering therapeutic effects.
Strain differences: Genetic variations within a species can result in differing enzyme activity, impacting drug response and toxicity. For example, some mouse strains may...
525
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion
169
Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
169
Oral Hypoglycemic Agents: Biguanides and Glitazones
588
Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
588


