[患有视觉器官年龄相关病理的患者的sarcopenic肥胖和interleukin状态]
A E Kopylov1, N M Agarkov1,2,3, A A Abramov2
1Tambov Branch of the S.N. Fedorov National Medical Research Center "MNTK "Eye Microsurgery", Tambov, Russia.
Vestnik oftalmologii
|December 23, 2025
概括
患有肉症/肥胖症和白内障的老年患者表现出促炎性细胞因子的增加和抗炎性白内素 (IL) 的减少. 这种细胞因子失衡可能有助于sarcopenic肥胖症的进展,并为饮食干预提供目标.
科学领域:
- 老年学是一门学科.
- 免疫学 免疫学 免疫学
- 眼科医生 眼科 眼科
背景情况:
- 麻性肥胖症 (SO) 与增加的促炎性细胞因子有关,预测老年人肌肉力量损失,残疾和死亡率.
- 在SO和年龄相关眼科病理的老年患者中,细胞因子 (cytokine) 概况仍然在很大程度上未被描述.
研究的目的:
- 分析和评估老年患者血中促炎和抗炎白内素 (IL) 水平的比率,这些老年患者被诊断为患有/SO和白内障.
主要方法:
- 这项研究涉及48名SO和白内障患者 (组1) 和54名肉症和白内障患者 (组2),年龄在60-74岁之间.
- 使用流细胞计测量测量了12种不同的白细胞间蛋白 (IL-1α, -1β, -4, -5, -6, -7, -8, -9, -10, -12, -17,和IL-18) 的血水平.
- 为了进行比较,包括了32名年龄相匹配的未患有肉症/SO或眼科病理的对照组.
主要成果:
- 与对照组相比,白内障的老年患者表现出明显升高的炎症性IL-6 (对照组为22.3±2.0 pg/mL,对照组为4.9±0.6 pg/mL),IL-8 (36.4±3.3 pg/mL) 和IL-17 (20.5±1.6 pg/mL) 的血水平 (p<0.001).
- 在SO和白内障 (p<0.01) 患者中观察到抗炎ILs,特别是IL-4 (2.1±0.2 pg/mL) 和IL-10 (9.4±0.4 pg/mL) 的降低.
- 转向促炎性细胞因子配置的转变似乎在这个患者队列中促进了从肉症到肉性肥胖症的过渡.
结论:
- 在并发性与年龄相关的眼科病理 (白内障) 和肉性疾病中发现的细胞因子概况变化具有潜在的临床意义.
- 这些发现可以为营养学家和眼科医生制定有针对性的饮食和生活方式建议.
- 了解这些关联可能会导致改善老年患者的治疗策略,治疗和白内障.
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