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糖耐量试验后超重健康和糖尿病患者血管和炎症生物标志物的改变。

Modification of vascular and inflammation biomarkers after OGTT in overweight healthy and diabetic subjects.

机构信息

Department of Internal Medicine and Therapeutics, University of Pavia, Fondazione IRCCS Policlinico S. Matteo, Pavia, P. le C. Golgi, 2 - 27100 PAVIA, Italy.

出版信息

Microvasc Res. 2010 Mar;79(2):144-9. doi: 10.1016/j.mvr.2010.01.002. Epub 2010 Jan 14.

Abstract

We evaluated the effect of an oral glucose tolerance test (OGTT) on the level of biomarkers of vascular remodelling. We enrolled 256 Caucasian overweight healthy subjects (H) and 274 overweight type 2 diabetic patients (D). All patients underwent basal measurements of blood glucose (BG), nitrites/nitrates, adiponectin (ADP), matrix metalloproteinase-2 (MMP-2), and matrix metalloproteinase-9 (MMP-9) before and after OGTT. Nitrites/nitrates decrease was present after 60, 90, 120, and 180 min in both groups. Nitrite/nitrate levels were decreased at baseline, after 30 and 60 min in D group compared to H group. ADP decrease was present after 90, 120, and 180 min, in both groups. ADP levels were lower in D group than in H group during OGTT. MMP-2 increase was present after 60, 90, and 120 min in H group, while MMP-2 increase was observed after 90, 120, and 180 min in D group. MMP-2 levels were higher in D group than in H group during OGTT. MMP-9 increase was present in H group after 60, 90, 120, and 180 min, while MMP-9 increase was observed after 90, 120, and 180 min in D group. MMP-9 levels were higher in D group than in H group during OGTT. Postprandial glycemia induces an acute increase in biomarkers of vascular remodelling.

摘要

我们评估了口服葡萄糖耐量试验(OGTT)对血管重塑生物标志物水平的影响。我们纳入了 256 名白种超重健康受试者(H)和 274 名超重 2 型糖尿病患者(D)。所有患者在 OGTT 前后均进行了血糖(BG)、亚硝酸盐/硝酸盐、脂联素(ADP)、基质金属蛋白酶-2(MMP-2)和基质金属蛋白酶-9(MMP-9)的基础测量。两组患者在 60、90、120 和 180 分钟后均出现亚硝酸盐/硝酸盐水平下降。与 H 组相比,D 组在基线、30 和 60 分钟后,硝酸盐/硝酸盐水平下降。ADP 下降出现在 90、120 和 180 分钟,两组均如此。在 OGTT 期间,D 组的 ADP 水平低于 H 组。MMP-2 在 H 组中于 60、90 和 120 分钟后增加,而在 D 组中于 90、120 和 180 分钟后增加。在 OGTT 期间,D 组的 MMP-2 水平高于 H 组。MMP-9 在 H 组中于 60、90、120 和 180 分钟后增加,而在 D 组中于 90、120 和 180 分钟后增加。在 OGTT 期间,D 组的 MMP-9 水平高于 H 组。餐后血糖会引起血管重塑生物标志物的急性增加。

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