新诊断 2 型糖尿病或糖调节受损患者血糖波动与氧化应激激活的关系。

Relationships between glucose excursion and the activation of oxidative stress in patients with newly diagnosed type 2 diabetes or impaired glucose regulation.

机构信息

Department of Endocrinology, The Affiliated Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou 310016, China.

出版信息

Endocrine. 2010 Feb;37(1):201-8. doi: 10.1007/s12020-009-9296-6. Epub 2010 Jan 5.

Abstract

The effect of glucose excursions on oxidative stress is an important topic in diabetes research. We investigated this relationship by analyzing markers of oxidative stress and glycemic data from a continuous glucose monitoring system (CGMS) in 30 individuals with normal glucose regulation (NGR), 27 subjects with impaired glucose regulation (IGR), and 27 patients with newly diagnosed type 2 diabetes (T2DM). We compared the mean amplitude of glycemic excursion (MAGE), mean postprandial glucose excursion (MPPGE), and mean postprandial incremental area under the curve (IAUC) with plasma levels of oxidative stress markers 8-iso-PGF2α, 8-OH-dG, and protein carbonyl content in the study subjects. Patients with T2DM or IGR had significantly higher glucose excursions and plasma levels of oxidative stress markers compared to normal controls (P < 0.01 or 0.05). Multiple linear regression analyses showed significant relationships between MAGE and plasma 8-iso-PGF2α, and between MPPGE and plasma 8-OH-dG in patients with IGR or T2DM (P < 0.01 or 0.05). Furthermore, 2h-postprandial glucose level and IAUC were related to plasma protein carbonyl content in the study cohort including T2DM and IGR (P < 0.01). We demonstrate that glucose excursions in subjects with IGR and T2DM trigger the activation of oxidative stress.

摘要

葡萄糖波动对氧化应激的影响是糖尿病研究中的一个重要课题。我们通过分析来自连续血糖监测系统(CGMS)的氧化应激标志物和血糖数据,研究了 30 名血糖正常调节(NGR)个体、27 名葡萄糖调节受损(IGR)个体和 27 名新诊断的 2 型糖尿病(T2DM)患者之间的这种关系。我们比较了平均血糖波动幅度(MAGE)、餐后血糖波动幅度(MPPGE)和餐后增量曲线下面积(IAUC)与研究对象血浆氧化应激标志物 8-异前列腺素 F2α、8-羟基脱氧鸟苷(8-OH-dG)和蛋白质羰基含量。与正常对照组相比,T2DM 或 IGR 患者的血糖波动幅度和血浆氧化应激标志物水平显著升高(P<0.01 或 0.05)。多元线性回归分析显示,IGR 或 T2DM 患者的 MAGE 与血浆 8-异前列腺素 F2α之间,以及 MPPGE 与血浆 8-OH-dG 之间存在显著相关性(P<0.01 或 0.05)。此外,包括 T2DM 和 IGR 在内的研究队列中,2 小时餐后血糖水平和 IAUC 与血浆蛋白质羰基含量有关(P<0.01)。我们的研究表明,IGR 和 T2DM 患者的血糖波动会引发氧化应激的激活。

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