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网膜素-1 与代谢综合征患者的颈动脉粥样硬化有关。

Omentin-1 is associated with carotid atherosclerosis in patients with metabolic syndrome.

机构信息

Key Laboratory of Cardiovascular Remodeling and Function Research Chinese Ministry of Education and Chinese Ministry of Public Health, Qilu Hospital of Shandong University, 250012 Jinan, Shandong Province, China.

出版信息

Diabetes Res Clin Pract. 2011 Jul;93(1):21-5. doi: 10.1016/j.diabres.2011.03.001. Epub 2011 Apr 16.

Abstract

AIM

The goal of this study was to investigate the association between omentin-1 and carotid atherosclerosis in patients with metabolic syndrome (MetS).

METHOD

We enrolled randomly 60 MetS patients, evaluated their carotid atherosclerosis employing ultrasonography and then divided them into two subgroups, MetS with atherosclerosis (MetS+AS) and MetS without atherosclerosis (MetS-AS) according to the level of carotid intima-media thickness (CIMT) and presence of plaque. Stiffness, strain and distensibility were calculated. Waist circumference and blood pressure (BP) were measured. Fasting blood sample was collected to determine biochemical indicators and insulin resistance index (HOMA-IR). Omentin-1 plasma level was assessed by ELISA. Association of omentin-1 with CIMT and metabolic markers were studied.

RESULTS

Levels of omentin-1 were lower in MetS than in controls and reduced further in MetS+AS compared with MetS-AS. In correlation analysis, omentin-1 was negative associated with CIMT, stiffness, waist circumference, body mass index (BMI), systolic blood pressure (SBP), fast blood glucose (FBG), and HOMA-IR.

CONCLUSIONS

Omentin-1 is closely related to MetS and might play an important role in atherosclerosis in MetS patients.

摘要

目的

本研究旨在探讨网膜素-1 与代谢综合征(MetS)患者颈动脉粥样硬化之间的关系。

方法

我们随机招募了 60 名 MetS 患者,采用超声检查评估其颈动脉粥样硬化情况,然后根据颈动脉内膜中层厚度(CIMT)水平和斑块的存在,将其分为 MetS 伴动脉粥样硬化(MetS+AS)和 MetS 无动脉粥样硬化(MetS-AS)两组。计算僵硬度、应变和可扩展性。测量腰围和血压(BP)。采集空腹血样以测定生化指标和胰岛素抵抗指数(HOMA-IR)。采用 ELISA 法检测网膜素-1 血浆水平。研究网膜素-1 与 CIMT 和代谢标志物的关系。

结果

MetS 患者的网膜素-1 水平低于对照组,MetS+AS 患者的网膜素-1 水平进一步低于 MetS-AS 患者。在相关分析中,网膜素-1 与 CIMT、僵硬度、腰围、体重指数(BMI)、收缩压(SBP)、空腹血糖(FBG)和 HOMA-IR 呈负相关。

结论

网膜素-1 与 MetS 密切相关,可能在 MetS 患者的动脉粥样硬化中发挥重要作用。

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