Lipid Metabolism Laboratory, Department of Chemistry and Clinical Biochemistry, Poznan University of Medical Sciences, Grunwaldzka Street 6, 60-780 Poznan, Poland.
Inflammation. 2013 Jun;36(3):723-8. doi: 10.1007/s10753-013-9598-y.
Interleukin 6 (IL-6) plays an important role in the initiation and acceleration of chronic inflammation and could contribute to development of microvascular complications in patients with type 1 diabetes (DM1). Therefore, this study was aimed to investigate the association between concentration of IL-6 in relation to glucose control, lipid profile, and body mass index (BMI) in 69 DM1 patients subdivided according to the absence or presence of microvascular complications. BMI, level of fasting plasma glucose (FPG), and concentrations of total cholesterol (TCH), LDL cholesterol (LDL-C), and IL-6 were higher in DM1 patients compared to the control group. In DM1 patients, IL-6 concentration was positively correlated with level of FPG, LDL-C, TCH concentrations, and BMI. These correlations were stronger in the subgroup of patients with microvascular complications. In addition, BMI independently influences IL-6 concentration in DM1 patients. In conclusion, elevated IL-6 concentration is associated with diabetes-related variables which could accelerate progression of microvascular complications in DM1 patients.
白细胞介素 6(IL-6)在慢性炎症的启动和加速中起着重要作用,并可能导致 1 型糖尿病(DM1)患者微血管并发症的发展。因此,本研究旨在探讨 69 例 DM1 患者中 IL-6 浓度与血糖控制、血脂谱和体重指数(BMI)之间的关系,这些患者根据是否存在微血管并发症进行了细分。与对照组相比,DM1 患者的 BMI、空腹血浆葡萄糖(FPG)水平以及总胆固醇(TCH)、低密度脂蛋白胆固醇(LDL-C)和 IL-6 的浓度更高。在 DM1 患者中,IL-6 浓度与 FPG、LDL-C、TCH 浓度和 BMI 呈正相关。在有微血管并发症的患者亚组中,这些相关性更强。此外,BMI 独立影响 DM1 患者的 IL-6 浓度。总之,升高的 IL-6 浓度与糖尿病相关变量相关,这些变量可能会加速 DM1 患者微血管并发症的进展。