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2型糖尿病患者红细胞膜的生化变化

Biochemical changes in erythrocyte membrane in type 2 diabetes mellitus.

作者信息

Kumar Robby

机构信息

Department of Biochemistry, SSR Medical College, Mauritius.

出版信息

Indian J Med Sci. 2012 May-Jun;66(5-6):131-5.

Abstract

OBJECTIVE

This study aims to establish a link between the lipid composition of red blood cell membrane and serum to aid in the early diagnosis and treatment of patients with type 2 diabetes mellitus.

MATERIALS AND METHODS

Diabetic subjects with and without dyslipidemia were selected along with healthy control subjects. Biochemical changes in serum and erythrocyte membrane were compared in study groups.

RESULTS

The lipid composition of membrane was significantly altered with increased cholesterol:Phospholipid ratio and decreased Na + K + -ATPase of membrane upon comparison with control subjects.

CONCLUSION

Increased hyperglycemia with altered serum lipid composition in diabetes mellitus causes glycation of membrane enzymes this along with oxidative stress leads to decrease in activity of Na + K + -ATPase and other changes in erythrocyte membrane. Significant findings of the study: As the lipid level increases there is increased lipid peroxidation and the membrane composition gets altered.

摘要

目的

本研究旨在建立红细胞膜脂质组成与血清之间的联系,以辅助2型糖尿病患者的早期诊断和治疗。

材料与方法

选取伴有和不伴有血脂异常的糖尿病患者以及健康对照者。比较各研究组血清和红细胞膜的生化变化。

结果

与对照组相比,膜的脂质组成发生显著改变,胆固醇与磷脂的比例增加,膜的钠钾ATP酶活性降低。

结论

糖尿病患者血糖升高且血清脂质组成改变,导致膜酶糖基化,这与氧化应激一起导致钠钾ATP酶活性降低及红细胞膜的其他变化。该研究的重要发现:随着脂质水平升高,脂质过氧化增加,膜组成发生改变。

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