Geyikli Iclal, Keskin Mehmet, Kör Yılmaz, Akan Müslüm
Gaziantep University, Faculty of Medicine, Pediatric Endocrinology and Metabolisms, Gaziantep, Turkey. E-mail:
J Clin Res Pediatr Endocrinol. 2013 Sep 10;5(3):189-93. doi: 10.4274/Jcrpe.1072.
Adiponectin, leptin, and resistin are adipokines which play a significant role in the regulation of lipid and carbohydrate metabolism in patients with type 2 diabetes, while little is known about their role in type 1 diabetes mellitus (T1DM). The aim of this study was to measure serum adiponectin, leptin, and resistin levels and to investigate their relationships with some parameters in patients with T1DM and healthy controls.
Fifty children and adolescents with T1DM (21 boys and 29 girls) and 33 healthy control subjects (18 boys and 15 girls) participated in the study. All subjects were patients followed in the Pediatric Endocrinology and Metabolism Unit of Gaziantep University Faculty of Medicine. None of the subjects had hypertension, obesity, hyperlipidemia, anemia, or infection. Adiponectin, leptin, and resistin levels were analyzed with ELISA.
There were no statistically significant differences related with age, sex, pubertal status, or body mass index distribution between the diabetic and control groups. Resistin levels were significantly higher in the diabetic group compared to controls (5.26±3.15 ng/mL vs. 3.50±1.26 ng/mL; p<0.01).
Of the three investigated adipokines, only resistin was associated with T1DM. Resistin may play a role in the process of inflammation and also in the pathophysiology of T1DM.
脂联素、瘦素和抵抗素是脂肪因子,在2型糖尿病患者的脂质和碳水化合物代谢调节中起重要作用,而它们在1型糖尿病(T1DM)中的作用知之甚少。本研究的目的是测量T1DM患者和健康对照者血清脂联素、瘦素和抵抗素水平,并研究它们与一些参数的关系。
50名患有T1DM的儿童和青少年(21名男孩和29名女孩)以及33名健康对照者(18名男孩和15名女孩)参与了本研究。所有受试者均为加济安泰普大学医学院儿科内分泌与代谢科随访的患者。所有受试者均无高血压、肥胖、高脂血症、贫血或感染。采用酶联免疫吸附测定法(ELISA)分析脂联素、瘦素和抵抗素水平。
糖尿病组和对照组在年龄、性别、青春期状态或体重指数分布方面无统计学显著差异。与对照组相比,糖尿病组的抵抗素水平显著更高(5.26±3.15纳克/毫升对3.50±1.26纳克/毫升;p<0.01)。
在研究的三种脂肪因子中,只有抵抗素与T1DM相关。抵抗素可能在炎症过程以及T1DM的病理生理学中起作用。