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妊娠期糖尿病患者循环中的甘丙肽和白细胞介素-6 浓度。

Circulating galanin and IL-6 concentrations in gestational diabetes mellitus.

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Adnan Menderes University , Aydin , Turkey.

出版信息

Gynecol Endocrinol. 2014 Mar;30(3):236-40. doi: 10.3109/09513590.2013.871519. Epub 2014 Jan 7.

Abstract

OBJECTIVE

The aim of this study is to compare galanin and IL-6 levels in pregnant women with gestational diabetes mellitus (GDM) and normal glucose tolerance (NGT). Also association of insulin resistance markers, galanin and IL-6 was investigated.

MATERIALS AND METHODS

The study registered 30 pregnant women with GDM and 30 pregnant women with NGT. Fasting venous blood samples were collected from all patients. Galanin and IL-6 levels were measured by an enzyme-linked immunosorbent assay.

RESULTS

Galanin and IL-6 levels were found higher in pregnant women with GDM (p < 0.001). A significant positive correlation was determined between galanin concentrations and glucose (r = 0.240, p = 0.065), insulin (r = 0.681, p < 0.001), HbA1c (r = -0.644, p < 0.001), IL-6 (r = 0.783, p < 0.05) and oral glucose challenge test results (r = 0.745, p < 0.001) in pregnant women included in study, whereas no significant association was determined between galanin and gestational age (r = 0.058, p = 0.662), body mass index (r = -0.019, p = 0.886).

CONCLUSION

Galanin and IL-6 were found to be significantly associated with insulin resistance markers in GDM, thus may play important roles in regulation of glucose hemostasis.

摘要

目的

本研究旨在比较妊娠期糖尿病(GDM)和正常糖耐量(NGT)孕妇的甘丙肽和白细胞介素-6(IL-6)水平。还研究了胰岛素抵抗标志物、甘丙肽和 IL-6 的相关性。

材料和方法

该研究共纳入 30 例 GDM 孕妇和 30 例 NGT 孕妇。所有患者均采集空腹静脉血样。采用酶联免疫吸附试验测定甘丙肽和 IL-6 水平。

结果

GDM 孕妇甘丙肽和 IL-6 水平均升高(p<0.001)。研究中纳入的孕妇甘丙肽浓度与血糖(r=0.240,p=0.065)、胰岛素(r=0.681,p<0.001)、糖化血红蛋白(HbA1c)(r=-0.644,p<0.001)、IL-6(r=0.783,p<0.05)和口服葡萄糖耐量试验结果(r=0.745,p<0.001)呈显著正相关,而甘丙肽与孕龄(r=0.058,p=0.662)、体重指数(r=-0.019,p=0.886)无显著相关性。

结论

甘丙肽和 IL-6 与 GDM 胰岛素抵抗标志物显著相关,因此可能在血糖稳态调节中发挥重要作用。

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