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血清血管生成素-2与2型糖尿病血管病变相关。

Serum angiopoietin-2 is associated with angiopathy in type 2 diabetes mellitus.

作者信息

Li Li, Qian Lei, Yu Zheng-Qing

机构信息

Department of Clinical Laboratory, Binhai Hospital, Jiangsu Province, P.R. China.

Department of Clinical Laboratory, Binhai Hospital, Jiangsu Province, P.R. China.

出版信息

J Diabetes Complications. 2015 May-Jun;29(4):568-71. doi: 10.1016/j.jdiacomp.2015.02.006. Epub 2015 Feb 20.

Abstract

PURPOSE

The aim of the present study was to investigate the association of serum levels of angiopoietin-1 (Ang-1) and angiopoietin-2 (Ang-2) with angiopathy in type 2 diabetes mellitus (T2DM).

METHODS

The group studied comprised of 120 patients with T2DM (68 males and 52 females), included macroangiopathy complications, microvascular disease and diabetic without vascular disease. The control group consisted of 50 healthy blood donors. Ang-1, Ang-2, fasting plasma glucose (FBG), fasting insulin (FINS) and HbA1c were assessed.

RESULTS

The serum Ang-2 levels of T2DM patients with angiopathy were found to be significantly higher compared to patients without angiopathy. Ang-2 levels were significantly positively correlated with homeostasis model assessment for insulin resistance (HOMA-IR) and glycosylated hemoglobin A1c (HbA1c) (r=0.577 and 0.504, respectively, P<0.01). In contrast, there was no significant correlation between Ang-1 levels and HOMA-IR (P>0.05). In multivariable logistic regression analysis, Ang-2 levels (P=0.02) were found to be independently associated with patients with T2DM angiopathy.

CONCLUSIONS

An association between the Ang-2 and T2DM with vascular complications was found.

摘要

目的

本研究旨在探讨血清血管生成素-1(Ang-1)和血管生成素-2(Ang-2)水平与2型糖尿病(T2DM)血管病变的相关性。

方法

研究组包括120例T2DM患者(男68例,女52例),包括大血管病变并发症、微血管病变和无血管病变的糖尿病患者。对照组由50名健康献血者组成。评估Ang-1、Ang-2、空腹血糖(FBG)、空腹胰岛素(FINS)和糖化血红蛋白(HbA1c)。

结果

发现有血管病变的T2DM患者血清Ang-2水平显著高于无血管病变的患者。Ang-2水平与胰岛素抵抗稳态模型评估(HOMA-IR)和糖化血红蛋白A1c(HbA1c)显著正相关(r分别为0.577和0.504,P<0.01)。相比之下,Ang-1水平与HOMA-IR之间无显著相关性(P>0.05)。在多变量逻辑回归分析中,发现Ang-2水平(P=0.02)与T2DM血管病变患者独立相关。

结论

发现Ang-2与伴有血管并发症的T2DM之间存在关联。

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