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北印度人群中抵抗素与胰岛素抵抗及代谢综合征因素的关联

Association of Resistin with Insulin Resistance and Factors of Metabolic Syndrome in North Indians.

作者信息

Singh Arun Kumar, Tiwari Sunita, Gupta Abhishek, Shukla Kamla Kant, Chhabra Kumar Gaurav, Pandey Achileshwar, Pant Aditya Bhushan

机构信息

Department of Biochemistry, DBDC & H, Muktsar, 152026 Punjab India.

Department of Physiology, King George Medical University (KGMU), Lucknow, India.

出版信息

Indian J Clin Biochem. 2015 Jul;30(3):255-62. doi: 10.1007/s12291-014-0459-8. Epub 2014 Aug 24.

Abstract

Metabolic syndrome (MetS) is a cluster of interrelated common clinical disorders. The role of resistin in insulin sensitivity and MetS is controversial till date. So, the aim of the present study was to investigate the relationship of plasma resistin levels with markers of the MetS in Indian subjects. In a case control study, total 528 subjects were selected for the study. 265 (194 male and 71 female) were cases (with MetS) and 263 (164 male and 99 female) were controls (without MetS). Required anthropometric measurements and calculations were carried out accordingly. All the Biochemical estimations were carried out according to standard protocol. Resistin level was measured by the standard protocol (By ELISA i.e. enzyme linked immunosorbent assay) as illustrated in the kit. Insulin level was also measured by the standard protocol as illustrated in the kit and insulin resistance was calculated by the standard procedures. Plasma resistin levels were significantly higher in cases compared with controls (male = 13.05 ± 4.31 vs. 7.04 ± 2.09 ng/ml; p ≤ 0.001 and female = 13.53 ± 4.14 vs. 7.42 ± 2.30 ng/ml; p ≤ 0.001). Plasma resistin levels were well correlated with waist circumference, glucose, triglycerides, waist/hip ratio, systolic and diastolic blood pressure, high density lipoprotein, total cholesterol, serum low density lipoprotein, serum very low density lipoprotein, insulin and insulin resistance. Plasma resistin levels were elevated in presence of the MetS and were associated with increased metabolic risk factors.

摘要

代谢综合征(MetS)是一组相互关联的常见临床病症。迄今为止,抵抗素在胰岛素敏感性和代谢综合征中的作用仍存在争议。因此,本研究的目的是调查印度受试者血浆抵抗素水平与代谢综合征标志物之间的关系。在一项病例对照研究中,共选择了528名受试者进行研究。265例(194例男性和71例女性)为病例组(患有代谢综合征),263例(164例男性和99例女性)为对照组(未患代谢综合征)。相应地进行了所需的人体测量和计算。所有生化测定均按照标准方案进行。抵抗素水平通过试剂盒中所示的标准方案(酶联免疫吸附测定法,即ELISA)进行测量。胰岛素水平也按照试剂盒中所示的标准方案进行测量,并通过标准程序计算胰岛素抵抗。与对照组相比,病例组的血浆抵抗素水平显著更高(男性:13.05±4.31 vs. 7.04±2.09 ng/ml;p≤0.001;女性:13.53±4.14 vs. 7.42±2.30 ng/ml;p≤0.001)。血浆抵抗素水平与腰围、血糖、甘油三酯、腰臀比、收缩压和舒张压、高密度脂蛋白、总胆固醇、血清低密度脂蛋白、血清极低密度脂蛋白、胰岛素和胰岛素抵抗密切相关。在存在代谢综合征的情况下,血浆抵抗素水平升高,并与代谢风险因素增加有关。

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