Altinova Alev E, Iyidir Ozlem T, Ozkan Cigdem, Ors Damla, Ozturk Merve, Gulbahar Ozlem, Bozkurt Nuray, Toruner Fusun B, Akturk Mujde, Cakir Nuri, Arslan Metin
a Department of Endocrinology and Metabolism .
b Department of Internal Medicine .
Gynecol Endocrinol. 2015;31(11):874-6. doi: 10.3109/09513590.2015.1103220. Epub 2015 Oct 30.
Selenoprotein P concentrations have been found to be associated with insulin resistance and elevated in patients with type 2 diabetes mellitus (DM). The aim of the present study was to investigate circulating selenoprotein P level and its possible relationship with metabolic parameters in gestational diabetes mellitus (GDM). Plasma selenoprotein P concentrations were measured in 30 pregnant women with GDM, 35 pregnant women without GDM and 22 healthy nonpregnant women. No difference in selenoprotein P levels was observed among the groups [6.2 (4.5-8.2), 7.9 (4.5-10.7) and 6.7 (5.3-9.1) ng/ml, respectively, p = 0.69]. In pregnant women with and without GDM, selenoprotein P did not correlate with age, gestational age, prepregnancy body mass index (BMI), HbA1c, glucose concentrations at oral glucose tolerance test (OGTT), area under curve (AUC) glucose, total cholesterol, LDL cholesterol and triglycerides levels (p > 0.05). But, there were statistically significant correlations between selenoprotein P and current BMI (r = -0.28, p = 0.04) and HDL cholesterol levels (r = 0.43, p = 0.01). We found that selenoprotein P concentrations are not elevated in women with GDM but associated with BMI and HDL cholesterol.
已发现硒蛋白P浓度与胰岛素抵抗相关,且在2型糖尿病(DM)患者中升高。本研究的目的是调查妊娠糖尿病(GDM)患者循环硒蛋白P水平及其与代谢参数的可能关系。对30例GDM孕妇、35例非GDM孕妇和22例健康未孕女性测定血浆硒蛋白P浓度。各组间硒蛋白P水平无差异[分别为6.2(4.5 - 8.2)、7.9(4.5 - 10.7)和6.7(5.3 - 9.1)ng/ml,p = 0.69]。在患有和未患GDM的孕妇中,硒蛋白P与年龄、孕周、孕前体重指数(BMI)、糖化血红蛋白(HbA1c)、口服葡萄糖耐量试验(OGTT)时的血糖浓度、血糖曲线下面积(AUC)、总胆固醇、低密度脂蛋白胆固醇和甘油三酯水平均无相关性(p > 0.05)。但是,硒蛋白P与当前BMI(r = -0.28,p = 0.04)和高密度脂蛋白胆固醇水平(r = 0.43,p = 0.01)之间存在统计学显著相关性。我们发现,GDM女性的硒蛋白P浓度并未升高,但与BMI和高密度脂蛋白胆固醇有关。