School of Pharmacy and Pharmaceutical Sciences and Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin 2, Ireland.
Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Trends Endocrinol Metab. 2016 Jun;27(6):363-374. doi: 10.1016/j.tem.2016.03.012. Epub 2016 Apr 14.
Metabolic syndrome (MetS) is a constellation of factors increasing the risk of type 2 diabetes mellitus (T2DM), cardiovascular disease (CVD), and cancer. MetS diagnosis is cumbersome and the precise diagnosis differs throughout the world. Efforts are underway to find MetS biomarkers that could all be analysed in a single blood sample. Here we review recent advances, including progress on circulating exosomes and microvesicles and their molecular contents, as well as DNA, RNAs, and proteins taken directly from blood samples. While additional research is now warranted to advance upon these findings, there is reason for optimising that such blood-based entities will be beneficial for MetS diagnosis and will help reduce risk of T2DM, CVD, and cancers, contributing both societal and economic benefit.
代谢综合征(MetS)是一组增加 2 型糖尿病(T2DM)、心血管疾病(CVD)和癌症风险的因素。MetS 的诊断繁琐,而且在世界各地的诊断标准也不尽相同。目前正在努力寻找 MetS 的生物标志物,这些标志物可以在一个单一的血样中进行分析。在这里,我们综述了最近的进展,包括循环外泌体和微泡及其分子内容,以及直接从血液样本中提取的 DNA、RNA 和蛋白质。虽然还需要进一步的研究来推进这些发现,但有理由优化这些基于血液的实体将有助于 MetS 的诊断,并有助于降低 T2DM、CVD 和癌症的风险,从而带来社会和经济效益。