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白细胞介素-19 与血管生成素-2 与 2 型糖尿病血管并发症的关系。

Association between interleukin-19 and angiopoietin-2 with vascular complications in type 2 diabetes.

机构信息

Department of Clinical Laboratory, Binhai County Hospital, Binhai, Jiangsu Province, China.

Department of Clinical Laboratory, Binhai County Second Hospital, Binhai, Jiangsu Province, China.

出版信息

J Diabetes Investig. 2016 Nov;7(6):895-900. doi: 10.1111/jdi.12519. Epub 2016 Apr 24.

Abstract

AIMS/INTRODUCTION: The aim of the present study was to investigate the role of interleukin-19 (IL-19) in angiogenesis of type 2 diabetes mellitus with complications, and to assess the relationship of serum IL-19 and angiopoietin-2 (Ang-2) in type 2 diabetes mellitus.

MATERIALS AND METHODS

The group studied comprised of 240 patients with type 2 diabetes mellitus (132 men and 108 women), and included macrovascular complications, microvascular complications and type 2 diabetes mellitus without vascular complications. The control group consisted of 50 healthy blood donors. All participants were evaluated for: IL-19, Ang-2, fasting plasma glucose, fasting insulin and glycosylated hemoglobin.

RESULTS

The serum IL-19 levels of type 2 diabetes mellitus patients with angiopathy were found to be significantly higher compared with patients without angiopathy. IL-19 levels were significantly positively correlated with Ang-2, homeostasis model assessment for insulin resistance and glycosylated hemoglobin (r = 0.769, 0.523 and 0.491, respectively, P < 0.01). In multivariable logistic regression analysis, IL-19 levels (P = 0.01) were found to be independently associated with patients with type 2 diabetes mellitus complications.

CONCLUSIONS

These data are the first to implicate the association between the IL-19 and type 2 diabetes mellitus with vascular complications. IL-19 is significantly positively correlated with Ang-2. The potential role of IL-19 and Ang-2 in the pathogenesis of vascular complications in type 2 diabetes could warrant further study.

摘要

目的/引言:本研究旨在探讨白细胞介素-19(IL-19)在伴有并发症的 2 型糖尿病血管生成中的作用,并评估 2 型糖尿病患者血清 IL-19 与血管生成素-2(Ang-2)的关系。

材料和方法

研究组包括 240 例 2 型糖尿病患者(男 132 例,女 108 例),包括大血管并发症、微血管并发症和无血管并发症的 2 型糖尿病。对照组由 50 名健康献血者组成。所有参与者均接受以下评估:IL-19、Ang-2、空腹血糖、空腹胰岛素和糖化血红蛋白。

结果

发现伴有血管病变的 2 型糖尿病患者血清 IL-19 水平明显高于无血管病变患者。IL-19 水平与 Ang-2、胰岛素抵抗的稳态模型评估和糖化血红蛋白呈显著正相关(r 分别为 0.769、0.523 和 0.491,均 P <0.01)。在多变量逻辑回归分析中,IL-19 水平(P = 0.01)与 2 型糖尿病患者并发症独立相关。

结论

这些数据首次表明 IL-19 与伴有血管并发症的 2 型糖尿病之间存在关联。IL-19 与 Ang-2 呈显著正相关。IL-19 和 Ang-2 在 2 型糖尿病血管并发症发病机制中的潜在作用值得进一步研究。

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