Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
J Diabetes Res. 2016;2016:9438760. doi: 10.1155/2016/9438760. Epub 2016 Sep 22.
. To detect the association of C1q/TNF-related protein-3 (CTRP-3) and high-mobility group box-1 (HMGB-1) in subjects with prediabetes (pre-DM) and newly diagnosed type 2 diabetes (nT2DM). . 224 eligible participants were included. The 75 g oral glucose tolerance test (OGTT) and several clinical parameters of metabolic disorders and cytokines were measured. All participants were divided into three groups: normal glucose tolerance (NGT, = 62), pre-DM ( = 111), and nT2DM group ( = 56). . Plasma CTRP-3 concentrations were significantly lower in subjects with pre-DM and nT2DM than that of the NGT group, while plasma HMGB-1 levels were higher in pre-DM and nT2DM group compared with the NGT group ( < 0.05). A multiple linear regression analysis showed both plasma CTRP-3 and HMGB-1 concentrations were independently associated with homeostasis model assessment for insulin resistance (HOMA-IR) and interleukin-6 (IL-6) ( < 0.05 for all). Further multiple logistical regression analyses revealed that both plasma CTRP-3 and HMGB-1 levels were significantly associated with pre-DM and nT2DM after adjusting for several confounders ( < 0.001 for all). . Circulating CTRP-3 and HMGB-1 concentrations might be promising biomarkers to predict prediabetes and type 2 diabetes.
检测在糖尿病前期(pre-DM)和新诊断的 2 型糖尿病(nT2DM)患者中,C1q/TNF 相关蛋白-3(CTRP-3)和高迁移率族蛋白 B1(HMGB-1)的相关性。
纳入了 224 名符合条件的参与者。进行了 75g 口服葡萄糖耐量试验(OGTT)和代谢紊乱及细胞因子的几项临床参数的测量。所有参与者被分为三组:正常糖耐量(NGT,n=62)、pre-DM(n=111)和 nT2DM 组(n=56)。
与 NGT 组相比,pre-DM 和 nT2DM 患者的血浆 CTRP-3 浓度显著降低,而 pre-DM 和 nT2DM 组的血浆 HMGB-1 水平高于 NGT 组(<0.05)。多元线性回归分析显示,血浆 CTRP-3 和 HMGB-1 浓度均与稳态模型评估的胰岛素抵抗(HOMA-IR)和白细胞介素-6(IL-6)独立相关(均<0.05)。进一步的多元逻辑回归分析显示,在校正了几个混杂因素后,血浆 CTRP-3 和 HMGB-1 水平均与 pre-DM 和 nT2DM 显著相关(均<0.001)。
循环 CTRP-3 和 HMGB-1 浓度可能是预测 pre-DM 和 2 型糖尿病的有前途的生物标志物。