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新诊断2型糖尿病患者循环LECT2水平及其与代谢参数的关联:一项观察性研究。

Circulating LECT2 levels in newly diagnosed type 2 diabetes mellitus and their association with metabolic parameters: An observational study.

作者信息

Zhang Zhen, Zeng Huixian, Lin Jianghong, Hu Yinghui, Yang Rui, Sun Jia, Chen Rongping, Chen Hong

机构信息

Department of Endocrinology and Metabolism, Zhujiang Hospital, Southern Medical University, Guangzhou Department of Endocrinology, People's Hospital of Yangjiang City, Yangjiang Department of Endocrinology and Metabolism, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

出版信息

Medicine (Baltimore). 2018 Apr;97(15):e0354. doi: 10.1097/MD.0000000000010354.

Abstract

Leukocyte cell-derived chemotaxin 2 (LECT2) is a hepatokine expressed in hepatocytes and appears to be involved in energy metabolism. The aim of this study was to determine plasma LECT2 levels in newly diagnosed type 2 diabetic patients and to correlate the results with various metabolic parameters.A total of 93 newly diagnosed type 2 diabetic patients and 80 age- and sex-matched nondiabetes mellitus ones were enrolled in the study. Plasma LECT2 levels were measured by enzyme-linked immunosorbent assay.Circulating LECT2 levels were approximately 1.3 times higher in newly diagnosed type 2 diabetic patients than in controls (mean 30.30 vs 23.23 ng/mL, P < .001). Correlation analysis showed that LECT2 was negatively associated with high-density lipoprotein-cholesterol (HDL-C) levels in type 2 diabetic patients and obese subjects (P < .05). In multiple stepwise regression analysis, HDL-C, HOMA-IR, BMI, FINS, and TG were significantly independent determinants for LECT2 (P < .05).Our study showed that circulating LECT2 concentrations are significantly higher in newly diagnosed type 2 diabetic patients and further elevated in obese type 2 diabetic patients. LECT2 concentrations are significantly negatively associated with HDL-cholesterol levels in newly diagnosed type 2 diabetic patients and obese subjects.

摘要

白细胞衍生趋化因子2(LECT2)是一种在肝细胞中表达的肝源细胞因子,似乎参与能量代谢。本研究旨在测定新诊断2型糖尿病患者的血浆LECT2水平,并将结果与各种代谢参数进行关联分析。

本研究共纳入93例新诊断的2型糖尿病患者和80例年龄及性别匹配的非糖尿病患者。采用酶联免疫吸附测定法检测血浆LECT2水平。

新诊断的2型糖尿病患者的循环LECT2水平比对照组高约1.3倍(平均30.30 vs 23.23 ng/mL,P < 0.001)。相关性分析显示,在2型糖尿病患者和肥胖受试者中,LECT2与高密度脂蛋白胆固醇(HDL-C)水平呈负相关(P < 0.05)。在多元逐步回归分析中,HDL-C、HOMA-IR、BMI、空腹胰岛素(FINS)和甘油三酯(TG)是LECT2的显著独立决定因素(P < 0.05)。

我们的研究表明,新诊断的2型糖尿病患者的循环LECT2浓度显著升高,肥胖的2型糖尿病患者则进一步升高。在新诊断的2型糖尿病患者和肥胖受试者中,LECT2浓度与HDL胆固醇水平显著负相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08ab/5908589/c98e8eba9e9d/medi-97-e0354-g002.jpg

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