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血浆内脂素作为预测韩国2型糖尿病患者肥胖及肥胖相关癌症的潜在标志物

Plasma Adropin as a Potential Marker Predicting Obesity and Obesity-associated Cancer in Korean Patients With Type 2 Diabetes Mellitus.

作者信息

Choi Ha-Neul, Yim Jung-Eun

机构信息

Department of Food and Nutrition, College of Natural Science, Changwon National University, Changwon, Korea.

出版信息

J Cancer Prev. 2018 Dec;23(4):191-196. doi: 10.15430/JCP.2018.23.4.191. Epub 2018 Dec 30.

Abstract

BACKGROUND

Type 2 diabetes mellitus (T2DM) and cancer are serious health problems worldwide, and their prevalences have been on the rise in recent years. It has been reported that adropin plays an important role in the development of T2DM, oxidative stress, inflammation, and obesity. However, there is limited information available on T2DM from human studies, especially for the Korean population. In this study, we aimed to investigate the correlation between adropin levels and obesity of Korean T2DM patients.

METHODS

Thirty-six T2DM patients were recruited for this study. The participants were further classified into female (n = 12) and male (n = 24). Their body composition, metabolic parameters, inflammatory factors, and oxidative stress were measured.

RESULTS

The severity of obesity is more manifested in male than in female. Plasma triglyceride (TG) and high-sensitivity C-reactive protein (hs-CRP) levels of male were significantly higher than female. The plasma adropin and adiponectin level of female was significantly higher than male. The body weight, body mass index (BMI), body fat mass were negatively correlated with the plasma adropin level in female, whereas adropin has positive correlation with adiponectin in female. The hs-CRP was negatively correlated with the plasma adropin level in female and male. malondialdehyde, reactive oxidative species, and TNF-α was not significantly correlated with adropin in patients with T2DM.

CONCLUSIONS

These findings suggest that adropin may be more used as a biomarker for predicting the risk of obesity and inflammation in Korean patients with T2DM, especially women.

摘要

背景

2型糖尿病(T2DM)和癌症是全球严重的健康问题,近年来其患病率呈上升趋势。据报道,内脂素在T2DM、氧化应激、炎症和肥胖的发生发展中起重要作用。然而,关于T2DM的人体研究资料有限,尤其是针对韩国人群。在本研究中,我们旨在探讨韩国T2DM患者内脂素水平与肥胖之间的相关性。

方法

本研究招募了36例T2DM患者。参与者进一步分为女性(n = 12)和男性(n = 24)。测量了他们的身体成分、代谢参数、炎症因子和氧化应激指标。

结果

肥胖的严重程度在男性中比女性更明显。男性的血浆甘油三酯(TG)和高敏C反应蛋白(hs-CRP)水平显著高于女性。女性的血浆内脂素和脂联素水平显著高于男性。女性的体重、体重指数(BMI)、体脂质量与血浆内脂素水平呈负相关,而女性内脂素与脂联素呈正相关。女性和男性的hs-CRP与血浆内脂素水平呈负相关。丙二醛、活性氧化物质和肿瘤坏死因子-α与T2DM患者的内脂素无显著相关性。

结论

这些发现表明,内脂素可能更多地用作预测韩国T2DM患者,尤其是女性肥胖和炎症风险的生物标志物。

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