Sun Lin, Wang Yao, Zhou Tong, Zhao Xue, Wang Yingxuan, Wang Guixia, Gang Xiaokun
Department of Endocrinology, First Hospital of Jilin University, Changchun, China.
Department of Orthopedics, The Second Hospital Jilin University, Changchun, China.
Front Endocrinol (Lausanne). 2019 Feb 7;10:49. doi: 10.3389/fendo.2019.00049. eCollection 2019.
Turner syndrome (TS) is one of the most common female chromosomal disorders. The condition is caused by complete or partial loss of a single X chromosome. Adult patients with TS have a high prevalence of diabetes mellitus (DM). Deranged glucose metabolism in this population seems to be genetically triggered. The traditional risk factors for DM in the general population may not play a major role in the pathogenesis of DM in patients with TS. This review focuses on the latest research studies pertaining to abnormalities of glucose metabolism in TS. We extensively review the available evidence pertaining to the influence of insulin secretion and sensitivity, obesity, autoimmunity, lifestyle, growth hormone, and sex hormone replacement therapy on the occurrence of DM in these patients.
特纳综合征(TS)是最常见的女性染色体疾病之一。该病由一条X染色体的完全或部分缺失引起。成年TS患者糖尿病(DM)患病率较高。该人群中糖代谢紊乱似乎由基因触发。普通人群中DM的传统危险因素在TS患者DM的发病机制中可能不起主要作用。本综述聚焦于与TS患者糖代谢异常相关的最新研究。我们广泛回顾了有关胰岛素分泌与敏感性、肥胖、自身免疫、生活方式、生长激素及性激素替代疗法对这些患者DM发生影响的现有证据。