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2 型糖尿病患者血浆牛磺酸水平与糖尿病并发症的关系。

The Relationship between Plasma Taurine Levels and Diabetic Complications in Patients with Type 2 Diabetes Mellitus.

机构信息

Department of Internal Medicine, Istanbul Training and Research Hospital, Fatih, Istanbul, 34098, Turkey.

Department of Biochemistry, Yildiz Technical University, Esenler, Istanbul, 34220, Turkey.

出版信息

Biomolecules. 2019 Mar 11;9(3):96. doi: 10.3390/biom9030096.

Abstract

Taurine has an active role in providing glucose homeostasis and diabetes causes a decline in taurine levels. This paper investigates the relationship between taurine and diabetic complications, patients' demographic features, and biochemical parameters. Fifty-nine patients with type 2 diabetes mellitus (T2DM), and 28 healthy control subjects between the ages of 32 and 82 were included in the study. The mean age of subjects was 55.6 ± 10.3 and mean diabetes duration was 10.2 ± 6.0 years. The most commonly accompanying comorbidity was hypertension (HT) (64.5%, = 38), and the most frequent diabetic complication was neuropathy (50.8%, = 30). Plasma taurine concentrations were measured by an enzyme-linked immunoassay (ELISA) kit. Plasma taurine concentrations were significantly lower in diabetic patients (0.6 ± 0.1 mmol/L) than controls (0.8 ± 0.2 mmol/L) and in hypertensive (0. 6 ± 0.1 mmol/L) patients ( = 0.000, = 0.027 respectively). Plasma taurine levels were decreased in patients with T2DM and this was not related to FBG, HbA1c, and microalbuminuria. With regard to complications, we only found a correlation with neuropathy. We suggest that taurine levels may be more important in the development of diabetes; however, it may also have importance for the progression of the disease and the subsequent complications. We further assert that taurine measurement at different times may highlight whether there is a causal relationship in the development of complications.

摘要

牛磺酸在提供葡萄糖稳态方面发挥着积极作用,糖尿病会导致牛磺酸水平下降。本文研究了牛磺酸与糖尿病并发症、患者的人口统计学特征和生化参数之间的关系。 本研究纳入了 59 例 2 型糖尿病(T2DM)患者和 28 名年龄在 32 岁至 82 岁之间的健康对照者。受试者的平均年龄为 55.6 ± 10.3 岁,平均糖尿病病程为 10.2 ± 6.0 年。最常见的合并症是高血压(HT)(64.5%,n=38),最常见的糖尿病并发症是神经病变(50.8%,n=30)。采用酶联免疫吸附测定(ELISA)试剂盒测定血浆牛磺酸浓度。 糖尿病患者的血浆牛磺酸浓度(0.6 ± 0.1 mmol/L)明显低于对照组(0.8 ± 0.2 mmol/L)和高血压患者(0.6 ± 0.1 mmol/L)( = 0.000, = 0.027)。 T2DM 患者的血浆牛磺酸水平降低,且与 FBG、HbA1c 和微量白蛋白尿无关。关于并发症,我们只发现与神经病变有关。我们认为,牛磺酸水平在糖尿病的发展中可能更为重要;然而,它也可能对疾病的进展和随后的并发症有重要影响。我们进一步断言,在不同时间测量牛磺酸可能会突出在并发症的发展中是否存在因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7940/6468751/c781e588d077/biomolecules-09-00096-g001.jpg

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