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苏丹糖尿病患者中对氧磷酶-1与糖化血红蛋白及血脂谱的相关性

Correlation of Paraoxonase-1 with glycated hemoglobin and lipid profile among Sudanese diabetic patients.

作者信息

Ahmed Ahmed M

机构信息

Dr. Ahmed Mohammed Ahmed, Assistant Professor, Department of Clinical Laboratory Sciences, Faculty of Applied Medical Sciences, Taibah University, Al Madinah, Kingdom of Saudi Arabia.

出版信息

Pak J Med Sci. 2019 Jul-Aug;35(4):1050-1054. doi: 10.12669/pjms.35.4.26.

Abstract

OBJECTIVE

To examine concentration of Paraoxonase 1 enzymes across both Sudanese patients suffering from Type-I and Type-II diabetes.

METHODS

This was a cross-sectional study done in Khartoum/Sudan during the period from June 24th 2018 to August 23, 2018. One hundred seven diabetic patients (40 T1DM and 67 T2DM) compared with 45 healthy people from both genders. Biochemical parameters include PON1, FBG, HbA1C, and lipids were done and compared between study groups.

RESULTS

PON1 was reduced in patients than controls (P < 0.01), in addition PON1 was lower in T1DM than T2DM (P < 0.01), moreover, FBG, HbA1c and lipids was higher in diabetes than controls (P < 0.05). PON1 inversely correlated with LDL and apo B in T1DM (P < 0.01) and T2DM (P < 0.05), in addition PON1 correlated with HDL and apo A1 in T1DM (P < 0.01), inversely correlated with LDL in T2DM (P < 0.05) and with apo A1 in T2DM (P < 0.01). Moreover, PON1 inversely correlated with diabetes duration in T1DM (P < 0.01) and T2DM (P < 0.05).

CONCLUSION

Sudanese T1DM and T2DM have a lower PON1 concentration than healthy subjects, T1DM have lower level of PON1 than T2DM. PON1 was inversely correlated with bad lipids and duration of diabetes, but it has positive correlation with good lipids.

摘要

目的

检测患有I型和II型糖尿病的苏丹患者体内对氧磷酶1(Paraoxonase 1)酶的浓度。

方法

这是一项于2018年6月24日至2018年8月23日期间在苏丹喀土穆进行的横断面研究。107名糖尿病患者(40名1型糖尿病患者和67名2型糖尿病患者)与45名来自不同性别的健康人进行比较。检测了生化参数,包括对氧磷酶1、空腹血糖(FBG)、糖化血红蛋白(HbA1C)和血脂,并在各研究组之间进行比较。

结果

患者体内的对氧磷酶1水平低于对照组(P < 0.01),此外,1型糖尿病患者体内的对氧磷酶1水平低于2型糖尿病患者(P < 0.01),而且,糖尿病患者的空腹血糖、糖化血红蛋白和血脂水平高于对照组(P < 0.05)。在1型糖尿病(P < 0.01)和2型糖尿病(P < 0.05)中,对氧磷酶1与低密度脂蛋白(LDL)和载脂蛋白B呈负相关,此外,在1型糖尿病中对氧磷酶1与高密度脂蛋白(HDL)和载脂蛋白A1呈正相关(P < 0.01),在2型糖尿病中与低密度脂蛋白呈负相关(P < 0.05),与载脂蛋白A1呈负相关(P < 0.01)。此外,在1型糖尿病(P < 0.01)和2型糖尿病(P < 0.05)中,对氧磷酶1与糖尿病病程呈负相关。

结论

苏丹的1型糖尿病和2型糖尿病患者体内的对氧磷酶1浓度低于健康受试者,1型糖尿病患者体内的对氧磷酶1水平低于2型糖尿病患者。对氧磷酶1与不良血脂及糖尿病病程呈负相关,但与良好血脂呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5df/6659064/7a5a6a30c81c/PJMS-35-1050-g001.jpg

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