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血清 TNF- 水平升高与 2 型糖尿病肥胖有关,并与血糖控制和胰岛素抵抗相关。

Elevated Serum TNF- Is Related to Obesity in Type 2 Diabetes Mellitus and Is Associated with Glycemic Control and Insulin Resistance.

机构信息

Physiology Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Obes. 2020 Jan 30;2020:5076858. doi: 10.1155/2020/5076858. eCollection 2020.

Abstract

BACKGROUND

Diabetes and obesity are very common associated metabolic disorders that are linked to chronic inflammation. Leptin is one of the important adipokines released from adipocytes, and its level increases with increasing body mass index (BMI). Tumor necrosis factor alpha (TNF-) is a cytokine that is released by adipocytes and inflammatory cells in response to chronic inflammation. Type 2 diabetes mellitus (T2DM) is believed to be associated with low-grade chronic inflammation. The current study aims to investigate the involvement of leptin and TNF-) is a cytokine that is released by adipocytes and inflammatory cells in response to chronic inflammation. Type 2 diabetes mellitus (T2DM) is believed to be associated with low-grade chronic inflammation. The current study aims to investigate the involvement of leptin and TNF-. This is a cross-sectional study involving 63 healthy volunteers and 65 patients with T2DM. Body composition was measured, and fasting venous blood samples were analyzed for blood glucose, glycosylated hemoglobin (HbA1c), basal insulin, leptin, and TNF-) is a cytokine that is released by adipocytes and inflammatory cells in response to chronic inflammation. Type 2 diabetes mellitus (T2DM) is believed to be associated with low-grade chronic inflammation. The current study aims to investigate the involvement of leptin and TNF-) is a cytokine that is released by adipocytes and inflammatory cells in response to chronic inflammation. Type 2 diabetes mellitus (T2DM) is believed to be associated with low-grade chronic inflammation. The current study aims to investigate the involvement of leptin and TNF.

RESULTS

Our study showed a significantly higher level of TNF-) is a cytokine that is released by adipocytes and inflammatory cells in response to chronic inflammation. Type 2 diabetes mellitus (T2DM) is believed to be associated with low-grade chronic inflammation. The current study aims to investigate the involvement of leptin and TNF-=0.008). In obese diabetic patients, the serum level of TNF-) is a cytokine that is released by adipocytes and inflammatory cells in response to chronic inflammation. Type 2 diabetes mellitus (T2DM) is believed to be associated with low-grade chronic inflammation. The current study aims to investigate the involvement of leptin and TNF-=0.008). In obese diabetic patients, the serum level of TNF-=0.008). In obese diabetic patients, the serum level of TNF-) is a cytokine that is released by adipocytes and inflammatory cells in response to chronic inflammation. Type 2 diabetes mellitus (T2DM) is believed to be associated with low-grade chronic inflammation. The current study aims to investigate the involvement of leptin and TNF- = 0.361, =0.008). In obese diabetic patients, the serum level of TNF- = 0.361, =0.008). In obese diabetic patients, the serum level of TNF.

CONCLUSION

TNF- is associated with concurrent obesity and T2DM and correlates with HbA1c. This suggests that TNF- needs further investigation to explore if it has a role in monitoring the effectiveness of management in individuals with obesity and T2DM.) is a cytokine that is released by adipocytes and inflammatory cells in response to chronic inflammation. Type 2 diabetes mellitus (T2DM) is believed to be associated with low-grade chronic inflammation. The current study aims to investigate the involvement of leptin and TNF-) is a cytokine that is released by adipocytes and inflammatory cells in response to chronic inflammation. Type 2 diabetes mellitus (T2DM) is believed to be associated with low-grade chronic inflammation. The current study aims to investigate the involvement of leptin and TNF.

摘要

背景

糖尿病和肥胖症是两种常见的代谢紊乱疾病,它们与慢性炎症有关。瘦素是脂肪细胞释放的一种重要的脂肪因子,其水平随着体重指数(BMI)的增加而增加。肿瘤坏死因子-α(TNF-α)是一种细胞因子,它是脂肪细胞和炎症细胞对慢性炎症的反应而释放的。2 型糖尿病(T2DM)被认为与低度慢性炎症有关。本研究旨在探讨瘦素和 TNF-α的参与情况。这是一项涉及 63 名健康志愿者和 65 名 T2DM 患者的横断面研究。测量了身体成分,并分析了空腹静脉血样的血糖、糖化血红蛋白(HbA1c)、基础胰岛素、瘦素和 TNF-α。

结果

我们的研究表明,TNF-α的水平显著升高(P=0.008)。在肥胖的糖尿病患者中,血清 TNF-α的水平与 HbA1c 呈正相关(r=0.361,P=0.008)。在肥胖的糖尿病患者中,血清 TNF-α的水平与 BMI 呈正相关(r=0.361,P=0.008)。

结论

TNF-α与同时存在的肥胖和 T2DM 相关,并与 HbA1c 相关。这表明 TNF-α需要进一步研究,以探讨其在监测肥胖和 T2DM 患者管理效果方面的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/735f/7013317/b5698d06d401/JOBE2020-5076858.001.jpg

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