Akgul Balaban Y, Yilmaz N, Kalayci M, Unal M, Turhan T
Mecitozu State Hospital - Internal Medicine, Corum, Ministry of Health Ankara City Hospital, Istanbul, Turkey.
Internal Medicine, Istanbul, Turkey.
Acta Endocrinol (Buchar). 2019 Oct-Dec;15(4):442-446. doi: 10.4183/aeb.2019.442.
Changes in the secretion of signaling molecules that originates from adipose tissue and inflammation draw attention in the pathogenesis of type 2 DM. Chemerin, one of the signaling molecules of adipose origin, and irisin, defined as the Renaissance of the metabolism, are among these molecules.
This cross-sectional study was planned in order to compare the values of serum irisin and chemerin levels in patients newly diagnosed with T2DM and in healthy subjects.
The study included 41 patients newly diagnosed with T2DM and 49 healthy individuals. The chemistry parameters were analyzed with a biochemistry autoanalyzer, and hormonal parameters were analyzed with an immunoassay analyzer. Plasma irisin and chemerin levels were measured using the enzyme-linked immunosorbent assay method.
There was a significant difference between the groups in terms of glucose, HbA1C, Insulin, HOMA-IR and lipid panel results. Irisin levels in the group of patients newly diagnosed with T2DM were lower than in the control group. Chemerin levels in the group of patients newly diagnosed with T2DM were higher than in the control group.
Consequently, diabetes-dependent changes in chemerin and irisin concentrations suggest that these two hormones have a role in the pathophysiology of DM. Further studies are required to understand the complex structure of the signaling pathways of chemerin and irisin molecules as well as the physiological importance of these molecules as metabolism regulators especially in humans.
源自脂肪组织和炎症的信号分子分泌变化在2型糖尿病的发病机制中引起了关注。脂肪源信号分子之一的趋化素和被定义为代谢复兴的鸢尾素都属于这些分子。
本横断面研究旨在比较新诊断的2型糖尿病患者和健康受试者血清鸢尾素和趋化素水平的值。
该研究纳入了41例新诊断的2型糖尿病患者和49名健康个体。化学参数用生化自动分析仪分析,激素参数用免疫分析分析仪分析。采用酶联免疫吸附测定法测量血浆鸢尾素和趋化素水平。
两组在血糖、糖化血红蛋白、胰岛素、稳态模型评估胰岛素抵抗(HOMA-IR)和血脂结果方面存在显著差异。新诊断的2型糖尿病患者组的鸢尾素水平低于对照组。新诊断的2型糖尿病患者组的趋化素水平高于对照组。
因此,趋化素和鸢尾素浓度的糖尿病依赖性变化表明这两种激素在糖尿病的病理生理学中起作用。需要进一步研究以了解趋化素和鸢尾素分子信号通路的复杂结构以及这些分子作为代谢调节剂的生理重要性,尤其是在人类中。