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2 型糖尿病患者中 neudesin 的水平及其与代谢参数和颈动脉内膜中层厚度的关系。

The level of the neudesin in type-2 diabetic patients and the relationship between the metabolic parameters and carotid intima-media thickness.

机构信息

Department of Intensive Care, Faculty of Medicine, Ege University, Izmir, Türkiye -

Division of Endocrinology and Metabolism, Department of Internal Medicine, Izmir Bozyaka Training and Research Hospital, Izmir, Türkiye.

出版信息

Minerva Endocrinol (Torino). 2023 Sep;48(3):288-294. doi: 10.23736/S2724-6507.20.03217-4. Epub 2021 Jan 12.

Abstract

BACKGROUND

Neudesin is a protein that is secreted from adipose tissue and central nervous system and has a regulatory function on energy metabolism. Although the effect of this protein is shown in the experimental model of type-2 diabetes mellitus (type-2DM), its effect in humans is not clearly known. In this study, we aimed to evaluate the relationship between serum neudesin level and metabolic, anthropometric and cardiovascular parameters in newly diagnosed type-2DM patients (group 1).

METHODS

Forty patients in each were included in our study for group 1 and for the control group (group 2), which consisted of age and sex-matched healthy subjects. Serum neudesin, hs-CRP, carotid intima media thickness (CIMT), Body Mass Index (BMI) and insulin resistance (HOMA-IR) levels were compared prospectively.

RESULTS

Serum neudesin levels were significantly higher in diabetic patients than in the control group (type-2DM: 64.69±3.06 ng/mL, control: 55.52±5.48 ng/mL, P=0.004*). There was an independent relationship between serum neudesin and HOMA-IR and BMI. Although there is a correlation between serum neudesin and CIMT; this feature disappeared in the regression analysis.

CONCLUSIONS

Serum neudesin increased in new diagnosis type-2DM patients. This increase seems to be related to obesity and insulin resistance. However, more extensive research is needed to clarify this issue.

摘要

背景

Neudesin 是一种由脂肪组织和中枢神经系统分泌的蛋白质,对能量代谢具有调节作用。虽然这种蛋白质的作用在 2 型糖尿病(type-2DM)的实验模型中得到了显示,但它在人类中的作用尚不清楚。在本研究中,我们旨在评估新诊断的 2 型糖尿病患者(第 1 组)血清 Neudesin 水平与代谢、人体测量和心血管参数之间的关系。

方法

第 1 组和对照组(第 2 组)各纳入 40 例患者,第 2 组由年龄和性别匹配的健康受试者组成。前瞻性比较血清 Neudesin、hs-CRP、颈动脉内膜中层厚度(CIMT)、体重指数(BMI)和胰岛素抵抗(HOMA-IR)水平。

结果

糖尿病患者的血清 Neudesin 水平明显高于对照组(2 型糖尿病:64.69±3.06ng/mL,对照组:55.52±5.48ng/mL,P=0.004*)。血清 Neudesin 与 HOMA-IR 和 BMI 之间存在独立关系。虽然血清 Neudesin 与 CIMT 之间存在相关性;但在回归分析中这种相关性消失了。

结论

新诊断的 2 型糖尿病患者血清 Neudesin 增加。这种增加似乎与肥胖和胰岛素抵抗有关。然而,需要进一步的广泛研究来阐明这个问题。

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