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2型糖尿病中的促炎细胞因子极化

Proinflammatory cytokine polarization in type 2 diabetes.

作者信息

Bahgat Mervat M, Ibrahim Dalia R

机构信息

Nuclear Research Center, Atomic Energy Authority, Cairo, Egypt.

出版信息

Cent Eur J Immunol. 2020;45(2):170-175. doi: 10.5114/ceji.2020.97904. Epub 2020 Jul 27.

Abstract

Subclinical inflammatory reaction is associated with non-insulin dependent diabetes. Therefore, the aim of the present study is to describe the effect of the three cytokines: interferon γ (IFN-γ), interleukin (IL)-4 and IL-5 on the development of type 2 diabetes (T2D). Forty-five volunteers (after their permission) were participated in this work; according to their clinical examination and laboratory investigations (fasting blood sugar, 2 hours postprandial, HbA1c and lipid profile), they were divided into thirteen control (non-diabetic) (five females and eight males) and thirty-two diabetic patients (twenty-one females and eleven males). Thereafter, their sera were evaluated for C-reactive protein (CRP), IFN-γ, IL-4 and IL-5. The results revealed an increasing trend of CRP and a significant increase of IFN-γ in diabetic patients with no sex difference. A positive correlation between IFN-γ and both IL-4 and IL-5 in control, and a positive correlation between IL-4 and IL-5 in diabetic patients had been visualized. These results denoted that there may be an association of the pro-inflammatory cytokines in the etiology of diabetes mellitus type 2.

摘要

亚临床炎症反应与非胰岛素依赖型糖尿病有关。因此,本研究的目的是描述三种细胞因子:干扰素γ(IFN-γ)、白细胞介素(IL)-4和IL-5对2型糖尿病(T2D)发生发展的影响。45名志愿者(经其同意)参与了这项研究;根据他们的临床检查和实验室检查(空腹血糖、餐后2小时血糖、糖化血红蛋白和血脂谱),他们被分为13名对照组(非糖尿病组)(5名女性和8名男性)和32名糖尿病患者(21名女性和11名男性)。此后,对他们的血清进行C反应蛋白(CRP)、IFN-γ、IL-4和IL-5的评估。结果显示,糖尿病患者的CRP呈上升趋势,IFN-γ显著升高,且无性别差异。在对照组中,IFN-γ与IL-4和IL-5均呈正相关,在糖尿病患者中,IL-4和IL-5呈正相关。这些结果表明,促炎细胞因子可能与2型糖尿病的病因有关。

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