葡萄糖代谢改变的生物标志物与儿童急性淋巴细胞白血病幸存者代谢综合征的发生。

Biomarkers of Glucose Metabolism Alterations and the Onset of Metabolic Syndrome in Survivors of Childhood Acute Lymphoblastic Leukemia.

机构信息

Department of Pediatric Oncology and Hematology, Medical University of Bialystok, 15-274 Białystok, Poland.

Department of Physiology, Medical University of Bialystok, 15-222 Białystok, Poland.

出版信息

Int J Mol Sci. 2022 Mar 28;23(7):3712. doi: 10.3390/ijms23073712.

Abstract

Owing to advances in treatment modalities and supportive care, overall survival rates have reached up to 90% among children with acute lymphoblastic leukemia (ALL). However, due to the underlying illness and therapy, they are at a greater risk of developing lifestyle diseases. Hence, special attention is paid to early detection of the components of metabolic syndrome (MetS). This study aimed at investigating the association of plasma levels of nine diabetes markers with being overweight and components of MetS in ALL survivors. The study included 56 subjects with mean age of 12.36 ± 5.15 years. The commercially available Bio-Plex Pro Human Diabetes 10-Plex Panel kit was used to evaluate levels of diabetes biomarkers. ALL survivors presented statistically higher concentrations of GIP (p = 0.026), glucagon (p = 0.001), leptin (p = 0.022), and PAI-1 (p = 0.047), whereas the concentration of ghrelin was lower (p < 0.001) compared to the control group. Moreover, subjects within normal BMI range showed higher GIP (p = 0.005) and lower ghrelin concentration (p < 0.001) compared to healthy peers. At least one risk factor of MetS was present in 58.9% of participants, who showed significantly higher levels of C-peptide (p = 0.028), leptin (p = 0.003), and PAI-1 (p = 0.034) than survivors who did not meet any MetS criteria. In conclusion, ALL survivors are at greater risk of disturbances in carbohydrate metabolism. Understanding the pathogenesis and applicability of diabetes markers is crucial for developing strategies to prevent metabolic syndrome in ALL survivors.

摘要

由于治疗方式和支持性护理的进步,急性淋巴细胞白血病 (ALL) 患儿的总生存率已达到 90%。然而,由于潜在的疾病和治疗,他们患生活方式疾病的风险更大。因此,特别关注代谢综合征 (MetS) 成分的早期检测。本研究旨在探讨血浆中 9 种糖尿病标志物水平与 ALL 幸存者超重和 MetS 成分的关系。该研究纳入了 56 名平均年龄为 12.36 ± 5.15 岁的受试者。使用市售的 Bio-Plex Pro Human Diabetes 10-Plex Panel 试剂盒评估糖尿病生物标志物的水平。ALL 幸存者的 GIP(p=0.026)、胰高血糖素(p=0.001)、瘦素(p=0.022)和 PAI-1(p=0.047)浓度显著更高,而 ghrelin 浓度较低(p<0.001)与对照组相比。此外,在正常 BMI 范围内的受试者中,GIP(p=0.005)和 ghrelin 浓度(p<0.001)均高于健康同龄人。至少有一个 MetS 风险因素的参与者占 58.9%,他们的 C 肽(p=0.028)、瘦素(p=0.003)和 PAI-1(p=0.034)水平明显高于不符合任何 MetS 标准的幸存者。总之,ALL 幸存者发生碳水化合物代谢紊乱的风险更大。了解糖尿病标志物的发病机制和适用性对于制定预防 ALL 幸存者代谢综合征的策略至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc82/8998892/e28da289b498/ijms-23-03712-g001.jpg

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