Tuppad Sangeeta, Medala Kalpana, Umesh Madhusudhan, Gaur Archana, Ganji Vidya, Sakthivadivel Varatharajan, Kumar Prakash
Physiology, Koppal Institute of Medical Sciences, Koppal, IND.
Physiology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, IND.
Cureus. 2022 Apr 30;14(4):e24613. doi: 10.7759/cureus.24613. eCollection 2022 Apr.
Introduction Various markers for diabetes have been identified in this new era of medicine, the most recent being adiponectin, which is primarily secreted from adipose tissue and has anti-diabetic, anti-inflammatory, and anti-atherogenic properties. It is also known to increase insulin sensitivity. Adiponectin deficiency or decreased secretion causes a variety of complications, including insulin resistance and the onset of type 2 diabetes mellitus (T2DM). One such complication of T2DM is endothelial dysfunction, which leads to decreased synthesis of nitric oxide (NO), another potent marker that normally disrupts key events in the progression of atherosclerosis. Aims and objectives The aim of the study was to compare and correlate serum adiponectin and nitric oxide levels with glycemic status in patients with T2DM and healthy controls. Materials and methods This comparative cross-sectional study included known cases of type II diabetes under group I and healthy age-matched controls under group II. Serum levels of adiponectin and nitric oxide were assessed in both the groups along with glycemic status [fasting blood sugar (FBS) and glycated hemoglobin (HbA1c)] and these parameters were compared between both groups using a t-test. Adiponectin and NO levels were correlated using Pearson's correlation with glycemic status in group I. Results The mean adiponectin levels in group I were 5.94 ± 1.490 μg/mL, which was significantly (p<0.00) less than in group II, 10.30 ±1.669 μg/mL. The mean NO levels in group I (42.98 ± 6.300 μmol/L) were also significantly (p<0.00) less than in group II (56.126 ± 7.579 μmol/L). FBS and HbA1C levels were significantly higher in group I than in group II. Conclusion Adiponectin and NO levels were significantly reduced in individuals with T2DM when compared to healthy controls. Therapeutic interventions that increase adiponectin and NO levels may be useful targets for improving diabetes control and reducing complications.
引言 在这个医学新时代,已发现多种糖尿病标志物,最新的是脂联素,它主要由脂肪组织分泌,具有抗糖尿病、抗炎和抗动脉粥样硬化特性。已知它还能提高胰岛素敏感性。脂联素缺乏或分泌减少会引发多种并发症,包括胰岛素抵抗和2型糖尿病(T2DM)的发病。T2DM的一种此类并发症是内皮功能障碍,这会导致一氧化氮(NO)合成减少,NO是另一种重要标志物,通常会干扰动脉粥样硬化进展中的关键事件。
目的 本研究旨在比较并关联T2DM患者和健康对照者血清脂联素和一氧化氮水平与血糖状态。
材料与方法 这项比较性横断面研究包括第一组已知的II型糖尿病病例和第二组年龄匹配的健康对照者。对两组的脂联素和一氧化氮血清水平以及血糖状态[空腹血糖(FBS)和糖化血红蛋白(HbA1c)]进行评估,并使用t检验比较两组之间的这些参数。在第一组中,使用Pearson相关性分析脂联素和NO水平与血糖状态的关系。
结果 第一组的平均脂联素水平为5.94±1.490μg/mL,显著低于(p<0.00)第二组的10.30±1.669μg/mL。第一组的平均NO水平(42.98±6.300μmol/L)也显著低于(p<0.00)第二组(56.126±7.579μmol/L)。第一组的FBS和HbA1C水平显著高于第二组。
结论 与健康对照者相比,T2DM患者的脂联素和NO水平显著降低。提高脂联素和NO水平的治疗干预可能是改善糖尿病控制和减少并发症的有用靶点。