Gutlur Nagarajaiah Setty Raghav, Somashekar Pallavi, Hareesh Rangaswamaiah, Veluri Ganesh
Department of General Medicine, Rajarajeswari Medical College and Hospital, Bangalore - 560074, Karnataka, India.
Department of General Medicine, Akash Institute of Medical Sciences and Research Centre, Bangalore - 562110, Karnataka, India.
Bioinformation. 2022 Dec 31;18(12):1136-1140. doi: 10.6026/973206300181136. eCollection 2022.
Type 2 Diabetes Mellitus (T2DM) patients with coronary artery disease (CAD) coupled with hypertension (HTN) are leading cause of morbidity and mortality. Association of Interleukin 6 and uric acid levels can be used for early detection of CAD in patients with T2DM. This cross sectional study included 120 study participants, were sub grouped into three Group 1: controls (n=30), Group 2: CAD, HTN without T2DM (n=30) and Group 3: CAD, HTN with T2DM (n=30). Basic biochemical, clinical and experimental parameters were analysed and recorded for all the study subjects. The statistical analysis was done by using the SPSS 20.0. Individuals with CAD, HTN with T2DM had higher BMI, weight, SBP, and DBP levels than patients CAD, HTN without diabetes and controls. In CAD, HTN with T2DM study participants has been found to have higher serum levels of inflammatory cytokines like IL-6 and uric acids when compared to CAD, HTN without T2DM and controls. IL6 was significantly positive association with uric acid and negative association with age and HDL. These findings demonstrated a statistically significant positive connection between IL-6, and uric acid concentrations. The identified elevated levels of inflammatory cytokines and uric acids in type 2 diabetic and hypertensive CAD patients may aid in the identification of patients at higher risk.
患有冠状动脉疾病(CAD)并伴有高血压(HTN)的2型糖尿病(T2DM)患者是发病和死亡的主要原因。白细胞介素6和尿酸水平的关联可用于早期检测T2DM患者的CAD。这项横断面研究纳入了120名研究参与者,分为三组:第1组:对照组(n = 30),第2组:患有CAD、HTN但无T2DM(n = 30),第3组:患有CAD、HTN且伴有T2DM(n = 30)。对所有研究对象的基本生化、临床和实验参数进行了分析和记录。使用SPSS 20.0进行统计分析。患有CAD、HTN且伴有T2DM的个体的BMI、体重、收缩压和舒张压水平高于患有CAD、HTN但无糖尿病的患者和对照组。与患有CAD、HTN但无T2DM的患者和对照组相比,患有CAD、HTN且伴有T2DM的研究参与者的血清炎症细胞因子如IL-6和尿酸水平更高。IL6与尿酸呈显著正相关,与年龄和高密度脂蛋白呈负相关。这些发现表明IL-6与尿酸浓度之间存在统计学上的显著正相关。在2型糖尿病和高血压CAD患者中发现的炎症细胞因子和尿酸水平升高可能有助于识别高危患者。