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[乳腺癌和肺癌患者血脂及胰岛素与体脂含量、体表面积和皮下脂肪组织状态的关系]

[Relation of blood lipids and insulin to body fat content, body surface area and state of the subcutaneous fatty tissue in patients with breast and lung cancer].

作者信息

Bershteĭn L M, Bobrov Iu F, Ostroumova M N, Kovalenko I G, Lemekhov V G

出版信息

Vopr Onkol. 1985;31(1):44-51.

PMID:3883650
Abstract

The study was concerned with an evaluation of the results of examination of 203 breast and 158 lung cancer patients. Such constitutional features as excessive body weight, body fat level and body surface area as well as adipocyte diameter and FFA profile in subcutaneous fat tissue were to be in a greater correlation with lipid (triglyceride, cholesterol and non-esterified FFA) levels than the rates of lipolysis and liposynthesis in both study groups. There may be minor differences in the mechanisms of hypertriglyceridemia development in breast and lung cancer patients. The rise in blood triglyceride level was largely due to basal hyperinsulinemia and glucocorticoid hyperproduction in lung cancer patients, whereas, in breast cancer patients it was mostly determined by resistance to insulin and an increase in body surface area contributed by lean body mass.

摘要

该研究关注对203名乳腺癌患者和158名肺癌患者的检查结果评估。在两个研究组中,超重、体脂水平、体表面积等体质特征,以及皮下脂肪组织中的脂肪细胞直径和游离脂肪酸谱,与脂质(甘油三酯、胆固醇和非酯化游离脂肪酸)水平的相关性可能比脂解和脂肪合成速率更高。乳腺癌和肺癌患者高甘油三酯血症的发生机制可能存在细微差异。肺癌患者血液中甘油三酯水平升高主要归因于基础高胰岛素血症和糖皮质激素分泌过多,而在乳腺癌患者中,这主要由胰岛素抵抗以及瘦体重导致的体表面积增加所决定。

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