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血清(特定)金属浓度与2型糖尿病之间的关联

Association Between Serum Concentrations of (Certain) Metals and Type 2 Diabetes Mellitus.

作者信息

Tyczyńska Magdalena, Hunek Gabriela, Kawecka Weronika, Brachet Adam, Gędek Marta, Kulczycka Kinga, Czarnek Katarzyna, Flieger Jolanta, Baj Jacek

机构信息

Department of Correct, Clinical and Imaging Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, Poland.

Department of Forensic Medicine, Medical University of Lublin, Jaczewskiego 8b, 20-090 Lublin, Poland.

出版信息

J Clin Med. 2024 Dec 6;13(23):7443. doi: 10.3390/jcm13237443.

Abstract

The findings regarding trace element concentrations in patients diagnosed with type 2 diabetes and healthy controls are inconsistent, and therefore, we determined to gather them in the form of a review to further indicate the need for more advanced knowledge development. In our study, we reviewed articles and studies that involved the topics of micronutrient and metal associations with the occurrence and development of type 2 diabetes. We mainly included works regarding human-based studies, but with limited research results, animal-based research was also taken into account. With some newer studies, we reached for initial assumptions of previous statements. The results indicated that higher serum levels of lead, cadmium, arsenic, bromine, barium, strontium, nickel, aluminum, calcium, copper, and ferritin are positively associated with diabetic prevalence. Both too-low and too-high levels of zinc, selenium, and magnesium may be connected to the development of diabetes. Chromium has the capability of insulin response modulation, with enhanced insulin-cell binding, and thus, lower serum levels of chromium can be found in diabetic patients. There are contradictory discoveries regarding manganese. Its supplementation can possibly cease the development of insulin resistance and type 2 diabetes. On the contrary, other studies reported that there is no such connection. Our work indicates that, as micronutrients play a significant role in the pathogenesis of metabolic disorders, more research regarding their bodily homeostasis and type 2 diabetes should be conducted.

摘要

关于2型糖尿病患者和健康对照者体内微量元素浓度的研究结果并不一致,因此,我们决定以综述的形式收集这些结果,以进一步表明发展更先进知识的必要性。在我们的研究中,我们回顾了涉及微量营养素和金属与2型糖尿病发生发展关系的文章和研究。我们主要纳入了基于人体的研究,但由于研究结果有限,也考虑了基于动物的研究。通过一些较新的研究,我们对先前观点的初步假设进行了探讨。结果表明,血清中铅、镉、砷、溴、钡、锶、镍、铝、钙、铜和铁蛋白水平升高与糖尿病患病率呈正相关。锌、硒和镁水平过低或过高都可能与糖尿病的发展有关。铬具有调节胰岛素反应的能力,可增强胰岛素与细胞的结合,因此,糖尿病患者血清铬水平较低。关于锰的研究结果存在矛盾。补充锰可能会阻止胰岛素抵抗和2型糖尿病的发展。相反,其他研究报告称不存在这种关联。我们的研究表明,由于微量营养素在代谢紊乱的发病机制中起着重要作用,因此应开展更多关于其体内稳态与2型糖尿病的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1bb/11642493/8414f41259f6/jcm-13-07443-g001.jpg

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