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阿朴脂蛋白与糖尿病的关系:一项荟萃分析。

Relationship of asprosin and diabetes: a meta-analysis.

作者信息

Zeng Xiandong, Sun Xin, He Wei, Xie Jing, Xin Caihong

机构信息

Department of Oncological Surgery, Fourth People's Hospital of Shenyang, Shenyang, P.R. China.

Department of Endocrinology and Metabolism, First Affiliated Hospital of Soochow University, Suzhou, P.R. China.

出版信息

BMC Endocr Disord. 2025 Jan 23;25(1):15. doi: 10.1186/s12902-025-01843-1.

DOI:10.1186/s12902-025-01843-1
PMID:39844112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11756155/
Abstract

BACKGROUND

Diabetes characterized by chronic hyperglycemia, has become a serious hazard to human health in the recent decades. Previous research suggests that asprosin may contribute to the development of diabetes by regulating glucose homeostasis, appetite, insulin secretion, and insulin sensitivity. Although some studies have shown that asprosin levels are higher in patients with diabetes than in healthy individuals, the association between asprosin levels and diabetes remains controversial.

AIM

This meta-analysis aimed to assess asprosin levels in patients with diabetes and in healthy individuals.

METHODS

We searched the following electronic databases: Web of Science, ScienceDirect, PubMed, and Willy. The title or abstract uses the following search term: "diabetes" is used in combination with the term "asprosin." The meta-analysis results are presented as standardized mean differences (SMDs) with corresponding 95% confidence intervals (CIs).

RESULTS

Fourteen articles were included in this meta-analysis. In our meta-analysis, the asprosin level in patients with diabetes was significantly higher than that in healthy controls (SMD: 0.95, 95% CI [0.66, 1.24]). Moreover, there was a significant difference in the asprosin levels between patients with diabetes without complication and those with complication (SMD: 0.81, 95% CI [0.33, 1.29]).

CONCLUSIONS

This systematic review is the first to evaluate the relationship between asprosin levels and diabetes. The asprosin levels were significantly higher in patients with diabetes.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

糖尿病以慢性高血糖为特征,在近几十年已成为对人类健康的严重危害。先前的研究表明,脂肪因子可能通过调节葡萄糖稳态、食欲、胰岛素分泌和胰岛素敏感性,促进糖尿病的发展。尽管一些研究表明,糖尿病患者的脂肪因子水平高于健康个体,但脂肪因子水平与糖尿病之间的关联仍存在争议。

目的

本荟萃分析旨在评估糖尿病患者和健康个体的脂肪因子水平。

方法

我们检索了以下电子数据库:科学网、ScienceDirect、PubMed和Willy。标题或摘要使用以下检索词:“糖尿病”与“脂肪因子”组合使用。荟萃分析结果以标准化均数差(SMD)及其相应的95%置信区间(CI)表示。

结果

本荟萃分析纳入了14篇文章。在我们的荟萃分析中,糖尿病患者的脂肪因子水平显著高于健康对照组(SMD:0.95,95%CI[0.66,1.24])。此外,无并发症的糖尿病患者与有并发症的糖尿病患者之间的脂肪因子水平存在显著差异(SMD:0.81,95%CI[0.33,1.29])。

结论

本系统评价首次评估了脂肪因子水平与糖尿病之间的关系。糖尿病患者的脂肪因子水平显著更高。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/51ef646b52d8/12902_2025_1843_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/d915f09cf3f6/12902_2025_1843_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/73ead6123019/12902_2025_1843_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/48870683f833/12902_2025_1843_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/513e10c6f441/12902_2025_1843_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/51ef646b52d8/12902_2025_1843_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/d915f09cf3f6/12902_2025_1843_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/73ead6123019/12902_2025_1843_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/48870683f833/12902_2025_1843_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/513e10c6f441/12902_2025_1843_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11756155/51ef646b52d8/12902_2025_1843_Fig5_HTML.jpg

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本文引用的文献

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Biomed Pharmacother. 2023 Dec;168:115734. doi: 10.1016/j.biopha.2023.115734. Epub 2023 Oct 17.
2
Association between serum asprosin and diabetic peripheral neuropathy in patients with type 2 diabetes mellitus in the community.社区 2 型糖尿病患者血清 asprosin 与糖尿病周围神经病变的关系。
Eur Rev Med Pharmacol Sci. 2023 Aug;27(16):7569-7575. doi: 10.26355/eurrev_202308_33408.
3
Association Between Plasma Asprosin Levels and Gestational Diabetes Mellitus.
血浆阿朴脂蛋白水平与妊娠期糖尿病之间的关联
Diabetes Metab Syndr Obes. 2023 Aug 23;16:2515-2521. doi: 10.2147/DMSO.S424651. eCollection 2023.
4
Circulating Asprosin Concentrations in Patients with Obesity and Carbohydrate Disturbances.肥胖和碳水化合物代谢紊乱患者的循环阿朴脂蛋白浓度
Horm Metab Res. 2023 Apr;55(4):284-289. doi: 10.1055/a-2033-6109. Epub 2023 Feb 11.
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Asprosin in health and disease, a new glucose sensor with central and peripheral metabolic effects.消瘦素在健康和疾病中的作用:一种具有中枢和外周代谢作用的新型葡萄糖传感器。
Front Endocrinol (Lausanne). 2023 Jan 5;13:1101091. doi: 10.3389/fendo.2022.1101091. eCollection 2022.
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