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青少年糖尿病患者红细胞的柔韧性

Flexibility of erythrocytes in juvenile diabetes mellitus.

作者信息

Tillmann W, Merten A, Lakomek M, Gahr M, Fiechtl J, Schröter W

出版信息

Blut. 1981 Aug;43(2):125-8. doi: 10.1007/BF00320473.

DOI:10.1007/BF00320473
PMID:7260405
Abstract

The rheological properties of erythrocytes of 47 diabetic children and adolescents were studied. Deformability of red cells of 32 patients under "poor" metabolic control was markedly decreased while the deformability of red cells of patients (15 individuals) under "good" control was normal. This diminished flexibility of erythrocytes of patients under "poor" control can be explained partly by an increased concentration of free fatty acids in plasma. Moreover we found a decreased fluidity of the intracellular hemoglobin caused possibly by a decreased concentration of 2, 3-diphosphoglycerate in the cells.

摘要

对47名糖尿病儿童和青少年的红细胞流变学特性进行了研究。32名代谢控制“差”的患者红细胞变形性明显降低,而代谢控制“良好”的患者(15人)红细胞变形性正常。代谢控制“差”的患者红细胞柔韧性降低,部分原因可能是血浆中游离脂肪酸浓度升高。此外,我们发现细胞内血红蛋白的流动性降低,可能是由于细胞内2,3-二磷酸甘油酸浓度降低所致。

相似文献

1
Flexibility of erythrocytes in juvenile diabetes mellitus.青少年糖尿病患者红细胞的柔韧性
Blut. 1981 Aug;43(2):125-8. doi: 10.1007/BF00320473.
2
Letter: Increased haemoglobin A1c and 2,3-diphosphoglycerate in diabetes and their effects on red-cell oxygen-releasing capacity.信函:糖尿病患者血红蛋白A1c和2,3-二磷酸甘油酸水平升高及其对红细胞氧释放能力的影响
Lancet. 1973 Nov 3;302(7836):1034. doi: 10.1016/s0140-6736(73)91132-x.
3
Aggregate formation of erythrocytes and diabetic retinopathy in children, adolescents, and adults with diabetes mellitus (type I).1型糖尿病儿童、青少年及成人红细胞聚集与糖尿病视网膜病变
Klin Wochenschr. 1984 Dec 3;62(23):1136-9. doi: 10.1007/BF01782472.
4
Oxygen affinity of haemoglobin and red cell 2,3-diphosphoglycerate in childhood diabetes.
Acta Paediatr Scand. 1975 Mar;64(2):355-61. doi: 10.1111/j.1651-2227.1975.tb03846.x.
5
[Erythrocyte changes in diabetes].
Ric Clin Lab. 1983;13 Suppl 3:159-64.
6
[Erythrocyte enzymes and 2,3-diphosphoglycerate in juvenile diabetics].青少年糖尿病患者的红细胞酶与2,3-二磷酸甘油酸
Padiatr Padol. 1982;17(4):705-12.
7
Borderline maintenance of erythrocyte 2,3-diphosphoglycerate concentrations in normoxic type 1 (insulin dependent) diabetic subjects.正常氧合的1型(胰岛素依赖型)糖尿病患者红细胞2,3 - 二磷酸甘油酸浓度的临界维持状态
Clin Sci (Lond). 1986 Feb;70(2):127-9. doi: 10.1042/cs0700127.
8
Role of red cell sorbitol as determinant of reduced erythrocyte filtrability in insulin-dependent diabetics.红细胞山梨醇在胰岛素依赖型糖尿病患者中作为红细胞滤过性降低的决定因素的作用。
Acta Diabetol Lat. 1982 Oct-Dec;19(4):359-68. doi: 10.1007/BF02629259.
9
[The effect of hypoglycemic episodes in diabetics on the 2,3-diphosphoglycerate content of erythrocytes].糖尿病患者低血糖发作对红细胞2,3-二磷酸甘油酸含量的影响
Orv Hetil. 1987 May 10;128(19):983-6.
10
[Diagnostic value of detection of blood levels of lactate, pyruvate and 2,3-diphosphoglycerate in children with diabetes mellitus].[乳酸、丙酮酸及2,3-二磷酸甘油酸血水平检测对糖尿病患儿的诊断价值]
Pediatriia. 1991(2):26-30.

引用本文的文献

1
The impact of the HbA1c level of type 2 diabetics on the structure of haemoglobin.2 型糖尿病患者的 HbA1c 水平对血红蛋白结构的影响。
Sci Rep. 2016 Sep 14;6:33352. doi: 10.1038/srep33352.
2
Aggregate formation of erythrocytes and diabetic retinopathy in children, adolescents, and adults with diabetes mellitus (type I).1型糖尿病儿童、青少年及成人红细胞聚集与糖尿病视网膜病变
Klin Wochenschr. 1984 Dec 3;62(23):1136-9. doi: 10.1007/BF01782472.

本文引用的文献

1
Relationship of blood protein composition to intravascular erythrocyte aggregation (sludged blood); clinical and experimental studies.血液蛋白质组成与血管内红细胞聚集(血液淤滞)的关系;临床与实验研究
Acta Med Scand Suppl. 1959;343:1-63.
2
The interaction of 2,3-diphosphoglycerate with various human hemoglobins.2,3-二磷酸甘油酸与各种人类血红蛋白的相互作用。
J Clin Invest. 1970 Jun;49(6):1088-95. doi: 10.1172/JCI106324.
3
A modified method for the determination of 2,3-diphosphoglycerate in erythrocytes.一种测定红细胞中2,3 - 二磷酸甘油酸的改良方法。
Scand J Clin Lab Invest. 1972 Feb;29(1):84-90.
4
A simple method for measuring red cell deformability in models of the microcirculation.一种在微循环模型中测量红细胞变形性的简单方法。
Blut. 1973 Jun;26(6):369-79. doi: 10.1007/BF01632746.
5
Letters: Plasma Pi and erythrocyte 2,3-diphosphoglycerate concentrations of non-acidotic diabetics in various degrees of metabolic control.信件:不同代谢控制程度的非酸中毒糖尿病患者的血浆无机磷酸盐及红细胞2,3 - 二磷酸甘油酸浓度
Clin Chem. 1976 Apr;22(4):550-1.
6
Red-cell aggregation and red-cell deformability in diabetes.糖尿病中的红细胞聚集与红细胞变形性
Diabetes. 1976;25(2 SUPPL):897-902.
7
Glycosylated hemoglobins and their relation to the control of juvenile diabetes mellitus.糖化血红蛋白及其与青少年糖尿病控制的关系。
Helv Paediatr Acta. 1978 Dec;33(6):535-42.
8
Rheological properties of erythrocytes in heterozygous and homozygous beta thalassaemia.
Br J Haematol. 1979 Nov;43(3):401-11. doi: 10.1111/j.1365-2141.1979.tb03767.x.