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Diabetes Care:高级糖基化终末产物、氧化产物和动脉粥样硬化程度相关性分析

2017-02-12 xing.T MedSci原创

高级糖基化终末产物和氧化代谢产物与长期的亚临床动脉粥样硬化的严重程度相关,并可能在长期2型糖尿病大血管并发症的患者的“负性代谢记忆”中发挥重要作用。

近日,糖尿病领域权威杂志Diabetes Care上发表了一篇研究文章。研究人员旨在通过近10年的VA糖尿病研究和随访研究来确定血浆中高级糖基化终产物和氧化产物水平是否参与了2型糖尿病患者动脉粥样硬化的发生发展。

该研究总共有411名参与者,研究人员同时检查了这些参与者血中丙酮醛氢化睬唑咙、Nε-羧甲基赖氨酸、Nε-羧乙基赖氨酸(CEL)、3-脱氧葡糖醛酮和乙二醛氢化睬唑咙(G-H1)、2-氨基己二酸(2-AAA)和蛋氨酸亚砜的基线水平。在平均随访10年后,研究人员对这些参与者进行了超声检查评估了颈动脉内膜中层厚度(CIMT),CT扫描评估了冠状动脉钙化(CAC)情况和腹主动脉钙化(AAC)情况。

在危险因素调整的多变量回归模型中,G-H1与CIMT和CAC程度相关。此外,2-AAA与CAC程度密切相关,而CEL与AAC的严重程度密切相关。将特异性高级糖基化终末产物和氧化产物(G-H1和2-AAA)相结合与所有亚临床动脉粥样硬化的指标密切相关。

由此可见,高级糖基化终末产物和氧化代谢产物与长期的亚临床动脉粥样硬化的严重程度相关,并可能在长期2型糖尿病大血管并发症的患者的“负性代谢记忆”中发挥重要作用。

原始出处:

Aramesh Saremi,  et al. Advanced Glycation End Products, Oxidation Products, and the Extent of Atherosclerosis During the VA Diabetes Trial and Follow-up Study. Diabetes Care 2017 Feb; dc161875. https://doi.org/10.2337/dc16-1875

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    2017-02-14 lfyang
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    2017-02-13 ylzr123

    如果临床应用的话,会给患者带来希望的。渴望推广,好文点赞了!

    0

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