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2型糖尿病患者的胰岛炎症影响α细胞和β细胞功能

2013-07-31 复旦大学附属金山医院内分泌科 张进安 cmt

2型糖尿病患者的胰岛炎症不仅影响β细胞功能和胰岛素产生,同时也影响α细胞的功能和胰高血糖素的产量。 胰岛炎症在2型糖尿病患者β细胞功能的衰竭中起重要作用。研究胰岛炎如何影响内分泌细胞将有助于寻找新的治疗靶点。新近发现IL-6可以调节胰岛α细胞的胰高血糖素分泌。IL-6属于gp130受体介导的细胞因子家族。最新的研究显示2型糖尿病患者的胰岛表达高水平的IL-6家族的细胞因子。在2型糖尿病的小鼠模型

2型糖尿病患者的胰岛炎症不仅影响β细胞功能和胰岛素产生,同时也影响α细胞的功能和胰高血糖素的产量。

胰岛炎症在2型糖尿病患者β细胞功能的衰竭中起重要作用。研究胰岛炎如何影响内分泌细胞将有助于寻找新的治疗靶点。新近发现IL-6可以调节胰岛α细胞的胰高血糖素分泌。IL-6属于gp130受体介导的细胞因子家族。最新的研究显示2型糖尿病患者的胰岛表达高水平的IL-6家族的细胞因子。在2型糖尿病的小鼠模型,也发现了多个IL-6家族细胞因子的过度表达。当部分敲除小鼠胰腺α细胞上的gp130受体后,小鼠对葡萄糖的耐受性提高,或免患2型糖尿病。这主要是因为去除gp130受体的α细胞恢复了正常的功能。因此,在2型糖尿病患者通过调控α细胞的gp130受体可减少过多的胰高血糖素分泌,从而成为调控血糖的手段。

在脂代谢信号通路中,磷脂酶A促进多种具有生物活性的脂类介质的产生,而这些脂类中间产物参与了多种生物学功能包括免疫反应、炎症细胞侵润,促进了β细胞的死亡。

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    2013-12-02 baoya
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为了探讨2型糖尿病个体在运动锻炼后身体组成和适能变化与血红蛋白A1C(HbA1C)变化的关系。来自加拿大马尼托巴省儿童健康保健研究所的Timothy S Church教授及其团队进行了一项研究,该研究发现在2型糖尿病患者,中心性肥胖的减少和适能的增加,是HbA1C对运动锻炼反应发生变化最显著地预测因子。该研究结果在线发表在5月13日的《糖尿病治疗》(Diabetes Care)杂志上。 该研究中

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