新诊断2型糖尿病患者血清尿酸可作为胰岛β细胞功能的标志物
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Serum uric acid can play a biomarker of islet beta cell function in newly diagnosed type 2 diabetes
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    摘要:

    目的:探讨新诊断2型糖尿病患者血尿酸与胰岛β细胞功能的相关性-方法:对新诊断的2型糖尿病患者605例,检测尿酸-胆固醇-甘油三酯等血清学指标,行OGTT及胰岛素释放试验,计算总胰岛素水平(InsAUC120)-早相胰岛素分泌指数(INSR30)-总体胰岛素分泌指数(INSR120)和β细胞功能指数(HOMA-β)-在男女各组内将人群分为高-低尿酸组-评估尿酸与InsAUC120-INSR30-INSR120及HOMA-β的关系-结果:①无论性别,高尿酸组均含有比低尿酸组更高的InsAUC120-INSR30-INSR120和HOMA-β(均P < 0.01);②尿酸水平与InsAUC120-INSR30-INSR120及HOMA-β均呈显著正相关(均P < 0.01);③多元回归分析校正可能影响因素后相关性依然存在-结论:新诊断2型糖尿病患者中,尿酸是胰岛β细胞分泌能力的独立预测因素,可作为胰岛素分泌能力的潜在生物标志物-

    Abstract:

    Objective:To explore the relationship between serum uric acid and islet beta cell function in newly diagnosed type 2 diabetes. Methods:We analyzed 605 newly diagnosed type 2 diabetes inpatients. We detected serum uric acid,cholesterol,triglyceride etc. and conducted OGTT and insulin release tests on each patient and total insulin level (InsAUC120),early phase insulin secretion index(INSR30),total insulin secretion index(INSR120)as well as beta cell function index(HOMA-β)were calculated. The population was divided into high and low uric acid groups respectively in the male and female groups. The relations between serum uric acid and InsAUC120,INSR30,INSR120 as well as HOMA-β were evaluated. Results:①The patient with hyperuricemia had higher InsAUC120,INSR30,INSR120 and HOMA-β than patient with hypouricemia;②The serum uric acid revealed significantly positive relationships with InsAUC120,INSR30,INSR120 and HOMA-β;③The correlations still existed after adjusting for possible influencing factors by multivariate regression analysis. Conclusion:Serum uric is an independent factor for indicating the islet beta cell secretion capacity and can play a potential serum marker of the insulin secretion ability.

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崔玉良,沈 捷,卜和美,赵 莎,马向华.新诊断2型糖尿病患者血清尿酸可作为胰岛β细胞功能的标志物[J].南京医科大学学报(自然科学版),2016,(5):601-605

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  • 收稿日期:2016-03-13
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  • 在线发布日期: 2016-05-23
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