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国家自然科学基金(30871188)

作品数:8 被引量:53H指数:4
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辅助性T细胞Th17与1型糖尿病发病的关系被引量:11
2011年
目的阐明1型糖尿病患者自身免疫反应与辅助性Th17T细胞的关系及其机制。方法选取2009年1月至2010年12月在武汉大学中南医院内分泌科诊治的门诊和住院1型糖尿病患者39例[1型糖尿病组,男21例,女18例,平均年龄(31±13)岁],另选择同期在武汉大学中南医院体检的健康志愿者36名[健康对照组,男19名,女17名,平均年龄(29±12)岁]和内分泌科收治的住院2型糖尿病患者40例[2型糖尿病组,男28例,女12例,平均年龄(36±8)岁]。采用流式细胞仪检测外周血Th17辅助性T细胞比例,应用荧光实时定量聚合酶链反应检测外周血单核细胞RORγt基因表达,运用酶联免疫吸附法检测血浆白细胞介素.17A和B细胞活化因子水平。采用t检验进行组间数据比较。结果1型糖尿病组Th17辅助性T细胞含量[(4.2±0.8)%VS(1.8±0.6)%,t=8.338,P=0.005]、血浆白细胞介素-17A水平[(2.42±0.24)VS(1.37±0.37)ng/L,t=5.601,P=0.021]、RORγt mRNA表达(5.0±1.3VS1.4±1.0,t=38.959,P=0.000)、B细胞活化因子水平[(91±5)VS(66±8)ng/L,t=6.211,P:0.015]显著高于健康对照组。偏相关分析显示,在1型糖尿病组中,B细胞活化因子与白细胞介素-17A水平呈显著正相关(r=0.623,P=0.000)。多元逐步回归分析显示,Th17辅助性T细胞与1型糖尿病患者空腹C肽水平呈显著负相关(r=-0.069,P=0.011)。结论Th17辅助性T细胞分泌的白细胞介素-17A可能通过促进B细胞活化因子的分泌影响B细胞的存活,参与1型糖尿病的发生。
陈小奇徐焱成邓浩华孙家忠代喆吴玉文杨杪
关键词:白细胞介素17B细胞活化因子
初诊2型糖尿病发病年龄与代谢综合征关系研究被引量:10
2019年
背景糖尿病是代谢综合征(MS)的重要组成成分,常合并MS其他代谢组分。目前,我国年轻糖尿病患者和老年糖尿病患者数量均逐年增多,但尚缺乏关于糖尿病发病年龄与MS及其组分的关系研究。目的探讨初诊2型糖尿病(T2DM)发病年龄与MS及MS其他代谢组分的关系。方法选取2012年1月-2017年5月在武汉大学中南医院内分泌科住院的初诊T2DM患者431例,按照发病年龄分为早发型糖尿病组(EDM,<40周岁,n=72)、中年糖尿病组(MDM,40~59周岁,n=232)、老年糖尿病组(ODM,≥60周岁,n=127),比较三组患者合并MS及MS其他代谢组分情况。结果 T2DM患者合并MS的比例为72.4%(312/431),EDM、MDM、ODM组合并MS的比例分别为79.2%(57/72)、74.1%(172/232)、65.4%(83/127),随着发病年龄的增加,初诊T2DM患者合并MS的比例降低(P<0.05)。发病年龄越早,初诊T2DM患者合并超重/肥胖、高三酰甘油(TG)血症、低高密度脂蛋白胆固醇(HDL-C)血症的比例越高,合并高血压的比例越低(P<0.05)。三组合并MS其他代谢组分的项数比较有统计学差异(P<0.05),其中,EDM与ODM组比较有统计学差异(P<0.016 7),EDM与MDM组、MDM与ODM组比较无统计学差异(P>0.016 7)。结论 T2DM患者的发病年龄与MS关系密切,发病年龄越早者合并MS的风险越高。
刘林杰李慧琼徐焱成
关键词:代谢综合征X发病年龄高甘油三酯血症
发病年龄对新诊断Ⅱ型糖尿病胰岛功能及相关指标的影响被引量:3
2019年
目的描述新诊断老年Ⅱ型糖尿病住院患者的临床基线特点并比较发病年龄对新诊断Ⅱ型糖尿病胰岛功能的影响。方法根据纳入标准2011年12月至2016年5月在武汉大学中南医院院内分泌科住院的新诊断Ⅱ型糖尿病患者,一项单中心横断面研究。根据发病年龄分为成年型糖尿病组和老年型糖尿病组,对两组的胰岛功能进行统计分析。结果共纳入272例,老年型糖尿病组103例(37.87%)。不同发病年龄下,老年型糖尿病组的收缩压、TG低于成年型糖尿病组, irt1h、irt2h、irt3h、AUCirt、胰岛素抵抗则高于成年型糖尿病组差异均无统计学意义(P>0.05)。两组在收缩压、体重指数、尿酸、CHOL、HDL、LDL、空腹血糖、ogtt 0.5h、ogtt 1h、ogtt 2h、ogtt 3h、AUCogtt、糖化血红蛋白、空腹胰岛素、irt 0.5h、AUCogtt/AUCirt、早相胰岛素分泌指数、HOMA-β的差异均无统计学意义(P>0.05)。结论相比成年型糖尿病,老年型糖尿病的胰岛素抵抗程度相对较重。
李慧琼刘林杰徐焱成
关键词:老年发病年龄胰岛功能
A new tumor necrosis factor(TNF)-α regulator,lipopolysaccharides-induced TNF-α factor,is associated with obesity and insulin resistance被引量:9
2011年
Background Tumor necrosis factor (TNF)-α plays an important role in mediating inflammatory state in obesity and related disorders.Lipopolysaccharides (LPS)-induced TNF-α factor (LITAF) is recently verified as a regulator of TNF-α and other inflammatory cytokines,and maybe act as a transcriptional factor.The aim of this study was to confirm the association between LITAF and obesity and insulin resistance.Methods Forty-seven subjects with a wide range of body mass index (BMI) were included.Subjects were divided intothree groups according to the criteria of normal weight,overweight and obese.Anthropometrics and metabolic profile were tested for all the subjects.Peripheral monocytes were isolated and purified.LITAF transcription was detected by real time PCR,and the protein expression in whole cell and nucleus extracts was detected by Western blotting analysis;transcriptional activity of LITAF was detected by ELISA like assay using a probe containing the DNA binding sequence of LITAF.Plasma TNF-α and interleukin (IL)-6 concentrations were determined with ELISA kit.Results The LITAF mRNA and protein expression in whole cell were higher in overweight (P 〈0.05) and obese group (P 〈0.05) compared with that in normal weight group.The LITAF protein expression in the nucleus and transcriptional activity could not be detected.LITAF protein expression was positively correlated with BMI (r=0.541,P 〈0.001),waist circumference (r=0.391,P=0.007),the homeostasis model assessment for insulin resistance (r=0.372,P=0.011) and fasting insulin levels (r=0.359,P=0.013).As a regulator of inflammatory cytokines,LITAF protein expression was positively correlated with plasma TNF-α (r=0.621,P=0.002) and IL-6 (r=0.407,P=0.039) concentration.Multiple variant regression analysis indicated that BMI (P=0.002) and waist circumference (P=0.017) were independent predictors of LITAF protein expression.Conclusions LITAF is associated with obesity and insulin resistance,as well as i
JI Zhen-zhong DAI Zhe XU Yan-cheng
关键词:OBESITYTNF-Α
五味子酚对3T3-L1细胞氧化应激模型脂肪细胞因子表达的影响
2010年
目的 研究五味子酚(schisanhenol,SAL)对3T3-L1细胞脂肪因子表达的影响及其机制.方法 体外培养并诱导分化3T3-L1细胞,制作氧化应激模型,用不同浓度和作用时间的五味子酚干预,观察脂肪因子表达的变化.结果 (1)脂联素、瘦素、抵抗素和内脂素的表达随着氧化应激的程度增高递减,其中对瘦素的抑制效应最明显(25 mU/ml葡萄糖激酶组VS空白组,t=7.29,P<0.01);(2)4种脂肪因子的表达随着五味子酚干预浓度增加而增加(脂联素t=6.31,P<0.01;瘦素t=5.92,P<0.01;抵抗素t=3.77,P<0.05;内脂素t=3.63,P<0.05);(3)随着五味子酚作用时间的延长,4种脂肪因子的表达均经历了先下降后上升的过程,且五味子酚对脂肪细胞因子表达的影响与氧化应激状态的改变平行.结论 五味子酚可通过抗氧化应激作用调节脂肪因子的表达,可能在五味子改善糖尿病症状过程中起到重要作用.
季振中代喆牛力黄艳徐焱成
Reduction of Insulin Resistance in HepG2 Cells by Knockdown of LITAF Expression in Human THP-1 Macrophages被引量:2
2012年
The molecular mechanism by which obesity induces insulin resistance is not completely understood.The aim of this study was to determine how lipopolysaccharide-induced tumor necrosis-α factor (LITAF) influenced obesity-induced insulin resistance using a cellular co-culture system.The cells were divided into 3 groups:palmitic acid (PA) stimulation group,LITAF small interfering RNA (siRNA) group and untreated (NC) group.The LITAF siRNA was used for knockdown of LITAF ex-pression in human THP-1 macrophages.The expression levels of LITAF,IRS-2,IRS-2Tyr465,PI3K,and GLUT2 in each group were measured by using quantitative reverse transcriptase real-time poly-merase chain reaction and Western blotting.The expression of LITAF was much higher in the PA group than in the siRNA and NC groups (P<0.05);meanwhile,the expression of IRS-2,IRS-2Tyr465,PI3K,and GLUT2 was much lower in the PA group than in the NC group (P<0.05);however,IRS-2,IRS-2Tyr465,PI3K,and GLUT2 had much higher expression in the siRNA group than in the PA group (P<0.05).It is concluded that PA can induce insulin resistance in liver cells and knockdown of LITAF expression can reduce insulin resistance in liver cells,suggesting LITAF may regulate the insulin signal transduction pathway involved in obesity-induced insulin resistance.
黄艳刘洁徐焱成代喆
关键词:DIABETESOBESITYINFLAMMATION
Ⅱ型糖尿病合并非酒精性脂肪肝流行状况与危险因素被引量:15
2019年
目的探讨Ⅱ型糖尿病(T2DM)合并非酒精性脂肪肝(NAFLD)流行状况和危险因素分析。方法选取2011年12月至2017年5月在武汉大学中南医院内分泌科住院的Ⅱ型糖尿病患者1259例,一项单中心横断面研究。根据是否NAFLD分为单纯T2DM组和T2DM并NAFLD组,分析NAFLD流行状况,二项Logistic回归分析T2DM合并NAFLD的危险因素。结果共纳入1259例,T2DM并NAFLD为774例,患病率为61.48%;亚组分析,糖尿病病程<1年,1≤且<5年,5≤且<10年,≥10年NAFLD患病率分别为67.21%、64.40%、63.60%、54.52%;青年组、中年组、老年组NAFLD患病率分别为76.5%、64.5%、56.7%;正常体重、超重、肥胖NAFLD患病率分别为42.44%、68.74%、83.27%;有血脂异常、无血脂异常NAFLD患病率分别为67.01%、42.66%。Logistic回归分析显示,校正混杂因素后,BMI、ALT、TG、2h血糖是T2DM并NAFLD的独立危险因素,糖尿病病程是其保护性因素(P<0.05)。结论T2DM并NAFLD患病率较高,BMI、ALT、TG、2h血糖是T2DM并NAFLD的独立危险因素,糖尿病病程是其保护性因素。
刘林杰李慧琼徐焱成
关键词:非酒精性脂肪肝患病率
Association of SUMO4 Met55Val Variation with Increased Insulin Resistance in Newly Diagnosed Type 2 Diabetes in a Chinese Population被引量:4
2011年
SUMO4 Met55Val variation was shown to be related to type 2 diabetes susceptibility and the vascular complications in Asian people.To further examine the related mechanisms,this study was designed to evaluate the association of SUMO4 Met55Val polymorphism with insulin resistance and β cell function in newly diagnosed type 2 diabetic patients in a Chinese population.Four hundred and twenty seven newly diagnosed type 2 diabetic patients were selected for SUMO4 Met55Val polymorphism genotype analysis.All subjects underwent a 75-g oral glucose tolerance test(OGTT) to estimate the insulin sensitivity and β cell function.Anthropometrics and a metabolic profile were used for phenotyping analysis.The results showed that the SUMO4 Met55Val polymorphism was associated with higher insulin resistance(P0.001) and lower insulin sensitivity(P0.001).Patients with GG genotype had higher levels of plasma glucose,insulin and C peptide.Insulin sensitivity index(ISI) was closely correlated with body mass index(BMI) in patients with GG genotype in comparison to the counterparts with AG or AA genotype(r=-0.504 vs.r=-0.430 vs.r=-0.340).Multiple regression linear analysis showed that SUMO4 Met55Val polymorphism was an independent determinant for insulin sensitivity(P=0.001),which,along with triglyceride,BMI and sex,could account for 20.1% of the variation in ISI.The result remained the same after adjusting for BMI and sex.No association was found between SUMO4 Met55Val polymorphism and β cell function(all P0.05).It was concluded that SUMO4 Met55Val variant was associated with increased insulin resistance in Chinese patients with newly diagnosed type 2 diabetes.
季振中代喆黄艳Hedson Alves Martins徐焱成
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