期刊文献+

罗格列酮对DM2合并CHD患者炎症因子影响的临床观察 被引量:1

Effects of Rosiglitazone on Inflammatory Factors in Patients with Type 2 Diabetes Mellitus Complicated with Coronary Artery Disease
暂未订购
导出
摘要 目的:观察罗格列酮对2型糖尿病(DM2)合并冠心病(CHD)患者高敏C反应蛋白(hs-CRP)、白细胞介素6(IL-6)及基质金属蛋白酶-9(MMP-9)水平的影响。方法:采用酶联免疫吸附法分别测定46例DM2合并CHD患者(DM组),40例非糖尿病CHD患者(NDM组)及38例健康对照者的血清hs-CRP、IL-6及MMP-9水平。DM组患者给予罗格列酮(4mg/d)治疗1个月后测定血清hs-CRP、IL-6及MMP-9水平。结果:DM组患者血清hs-CRP、IL-6及MMP-9水平均显著高于NDM组及对照组(P<0.05),DM组患者罗格列酮治疗1月后血清hs-CRP、IL-6及MMP-9水平均明显下降(P<0.05)。结论:罗格列酮可降低DM2合并CHD患者的炎症因子水平,具有独立于降糖作用之外的抗动脉粥样硬化作用。 Objective To investigate the effect of rosiglitazone on serum levels of high sensitive C-reactive protein(hs-CRP),interleukin-6(IL-6)and matrix metalloproteinase-9(MMP-9)in patients with type 2 diabetes mellitus(DM2)complicated with coronary heart disease(CHD).Methods The serum hs-CRP,IL-6 and MMP-9 levels were determined with ELISA in 46 patients with DM2 complicated with CHD,40 CHD patients without DM and 38 controls.All DM patients were treated with 4mg rosiglitazone daily,after 1 month treatment the inflammatory factors were determined for the second time.Results The serum hs-CRP,IL-6 and MMP-9 levels were all significantly higher in DM group than those in NDM group and control group(P0.05).The serum hs-CRP,IL-6 and MMP-9 decreased significantly after rosiglitazone treatment for 1 month(P0.05).Conclusion Rosiglitazone could decrease the levels of inflammatory factors.Rosiglitazone had anti-atherosclerotic effect independent of its lowering blood glucose action.
出处 《放射免疫学杂志》 CAS 2010年第3期324-325,共2页 Journal of Radioimmanology
关键词 2型糖尿病 冠心病 罗格列酮 DM2 coronary heart disease(CHD) rosiglitazone
  • 相关文献

参考文献6

  • 1Singh S, Duggal J, Khosla N, et al. Screening guidelines for coronary heart disease in diabetes: current recommendations [ J ]. J Cardiometab Syndr, 2009,4:107-112.
  • 2李秀钧,邬云红.糖尿病是一种炎症性疾病?[J].中华内分泌代谢杂志,2003,19(4):251-253. 被引量:253
  • 3Zirm A, Felson S, Fisher E, et al. Reassessing the eaxdiovaseular risk and benefits of thiazolidinediones[J]. Clin Cardiol, 2008,31:397- 403.
  • 4Coppola G, Corrado E, Muratori I, et al. Increased levels of C-reactive protein and fibrinogen influence the risk of vascular events in patients with NIDDM[J]. Int J Cardiol,2006 ,106 :16-20.
  • 5Esposito K, Ciotola M, Carleo D, et al. Effect of rosiglitazone on endothelial function and inflammatory markers in patients with the metabolic syndrome[ J]. Diabetes Care, 2006,29 : 1071-1076.
  • 6Kalaitzidis RG, Sarafidis PA, Bakris GL. Effects of thiazolidincdiones beyond glycaemic control[J]. Curr Pharm Des, 2009,15:529-536.

二级参考文献17

  • 1Schmidt MI, Duncan BB, Scharrct AR, et al. Markers of inflammation and prediction of diabetes mellitus in adults (Atherosclerosis Risk in Communities study): a cohort study. Lancet, 1999,353:1649-1652.
  • 2Barzilay JI, Abraham L, Heckbert SR, et al. The relation of markers of inflammation to the development of glucose disorders in the elderly: the Cardiovascular Health Study. Diabetes, 2001,50:2384-2389.
  • 3Pradhan AD, Manson JE, Rifai N, et al. C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus. JAMA, 2001,286:327-334.
  • 4Festa A, Ralph BD, Russell PT, et al. Elevated levels of acute phase proteins and plasminogen activator inhibitor-1 (PAI-1) predict the development of type 2 diabetes mellitus: the insulin resistance atherosclerosis study (IRAS). Diabetes, 2000,49(Suppl 1):A24-A25.
  • 5Duncan BB, Schmidt MI, Offenbacher S, et al. Factor Ⅷ and other hemostasis variables are related to incident diabetes in adults. Diabetes care, 1999,22:767-772.
  • 6Lindsay RS, Krakoff J, Hanson RL, et al. Gamma globulin levels predict type 2 diabetes in the Pima Indian population. Diabetes, 2001,50:1598-1603.
  • 7Mcneely MJ, Bokyko EJ, Weigle DS, et al. Association between baseline plasma leptin levels and subsequent development of diabetes in Japanese Americans. Diabetes Care, 1999,22:65-70.
  • 8Yuan M, Konstantopoulos N, Lee J, et al. Reversal of obesity- and diet-induced insulin resistance with salicylates or targeted disruption of IKKbeta. Science, 2001,293:1673-1677.
  • 9Hundal RS, Petersen KF, Mayerson AB, et al. Mechanism by which high-dose aspirin improves glucose metabolism in type 2 diabetes. J Clin Invest, 2002,109:1321-1326.
  • 10Freeman DJ, Norrie J, Sattar N, et al. Pravastatin and the development of diabetes mellitus, evidence for a protective treatment effect in the West of Scotland Coronary Prevention Study. Circulation, 2001,103:357-362.

共引文献252

同被引文献11

引证文献1

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部