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肿瘤坏死因子-α、白细胞介素-6和脂联素与2型糖尿病胰岛素抵抗的关系 被引量:14

The levels of tumor necrosis factor-alpha、IL-6 and adiponectin associated with insulin resistance in type 2 diabetes mellitus
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摘要 目的 研究2型糖尿病(T2DM)患者肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)和脂联素与胰岛素抵抗的关系.方法 选择80例T2DM患者(T2DM组)和40例健康体检者(对照组),测定各组空腹血清TNF-α,IL-6和脂联素水平,同时分别测定各组患者体质量指数(BMI)、空腹血糖、血清胰岛素水平,计算胰岛素抵抗指数(HOMA-IR).结果 T2DM组TNF-α、IL-6水平均明显高于对照组,脂联素水平明显低于对照组(均P<0.05).在T2DM组中,TNF-α和IL-6均与HOMA-IR呈正相关(P<0.01,P<0.05),脂联素与HOMA-IR呈负相关(P<0.01).结论 IL-6、TNF-α及脂联素参与了2型糖尿病的发病过程,与胰岛素抵抗密切相关. Objective To explore the relationships between Serum levels of tumor necrosis factor-alpha TNFα,1L-6,adiponectin and insulin resistance in type 2 diabetes.Methods 80 T2DM patients and 40 healthy controls were recruited.Levels of serum TNF-α,IL-6,adiponectin,plasma glucose,insulin and BMI were measured.Insulin resistance was evaluated by HOMA-IR.Results The levels of TNF-α and IL-6 in T2DM group were significantly higher than that in control group(all P<0.05);The levels of adiponeetin in T2DM group was significantly lower than that in control group(P<0.05).The levels of TNF-α and IL-6 were positively correlated with HOMA-IR(P<0.05),adiponeetin was egatively correlated nwith HOMA-IR(P<0.01).Conclusion TNF-α,IL-6 and adiponectin were closely related with insulin resistance,and should take parts in development of T2DM.
作者 叶继锋
出处 《中国基层医药》 CAS 2011年第10期1308-1309,共2页 Chinese Journal of Primary Medicine and Pharmacy
关键词 糖尿病 2型 胰岛素抵抗 细胞因子 脂联素 Diabetes mellitus,type 2 Insulin resistance Cytokines Adiponectin
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