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非酒精性脂肪性肝病对妊娠期糖脂代谢的影响 被引量:1
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作者 钱懿灵 张钰 +3 位作者 李雪松 宋玉萍 范晓方 杨架林 《中华内分泌代谢杂志》 CAS CSCD 北大核心 2021年第12期1056-1060,共5页
目的探讨妊娠妇女合并非酒精性脂肪性肝病(NAFLD)对妊娠期糖脂代谢的影响。方法选取复旦大学附属闵行医院2013年1月至2020年6月期间分娩的孕妇进行回顾性分析。通过医院电子病历系统获取孕妇的基本人口学资料、实验室糖脂代谢数据和最... 目的探讨妊娠妇女合并非酒精性脂肪性肝病(NAFLD)对妊娠期糖脂代谢的影响。方法选取复旦大学附属闵行医院2013年1月至2020年6月期间分娩的孕妇进行回顾性分析。通过医院电子病历系统获取孕妇的基本人口学资料、实验室糖脂代谢数据和最终母婴结局的信息。以B超结果作为NAFLD诊断依据,分为NAFLD组和对照组,比较2组孕妇糖脂代谢相关指标及妊娠期糖尿病、妊娠期高血压的发病率,并运用logistic回归模型评价妊娠合并NAFLD与代谢相关妊娠结局的关联。结果本研究共纳入14708名孕妇,平均年龄(29.1±4.7)岁,平均孕前体重指数(21.0±2.8)kg/m2,其中NAFLD孕妇占3.8%(554例)。NAFLD组具有更高的空腹血糖[(4.2±0.5)mmol/L对(4.1±0.5)mmol/L,P<0.01]、糖负荷后1 h[(7.4±1.7)mmol/L对(6.6±1.6)mmol/L,P<0.01]和2 h血糖[(6.2±1.4)mmol/L对(5.7±1.3)mmol/L,P<0.01]、HbA1C[(5.2±0.4)%对(5.1±0.5)%,P<0.01]、三酰甘油[(2.1±1.1)mmol/L对(1.6±0.7)mmol/L,P<0.01]、总胆固醇[(4.8±0.8)mmol/L对(4.7±0.9)mmol/L,P<0.01]、低密度脂蛋白胆固醇[(2.6±0.7)mmol/L对(2.5±0.7)mmol/L,P<0.01]、尿酸[(224.1±51.8)μmol/L对(203.0±45.9)μmol/L,P<0.01]水平。在校正相关混杂因素后,NAFLD组妊娠期糖尿病(OR=1.722,95%CI 1.079~2.747,P=0.023)和妊娠期高血压(OR=3.845,95%CI 2.247~6.582,P<0.001)风险较对照组升高。结论与非NAFLD孕妇相比,NAFLD孕妇妊娠期糖脂代谢紊乱显著,并且妊娠期糖尿病、妊娠期高血压发生率更高。提示应加强对合并NAFLD的妊娠妇女糖脂代谢、血压的监测,预防妊娠期糖尿病及高血压的发生。 展开更多
关键词 非酒精性脂肪性肝病 糖脂代谢 妊娠期糖尿病 妊娠期高血压
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Comparison of hepatic gene expression profiles between three mouse models of Nonalcoholic Fatty Liver Disease 被引量:2
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作者 Liping Xiang Yang Jiao +3 位作者 yiling qian Yao Li Fei Mao Yan Lu 《Genes & Diseases》 SCIE 2022年第1期201-215,共15页
Non-alcoholic fatty liver disease (NAFLD) has become the most common chronic liver disorder worldwide. Murine models of NAFLD have been widely used to explore its pathogenesis. In this study, we performed a systematic... Non-alcoholic fatty liver disease (NAFLD) has become the most common chronic liver disorder worldwide. Murine models of NAFLD have been widely used to explore its pathogenesis. In this study, we performed a systematic evaluation of hepatic genome-wide mRNA expression by RNA-Sequencing using three mouse models of NAFLD: leptin receptor deficient db/db mice, high-fat high-sugar diet (HSHF)-induced obese mice, and dexamethasone (DEX)-induced NAFLD mice. As a result, we found both distinct and common pathways in the regulation of lipid metabolism from transcriptomes of three mouse models. Moreover, only a total of 12 differentially expressed genes (DEGs) were commonly detected among all three mouse groups, indicating very little overlap among all three models. Therefore, our results suggest that NAFLD is a heterogeneous disease with highly variable molecular mechanisms. 展开更多
关键词 DEGs Murine models NAFLD Pathway analysis TRANSCRIPTOME
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