A Metabolic Signature Specific to the Patients with Type 2 Diabetes and its Association with the Pathogenesis of Diabetic-Foot Syndrome.

IF 2.4 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Tao Wang, Ziyu Su, Ming Zhong, Xuanqin Wu, Liang Li, Hong Gu, Yunhan Sun, Jun Ji, Xingchun Peng
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引用次数: 0

Abstract

Oxidative stress and protein nonenzymatic glycation are key factors in diabetic-foot syndrome pathogenesis. Type 2 diabetes (T2DM) progression involves excessive gluconolactone (GDL) production, linked to endothelial injury and diabetic arteriosclerosis. This study explored GDL's role in diabetic-foot syndrome using high-performance liquid chromatography-tandem mass spectrometry to analyze sera from 75 T2DM patients (including 32 with diabetic-foot) and 36 healthy controls. GDL levels were significantly higher in T2DM patients and correlated with increased hemoglobin A1c glycation and reactive oxygen species production in endothelial cells, suggesting GDL's role in accelerating macrovascular arteriosclerosis and diabetic-foot syndrome. These findings highlight GDL's potential as a diagnostic biomarker and therapeutic target for diabetic macrovascular complications.

2型糖尿病患者特有的代谢特征及其与糖尿病足综合征发病机制的关系
氧化应激和蛋白非酶糖基化是糖尿病足综合征发病的关键因素。2型糖尿病(T2DM)的进展涉及葡萄糖内酯(GDL)的过量产生,与内皮损伤和糖尿病动脉硬化有关。本研究利用高效液相色谱-串联质谱分析了75例T2DM患者(包括32例糖尿病足)和36例健康对照者的血清,探讨了GDL在糖尿病足综合征中的作用。GDL水平在T2DM患者中显著升高,并与内皮细胞中糖化血红蛋白A1c升高和活性氧产生相关,提示GDL在加速大血管动脉硬化和糖尿病足综合征中的作用。这些发现突出了GDL作为糖尿病大血管并发症的诊断生物标志物和治疗靶点的潜力。
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来源期刊
Journal of Cardiovascular Translational Research
Journal of Cardiovascular Translational Research CARDIAC & CARDIOVASCULAR SYSTEMS-MEDICINE, RESEARCH & EXPERIMENTAL
CiteScore
6.10
自引率
2.90%
发文量
148
审稿时长
6-12 weeks
期刊介绍: Journal of Cardiovascular Translational Research (JCTR) is a premier journal in cardiovascular translational research. JCTR is the journal of choice for authors seeking the broadest audience for emerging technologies, therapies and diagnostics, pre-clinical research, and first-in-man clinical trials. JCTR''s intent is to provide a forum for critical evaluation of the novel cardiovascular science, to showcase important and clinically relevant aspects of the new research, as well as to discuss the impediments that may need to be overcome during the translation to patient care.
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