Recent Developments in Biomarkers for Diagnosis and Screening of Type 2 Diabetes Mellitus.

IF 5.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Current Diabetes Reports Pub Date : 2022-03-01 Epub Date: 2022-03-10 DOI:10.1007/s11892-022-01453-4
Margarita Ortiz-Martínez, Mirna González-González, Alexandro J Martagón, Victoria Hlavinka, Richard C Willson, Marco Rito-Palomares
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Abstract

Purpose of review: Diabetes mellitus is a complex, chronic illness characterized by elevated blood glucose levels that occurs when there is cellular resistance to insulin action, pancreatic β-cells do not produce sufficient insulin, or both. Diabetes prevalence has greatly increased in recent decades; consequently, it is considered one of the fastest-growing public health emergencies globally. Poor blood glucose control can result in long-term micro- and macrovascular complications such as nephropathy, retinopathy, neuropathy, and cardiovascular disease. Individuals with diabetes require continuous medical care, including pharmacological intervention as well as lifestyle and dietary changes.

Recent findings: The most common form of diabetes mellitus, type 2 diabetes (T2DM), represents approximately 90% of all cases worldwide. T2DM occurs more often in middle-aged and elderly adults, and its cause is multifactorial. However, its incidence has increased in children and young adults due to obesity, sedentary lifestyle, and inadequate nutrition. This high incidence is also accompanied by an estimated underdiagnosis prevalence of more than 50% worldwide. Implementing successful and cost-effective strategies for systematic screening of diabetes mellitus is imperative to ensure early detection, lowering patients' risk of developing life-threatening disease complications. Therefore, identifying new biomarkers and assay methods for diabetes mellitus to develop robust, non-invasive, painless, highly-sensitive, and precise screening techniques is essential. This review focuses on the recent development of new clinically validated and novel biomarkers as well as the methods for their determination that represent cost-effective alternatives for screening and early diagnosis of T2DM.

诊断和筛查2型糖尿病的生物标志物研究进展
回顾的目的:糖尿病是一种复杂的慢性疾病,当细胞对胰岛素作用产生抵抗、胰岛β细胞不能产生足够的胰岛素或两者兼而有之时,就会出现血糖升高。近几十年来,糖尿病发病率大幅上升,因此被认为是全球增长最快的公共卫生突发事件之一。血糖控制不佳会导致长期的微血管和大血管并发症,如肾病、视网膜病变、神经病变和心血管疾病。糖尿病患者需要持续的医疗护理,包括药物干预以及改变生活方式和饮食:最常见的糖尿病形式是 2 型糖尿病(T2DM),约占全球所有病例的 90%。2 型糖尿病多发于中老年人,其病因是多因素的。然而,由于肥胖、久坐不动的生活方式和营养不足,儿童和年轻人的发病率也有所上升。在发病率居高不下的同时,全世界的漏诊率估计超过 50%。为确保及早发现糖尿病,降低患者出现危及生命的疾病并发症的风险,实施成功且具有成本效益的糖尿病系统筛查策略势在必行。因此,确定新的糖尿病生物标志物和检测方法,以开发稳健、无创、无痛、高灵敏度和精确的筛查技术至关重要。本综述将重点介绍近期开发的经临床验证的新型生物标志物及其测定方法,这些生物标志物是筛查和早期诊断 T2DM 的具有成本效益的替代方法。
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来源期刊
CiteScore
9.80
自引率
0.00%
发文量
52
审稿时长
6-12 weeks
期刊介绍: The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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