Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy最新文献

筛选
英文 中文
Changes to the Haematological Parameters of Rat Offspring Born From High Fat High Carbohydrate (HFHC) Diet-Induced Prediabetic and Preeclamptic Sprague Dawley Rats: Assessing the Effects on Selected Haematological Markers. 高脂高碳水化合物(HFHC)饮食诱导的糖尿病前期和子痫前期大鼠后代血液学参数的变化:评估对选定血液学标志物的影响
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S436001
Nombuso Xulu, Ayanda Nkosi, Andile Khathi, Ntethelelo H Sibiya, Phikelelani S Ngubane
{"title":"Changes to the Haematological Parameters of Rat Offspring Born From High Fat High Carbohydrate (HFHC) Diet-Induced Prediabetic and Preeclamptic Sprague Dawley Rats: Assessing the Effects on Selected Haematological Markers.","authors":"Nombuso Xulu, Ayanda Nkosi, Andile Khathi, Ntethelelo H Sibiya, Phikelelani S Ngubane","doi":"10.2147/DMSO.S436001","DOIUrl":"10.2147/DMSO.S436001","url":null,"abstract":"<p><strong>Introduction: </strong>Infants delivered from preeclamptic pregnancies frequently exhibit developmental programming which leads to foetal growth restriction and foetal haematological abnormalities. Diabetes is recognised as a predisposing factor for preeclampsia (PE). Hyperglycaemia, a characteristic feature of pregestational type 2 diabetes, has been associated with the pathogenesis of intrauterine growth restriction (IUGR), a condition associated with disrupted foetal haematological pathways. Prediabetes pre-empts the onset of type 2 diabetes and is characterised by moderately elevated blood glucose levels, which have been shown in prediabetic models to induce erythrocyte dysfunction. However, the precise relationship between prediabetes and the development of preeclampsia or associated foetal complications remains to be fully elucidated. Accordingly, this study aims to investigate prediabetes as a risk factor for preeclampsia and its effects on selected haematological markers in Sprague Dawley rat pups.</p><p><strong>Methods and materials: </strong>Male and female pups born from normal, L-NAME preeclamptic and HFHC diet-induced prediabetic dams were immediately collected and weighed. The pups were then carefully returned to the dams for further development. On day 21, the pups were weaned and separated into males and females. Thereafter, the pups were sacrificed using a guillotine and blood and plasma was collected for haematological and biochemical analysis.</p><p><strong>Results: </strong>Pups born from prediabetic and preeclamptic dams exhibited significantly lower birth weights than those born from normal pregnancies. Moreover, pups born from prediabetic and preeclamptic dams exhibited dysregulation of red blood cell (RBC) count, granulocyte colony-stimulating factor (G-CSF), erythropoietin (EPO) levels, glutathione peroxidase (GPx) and malondialdehyde (MDA) concentrations compared to those delivered from normal dams.</p><p><strong>Conclusion: </strong>These findings suggest prediabetes caused dysregulation of haematological parameters in offspring and may be a predisposing factor for the development of preeclampsia in pregnancy. Therefore, strict monitoring of prediabetes during pregnancy may reduce the risk of preeclampsia and resultant foetal morbidity and mortality.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"831-845"},"PeriodicalIF":2.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extracellular(Serum) Levels of Matrix Metalloproteinases in Pediatric Type 1 Diabetes Mellitus and Association with Diabetic Ketoacidosis and Cerebral Edema. 儿童1型糖尿病患者细胞外(血清)基质金属蛋白酶水平与糖尿病酮症酸中毒和脑水肿的关系
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S507337
Qingbo Xu, Yu Yang, Qiang Huang, Liling Xie, Yaqin Feng, Li Yang
{"title":"Extracellular(Serum) Levels of Matrix Metalloproteinases in Pediatric Type 1 Diabetes Mellitus and Association with Diabetic Ketoacidosis and Cerebral Edema.","authors":"Qingbo Xu, Yu Yang, Qiang Huang, Liling Xie, Yaqin Feng, Li Yang","doi":"10.2147/DMSO.S507337","DOIUrl":"10.2147/DMSO.S507337","url":null,"abstract":"<p><strong>Background: </strong>Type 1 diabetes mellitus (T1DM) in children is associated with acute complications such as diabetic ketoacidosis (DKA) and the severe risk of diabetic ketoacidosis-related cerebral edema (DKACE). Matrix metalloproteinases (MMPs) are implicated in inflammation and tissue remodeling, potentially contributing to these complications. This study explores the role of MMPs as biomarkers in pediatric T1DM patients with DKA and DKACE.</p><p><strong>Methods: </strong>We conducted a systematic cross-sectional study at Jiangxi Children's Hospital, enrolling 56 pediatric patients with T1DM, categorized into three groups: T1DM without complications, DKA, and DKACE. Serum levels of MMP-2, MMP-3, and MMP-9 were measured through ELISA. Statistical analyses assessed correlations between MMPs, glucose metabolism, and inflammatory markers, evaluating potential biomarker utility in disease characterization.</p><p><strong>Results: </strong>MMP-3 and MMP-9 levels were significantly elevated in the DKACE group compared to the T1DM and DKA groups, exhibiting strong correlations with decreased pH and bicarbonate levels (both p < 0.001). MMP-2 levels were reduced in DKACE, correlating positively with pH and bicarbonate levels. Post-clinical improvement analyses demonstrated no significant differences in MMP levels between DKA and DKACE groups, suggesting stabilization post-treatment regardless of initial acidosis severity.</p><p><strong>Conclusion: </strong>The distinct patterns of MMP-3 and MMP-9 elevations in DKACE highlight their potential as biomarkers for identifying and monitoring severe DKA complications. The findings suggest these enzymes play a significant role in cerebral edema pathophysiology, making them viable targets for future therapeutic interventions.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"819-830"},"PeriodicalIF":2.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Protective Effect of Semaglutide on Obesity-Induced Renal Disease and Obesity-Induced Kidney Renal Clear Cell Carcinoma. 西马鲁肽对肥胖肾病和肥胖肾透明细胞癌的保护作用。
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S498447
Shuqi Wang, Mengmeng Zhang, Xiaoman Yang, Shuchun Chen
{"title":"Protective Effect of Semaglutide on Obesity-Induced Renal Disease and Obesity-Induced Kidney Renal Clear Cell Carcinoma.","authors":"Shuqi Wang, Mengmeng Zhang, Xiaoman Yang, Shuchun Chen","doi":"10.2147/DMSO.S498447","DOIUrl":"10.2147/DMSO.S498447","url":null,"abstract":"<p><strong>Purpose: </strong>Proteomics was used to study the effect of semaglutide on the expression of renal protein in obese mice, and looking for proteins that could improve the prognosis of Kidney Renal Clear Cell Carcinoma (KIRC).</p><p><strong>Materials and methods: </strong>Thirty-six mice were randomly divided into normal-fat diet group (NFD), high-fat diet group (HFD), high-fat diet plus semaglutide intervention group (HS). Collected mice serum, urine, kidney tissue samples, and detected urinary protein/creatinine, blood glucose, blood lipid, inflammation, oxidative stress and other related indicators. Different staining methods were used to analyze the pathological changes of mice's kidneys. Liquid chromatography-tandem mass spectrometry mass spectrometry (LC-MS/MS) analysis was used to analyze the total protein in the kidneys of mice. Finally, bioinformatics technology was used to analyze significantly different expressed proteins (DEPs).</p><p><strong>Results: </strong>The mechanism of semaglutide protecting the kidneys were related to oxidative phosphorylation, PPAR signaling pathway, thiamine, butyric acid and tryptophan metabolism pathways. Moreover, semaglutide could significantly increase the expression of Man1a1 and Ntn4 in the kidneys of mice, while the high-expression of Man1a1 and Ntn4 in KIRC population had a better overall survival rate.</p><p><strong>Conclusion: </strong>Semaglutide could regulate the development of KIRC by up-adjusting the expression of Man1a1 and Ntn4.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"805-818"},"PeriodicalIF":2.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Effects of Glucagon-Like Peptide-1 Receptor Agonists Compared to Long-Acting Insulin, Added to Oral Anti-Diabetic Agents on Self-Management Behaviors, Anxiety, and Sleep Quality in Patients with Type 2 Diabetes. 口服降糖药中添加胰高血糖素样肽-1受体激动剂与长效胰岛素对2型糖尿病患者自我管理行为、焦虑和睡眠质量的影响比较
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S502475
Xiaoqing Song, Xueke Yang, Qinghua Liu, Xuna Bian, Lianlian Gao, Jing Tao
{"title":"Comparison of Effects of Glucagon-Like Peptide-1 Receptor Agonists Compared to Long-Acting Insulin, Added to Oral Anti-Diabetic Agents on Self-Management Behaviors, Anxiety, and Sleep Quality in Patients with Type 2 Diabetes.","authors":"Xiaoqing Song, Xueke Yang, Qinghua Liu, Xuna Bian, Lianlian Gao, Jing Tao","doi":"10.2147/DMSO.S502475","DOIUrl":"10.2147/DMSO.S502475","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the impact of glucagon-like peptide-1 receptor agonists (GLP-1RAs) on individuals with type 2 diabetes (T2DM) by comparing self-management behaviors, anxiety, and sleep quality in T2DM patients.</p><p><strong>Methods: </strong>This is a single-center prospective study. During the patients' hospitalization, we collected their clinical data, and three months after discharge, we conducted follow-up by phone to record weight changes, blood glucose levels, self-management behaviors, anxiety levels, and sleep quality.</p><p><strong>Results: </strong>A total of 271 patients were included in this study. Among them, 177 (65.31%) were classified into the oral drug combined with long-acting insulin group, and 94 (34.69%) were classified into the oral drug combined with GLP-1RAs group. No statistically significant differences were found between the two groups in age, duration of diabetes, comorbidities, complications, or types of oral medications (P> 0.05). However, significant differences were observed between the groups in postprandial blood glucose, glycated hemoglobin, dietary control, medication adherence, actual anxiety, and sleep time (P<0.05). Notably, the oral medication combined with GLP-1RAs group demonstrated improved dietary control, medication adherence, anxiety and actual sleep time compared to the oral medication combined with long-acting insulin group.</p><p><strong>Conclusion: </strong>In this 3-month study, there were statistically significant differences in HbA1c, post-prandial glucose, weight, for self-management behaviors, for dietary control, medication adherence, anxiety, and actual sleep time in T2DM patients. The findings suggest that GLP-1 RA may contribute to the improvement of dietary behaviors, medication adherence, anxiety, and sleep quality in addition to weight and glycemic control in T2DM patients.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"795-803"},"PeriodicalIF":2.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Plasma Fetuin-B Levels are Associated with Nervous Symptoms and Conduction Velocity in Patients with Painful DPN. 疼痛性DPN患者血浆胎儿素b水平与神经症状和传导速度相关
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-13 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S485853
Ke Lin, Xiaocui Wang, Tao Gu, Keduo Feng, Wang Zeng, Liu Yang
{"title":"Plasma Fetuin-B Levels are Associated with Nervous Symptoms and Conduction Velocity in Patients with Painful DPN.","authors":"Ke Lin, Xiaocui Wang, Tao Gu, Keduo Feng, Wang Zeng, Liu Yang","doi":"10.2147/DMSO.S485853","DOIUrl":"10.2147/DMSO.S485853","url":null,"abstract":"<p><strong>Aim: </strong>To assess the plasma concentrations of the novel hepatokine fetuin-B in individuals with type 2 diabetes with or without diabetic peripheral neuropathy (DPN), and to evaluate the relationship among fetuin-B levels, nervous function, and metabolic parameters.</p><p><strong>Methods: </strong>A total of 333 participants were recruited and divided into three groups: DPN, painful DPN (pDPN), and non-DPN. Metabolic parameters, peripheral neuropathy-associated indices, and general biochemical parameters were also measured.</p><p><strong>Results: </strong>Compared with the non-DPN group, general parameters, including age, SBP, BUN, Cr, and ALT, were significantly higher in the DPN and pDPN groups, and FPG, HbA1c, TC, TG, LDL, BUN, Cr, and UA levels were higher in the pDPN group. The neuropathy symptom score (NSS), neuropathy disability score (NDS), and Douleur Neuropathique en 4 Questions (DN4) were highest in the pDPN group, followed by the DPN group, and lowest in the non-DPN group. Moreover, fetuin B levels showed the same trends as peripheral neuropathy indices. Additionally, oxidative stress markers showed a decrease in total antioxidant capacity (TAC) and an increase in malondialdehyde (MDA) across all groups, with the most pronounced changes observed in pDPN patients. Bivariate correlation analysis showed that fetuin B levels were positively correlated with FPG, TC, LDL, NSS, NDS, DN4, and MDA levels, and negatively associated with TAC after adjusting for age and sex. Furthermore, nerve conduction velocity, including MLT, MRT, SRS, and SLT, showed decreasing trends among tertiles of fetuin B levels.</p><p><strong>Conclusion: </strong>The current study suggests that circulating fetuin-B levels may be associated with the progression of pDPN and highlights the effects of hepatokine-mediated liver-to-peripheral nervous system crosstalk in DPN.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"785-793"},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk Prediction Model for Arteriovenous Fistula Maturation Failure in Elderly Diabetic Patients: Limitations and Future Directions [Response to Letter]. 老年糖尿病动静脉瘘成熟失败的风险预测模型:局限性和未来发展方向[回复来信]。
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-13 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S525796
Shuangyan Liu, Xiaojie He, Yaqing Wang, Yuqing Wang, Xiaodong Li
{"title":"Risk Prediction Model for Arteriovenous Fistula Maturation Failure in Elderly Diabetic Patients: Limitations and Future Directions [Response to Letter].","authors":"Shuangyan Liu, Xiaojie He, Yaqing Wang, Yuqing Wang, Xiaodong Li","doi":"10.2147/DMSO.S525796","DOIUrl":"10.2147/DMSO.S525796","url":null,"abstract":"","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"781-783"},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Metabolic Score for Visceral Fat (METS-VF) with Gout Risk in Patients with Hypertension and Hyperuricemia: A Multicenter Study Based on the Chinese Population. 高血压和高尿酸血症患者内脏脂肪代谢评分(METS-VF)与痛风风险的关联:一项基于中国人群的多中心研究
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S502675
Liwei Ji, Wencai Jiang, Jinglin Huang, Yan Xu, Li Zhou, Zeng Zhao, Chunling Jiang
{"title":"Association of Metabolic Score for Visceral Fat (METS-VF) with Gout Risk in Patients with Hypertension and Hyperuricemia: A Multicenter Study Based on the Chinese Population.","authors":"Liwei Ji, Wencai Jiang, Jinglin Huang, Yan Xu, Li Zhou, Zeng Zhao, Chunling Jiang","doi":"10.2147/DMSO.S502675","DOIUrl":"https://doi.org/10.2147/DMSO.S502675","url":null,"abstract":"<p><strong>Background: </strong>Gout, a rheumatic disease precipitated by hyperuricemia, has become a global health concern due to its increasing prevalence, especially in China. Hyperuricemia and hypertension are significant risk factors for gout, and their coexistence amplifies this risk. Visceral adipose tissue (VAT) plays a crucial role in cardiometabolic diseases, and the metabolic score for visceral fat (METS-VF) is a non-invasive tool for estimating VAT and predicting cardiometabolic risk.</p><p><strong>Methods: </strong>We conducted a multicenter cross-sectional study involving 8877 patients with hypertension and hyperuricemia from three Chinese medical centers between March 2021 and September 2024. We calculated the METS-VF and other obesity indices and analyzed their associations with gout risk using logistic regression models. The predictive performance of these indices was evaluated using receiver operating characteristic (ROC) curve analysis and clinical decision curve analysis (DCA).</p><p><strong>Results: </strong>The METS-VF demonstrated a significant positive association with gout risk, independent of traditional risk factors. Each 1-standard deviation increase in the METS-VF was associated with an 82% higher odds of gout (OR=1.82, 95% CI: 1.62 to 2.03). The METS-VF outperformed other obesity indices in predicting gout risk, with a higher area under the ROC curve (AUC) value. DCA indicated that the METS-VF provided a significant net benefit across a wide range of threshold probabilities for predicting gout risk in both genders.</p><p><strong>Conclusion: </strong>The METS-VF's robust association with gout risk in our multicenter study, independent of conventional risk factors, positions it as a potent predictor for gout. Further investigation is warranted to clarify the underlying mechanisms and the long-term predictive validity of the METS-VF across diverse populations.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"761-779"},"PeriodicalIF":2.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between FAM134B and Diabetic Peripheral Neuropathy in Type 2 Diabetes: A Double-Center Case-Control Study. FAM134B与2型糖尿病周围神经病变的关系:一项双中心病例对照研究
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-11 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S508698
Xingyun Hu, Jie Peng, Qingxian Li, Yuying Chen, Yingjuan Zeng, Peishan Li, Chuan Yang
{"title":"Association Between FAM134B and Diabetic Peripheral Neuropathy in Type 2 Diabetes: A Double-Center Case-Control Study.","authors":"Xingyun Hu, Jie Peng, Qingxian Li, Yuying Chen, Yingjuan Zeng, Peishan Li, Chuan Yang","doi":"10.2147/DMSO.S508698","DOIUrl":"https://doi.org/10.2147/DMSO.S508698","url":null,"abstract":"<p><strong>Purpose: </strong>The role of FAM134B in neurological diseases has received significant attention; however, its role in diabetic peripheral neuropathy (DPN) remains unexplored. This study investigated the association between plasma FAM134B levels and DPN while assessing its diagnostic value.</p><p><strong>Methods: </strong>The study included 128 inpatients with type 2 diabetes divided into DPN (n = 68) and non-DPN (n = 60) groups. FAM134B expression was determined via qRT-PCR analysis of plasma FAM134B mRNA level. All clinical data were retrieved from the Hospital Information System. SPSS and R were used for statistical analyses.</p><p><strong>Results: </strong>Plasma FAM134B mRNA levels were significantly higher in the DPN than in the non-DPN group (<i>p</i> < 0.001). Increased FAM134B mRNA levels were strongly linked to increased odds of DPN, with the highest quartile showing a significant risk elevation (Odds Ratio [OR] = 21.42, 95% Confidence Interval: 4.86-96.46, <i>p</i> < 0.001). Restricted cubic spline analysis confirmed a non-linear relationship, thereby identifying a critical threshold of FAM134B mRNA levels at 2.53, above which the risk sharply increased (adjusted OR = 3.11, <i>p</i> = 0.006). Subgroup analysis showed consistent associations across most subgroups, with a notable difference in males (<i>p</i> = 0.038). The diagnostic performance was moderate (Area Under the Curve [AUC] = 0.756). While adding FAM134B mRNA to the model did not dramatically improve the AUC, it significantly enhanced reclassification metrics (Net Reclassification Improvement = 0.165, Integrated Discrimination Improvement = 0.095, <i>p</i> < 0.05), thereby highlighting its clinical value.</p><p><strong>Conclusion: </strong>Increased FAM134B expression positively correlated with the odds of DPN, and may act as a promising target for diagnostic and therapeutic interventions.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"729-742"},"PeriodicalIF":2.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elevated Triglyceride-Glucose Index as a Risk Stratification Marker for Diabetic Retinopathy in Type 2 Diabetes Mellitus: The Influence of Glycemic Control. 甘油三酯-葡萄糖指数升高作为2型糖尿病视网膜病变的危险分层标志物:血糖控制的影响
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-11 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S503672
Xiaohua Wan, Ruihuan Zhang, Adilan Abudukeranmu, Wei Wei, Hong Zhu, Lin Zhang, Yanwei Hu
{"title":"Elevated Triglyceride-Glucose Index as a Risk Stratification Marker for Diabetic Retinopathy in Type 2 Diabetes Mellitus: The Influence of Glycemic Control.","authors":"Xiaohua Wan, Ruihuan Zhang, Adilan Abudukeranmu, Wei Wei, Hong Zhu, Lin Zhang, Yanwei Hu","doi":"10.2147/DMSO.S503672","DOIUrl":"https://doi.org/10.2147/DMSO.S503672","url":null,"abstract":"<p><strong>Background: </strong>Diabetic retinopathy (DR) is a common microvascular complication observed in people with type 2 diabetes mellitus (T2DM). The triglyceride-glucose (TyG) index, an indicator of insulin resistance, has an uncertain role in glycemic management in T2DM patients at risk for DR. This study aimed to evaluate the association between the TyG index and DR risk across different glycemic control status.</p><p><strong>Methods: </strong>A total of 4,372 T2DM in-patients from Beijing Tongren Hospital (2013-2024) were included in this study. The patients were categorized into four groups based on TyG index quartiles (Q1-Q4). Participants were stratified by TyG index quartiles (Q1-Q4) and glycemic control status (HbA1c <7%, 7-9%, and >9%). Restricted cubic spline (RCS) analysis, logistic regression, and subgroup analyses were employed to explore the associations among the TyG index, glycemic control and DR risk.</p><p><strong>Results: </strong>Overall, there were positive association of the TyG index and DR risk. The highest TyG Q4 was significantly associated with an increased risk of DR (odds ratio [OR]: 1.289; 95% confidence interval [CI]: 1.008-1.648, <i>P</i><0.05), compared with the lowest TyG Q1. Significant interaction was observed between the TyG index and glycemic control (<i>P</i> for interaction <0.05). Notably, the association was strongest in patients with HbA1c >9%.</p><p><strong>Conclusion: </strong>The relationship between high TyG index and DR risk was more pronounced in patients with HbA1c >9% group, indicating that TyG index may serve as a useful tool for making risk stratification on glycemic control in T2DM patients.</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"743-759"},"PeriodicalIF":2.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum: Metabolic Score for Insulin Resistance Is Correlated to Adipokine Disorder and Inflammatory Activity in Female Knee Osteoarthritis Patients in a Chinese Population [Corrigendum]. 在中国女性膝骨关节炎患者中,胰岛素抵抗代谢评分与脂肪因子紊乱和炎症活动相关[勘误]。
IF 2.8 3区 医学
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI: 10.2147/DMSO.S526395
{"title":"Erratum: Metabolic Score for Insulin Resistance Is Correlated to Adipokine Disorder and Inflammatory Activity in Female Knee Osteoarthritis Patients in a Chinese Population [Corrigendum].","authors":"","doi":"10.2147/DMSO.S526395","DOIUrl":"https://doi.org/10.2147/DMSO.S526395","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2147/DMSO.S249025.].</p>","PeriodicalId":11116,"journal":{"name":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy","volume":"18 ","pages":"727-728"},"PeriodicalIF":2.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信