t激活素在1型糖尿病联合治疗中的应用

V. Novikov, V. A. Shostak
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引用次数: 0

摘要

研究t激活素对新诊断I型糖尿病患者免疫激素、代谢及临床参数的影响(n = 50,年龄17 ~ 35岁,随访2年);对照组:20例传统治疗的1型疾病患者)。在1型糖尿病发病初期,c肽基础水平和刺激水平明显下降,t -抑制水平降低导致辅助性t -抑制因子比值发生变化,免疫调节指数升高;这些变化提供了足够的理由来处方t激活素。Tactivin治疗2年导致t -抑制因子含量增加导致辅助性t - / t -抑制因子失衡降低,IRI正常化,基础和刺激c -肽水平升高,每日胰岛素剂量为0.4 U/kg时HbAlc正常化,病程稳定。对照组免疫参数及激素未正常,日胰岛素剂量为0.6 U/kg,病程不稳定。因此,t激活素不仅纠正了免疫,还纠正了代谢,从而刺激了胰腺p细胞的修复再生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
T-activin in combined therapy of type I diabetes mellitus
The effects of t-activin on the time course of immunohormonal, metabolic, and clinical parameters were studied in patients with newly diagnosed type I diabetes (n = 50, aged 17 to 35, followed up for 2 years; controls: 20 patients with type 1 disease treated traditionally). An appreciable decrease of basal and stimulated levels of C-peptide, shifted T-helper to T-supprcssor ratio caused by a decrease of T-suppressor level, and an increase of the immunoregulatory index were observed at the debut of type 1 diabetes; these shifts gave grounds sufficient to prescribe t-activin. Tactivin therapy for 2 years led to a decrease of the T-helper/T-suppressor imbalance due to an increase of the T-suppressor content, normalization of IRI, increase of the basal and stimulated C-peptidc levels, normalization of HbAlc at a daily insulin dose of 0.4 U/kg, and a stable course of the disease. In the controls the immune parameters and hormones did not normalize, daily insulin dose was 0.6 U/kg, and the disease course unstable. Hence, t-activin not only corrected the immunity, but metabolism as well, which resulted in stimulation of repair regeneration of pancreatic p-cells.
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