2 型糖尿病患者血清中 Galectin-3 与牙周炎之间的关系。

Yanbiao Zhang, Meirong Wei, Tianyong Xia, Wenting Yin, Shumei Mao
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引用次数: 0

摘要

研究目的本研究旨在探讨2型糖尿病(T2DM)患者血清Galectin-3水平与牙周炎风险的相关性:选取2021年7月至2022年11月潍坊医学院附属潍坊人民医院内分泌科收治的140例T2DM患者,根据是否合并牙周炎分为无牙周炎T2DM组(T2DM组,n=67)和牙周炎T2DM组(T2DMP组,n=73)。同期,选取 65 名血糖正常的非牙周炎志愿者作为健康对照组(NC 组)。采集所有受试者的血样,检测并比较三组受试者的血清Galectin-3水平及相关实验室指标:结果:NC组、T2DM组和T2DMP组的血清Galectin-3水平分别为3.81(3.49,4.15)、4.82(4.25,5.26)和6.83(5.19,7.28)纳克/毫升。通过多元线性回归调整基线数据的影响后,T2DMP 组和 T2DM 组的血清 Galectin-3 水平显著高于 NC 组(Pβ=0.254,95%CI:0.089-0.419,P=0.003)、糖化血红蛋白 A1c(β=0.397,95%CI:0.049-0.745,P=0.026)和临床附着丧失(β=0.298,95%CI:0.024-0.572,P=0.033)。在调整了协变量的影响后,二元逻辑回归显示血清 Galectin-3 水平与 T2DM 患者牙周炎的风险显著相关(OR=2.146,95%CI:1.260-3.655,P=0.005)。趋势检验显示,T2DM 患者患牙周炎的风险随着血清 Galectin-3 水平的升高而增加(Ptrend=0.011)。接收者操作特征曲线(ROC)分析显示,血清 Galectin-3 预测 T2DM 牙周炎的曲线下面积(AUC)为 0.861(95%CI:0.801-0.920,Z=11.806,PConclusions):T2DM和牙周炎患者血清Galectin-3水平升高,并与牙周炎风险相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between serum Galectin-3 and periodontitis in patients with type 2 diabetes mellitus.

Objectives: This study aims to investigate the correlation between serum Galectin-3 levels and the risk of periodontitis in patients with type 2 diabetes mellitus (T2DM).

Methods: A total of 140 patients with T2DM admitted to the endocrinology department of Weifang People's Hospital, Affiliated to Weifang Medical College from July 2021 to November 2022 were selected and divided into T2DM without periodontitis group (T2DM group, n=67) and T2DM with periodontitis group (T2DMP group, n=73) according to whether they were combined with periodontitis. In the same period, 65 non-periodontitis volunteers with normal blood glucose were selected as healthy control group (NC group). Blood samples of all subjects were collected, and serum Galectin-3 levels and related laboratory indices were detected and compared among the three groups.

Results: Serum Galectin-3 levels in the NC, T2DM, and T2DMP groups were 3.81 (3.49, 4.15), 4.82 (4.25, 5.26), and 6.83 (5.19, 7.28) ng/mL, respectively. After adjusting for the influence of baseline data by multiple linear regression, serum Galectin-3 levels in the T2DMP and T2DM groups were significantly higher than those in the NC group (all P<0.05). Multiple linear regression analysis showed that serum Galectin-3 levels were positively correlated with homeostatic model of the insulin resistance index (β=0.254, 95%CI:0.089-0.419, P=0.003), glycosylated hemoglobin A1c (β=0.397, 95%CI: 0.049-0.745, P=0.026), and clinical attachment loss (β=0.298, 95%CI: 0.024-0.572, P=0.033). After adjusting for the effects of covariates, binary logistic regression showed that serum Galectin-3 levels were significantly associated with the risk of periodontitis in patients with T2DM (OR=2.146, 95%CI: 1.260-3.655, P=0.005). Trend test showed that the risk of periodontitis in patients with T2DM increased with increasing serum Galectin-3 levels (Ptrend=0.011). Receiver operating characteristic (ROC) curve analysis showed that the area under the curve (AUC) of serum Galectin-3 in predicting T2DM periodontitis was 0.861 (95%CI: 0.801-0.920, Z=11.806, P<0.001).

Conclusions: Serum Galectin-3 levels were elevated in patients with T2DM and pe-riodontitis and associated with the risk of periodontitis.

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