1型糖尿病与同型囊(e)线。

Diabete & metabolisme Pub Date : 1994-09-01
J F Robillon, B Canivet, M Candito, J L Sadoul, D Jullien, P Morand, P Chambon, P Freychet
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引用次数: 0

摘要

高同型囊(e)线水平(H)最近被认为是动脉粥样硬化的危险因素。糖尿病患者易发生动脉粥样硬化。因此,本研究旨在探讨DM对H的影响及其关系。41名1型糖尿病患者(DS,年龄34.8 +/- 12岁,糖尿病持续时间:10.7 +/- 11.1年)与40名年龄匹配的对照组(CS,年龄34.2 +/- 9.1岁)进行比较。H(通过离子交换色谱测定,单位:mumol/l)和几个参数(肌酐血症;甘油三酸酯;总胆固醇,HDL, LDL;Lp (a);糖化血红蛋白;维生素B9和B12)在禁食一夜后测定。DS组H(6.8 +/- 2.2)显著低于CS组(9.5 +/- 2.9)(p = 0.0001)。与匹配的CS相比,这种差异在男性和女性亚组中仍然很明显(p = 0.003)。H与血脂、维生素、肾脏或视网膜状态没有相关性。但H似乎随着年龄的增长而增加,尤其是在女性中(p = 0.03;R = 0.32)。虽然目前还没有对DS中观察到的较低H的解释,但H似乎不能直接解释糖尿病中加速动脉粥样硬化的原因。然而,如果高H甚至正常H可以确定DS亚组中早熟和严重动脉粥样硬化的风险较高,则仍有待确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Type 1 diabetes mellitus and homocyst(e)ine.

High Homocyst(e)ine levels (H) have been recently recognized as a risk factor for atherosclerosis. Patients with Diabetes Mellitus (DM) are prone to atherosclerosis. Therefore, this study was designed to search for the effect of DM on H and their relationship. Forty-one Type 1 diabetic subjects (DS, age 34.8 +/- 12 yr, DM duration: 10.7 +/- 11.1 yr) were compared to 40 age-matched control subject (CS, age 34.2 +/- 9.1 yr). H (measured by ion-exchange chromatography, units: mumol/l) and several parameters (creatininemia; triglycerides; total, HDL, LDL cholesterol; Lp(a); HbA1c; vitamins B9 and B12) were determined after an overnight fast. H were significantly (p = 0.0001) lower in DS (6.8 +/- 2.2) than in CS (9.5 +/- 2.9). This difference was still apparent in male and female subgroups compared to matched CS (p = 0.003 for each). No correlation was found between H and: lipids, vitamins, renal or retinal status. But H seemed to increase with age, especially in women (p = 0.03; r = 0.32). While there is, at this time, no explanation for the lower H observed in DS, it appears that H cannot directly account for accelerated atherosclerosis in DM. Nevertheless, it remains to be established if high, or even normal, H could identify a subgroup of DS at higher risk of precocious and severe atherosclerosis.

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