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    题名 作者 年代 出处 被引量
1吡格列酮和二甲双胍治疗对肥胖2型糖尿病患者血清脂联素的影响显示文摘目的探讨吡格列酮和二甲双胍治疗对肥胖T2DM患者血清APN的不同影响。方法将48例新诊断的肥胖T2DM患者随机分两组,分别给予二甲双胍(M组)和二甲双胍联合吡格列酮(MP组)治疗12周;于治疗前后测定受试者空腹血清APN、FPG、HbA1c、血脂、FIns,计算BMI、胰岛素抵抗指数(HOMA-IR)。结果与治疗前相比,MP组APN水平明显升高(P=0.0005),MP组FPG、HbA1c、HOMA-IR、BMI、FIns明显降低(P<0.05);与治疗前相比,M组APN水平无明显改变(P=0.487),BMI、FPG、HbA1c、HOMA-IR、FIns、LDL-C明显降低(P<0.05)。结论吡格列酮能有效增加肥胖T2DM患者血清APN水平。邓晨昕 高凌 杨颖 2012中国糖尿病杂志2012,20,9:12
2Application of the back-error propagation artificial neural network(BPANN) on genetic variants in the PPAR-γ and RXR-α gene and risk of metabolic syndrome in a Chinese Han population显示文摘This study was aimed to explore the associations between the combined effects of several polymorphisms in the PPAR-γ and RXR-α gene and environmental factors with the risk of metabolic syndrome by back-error propagation artificial neural network(BPANN).We established the model based on data gathered from metabolic syndrome patients(n = 1012) and normal controls(n = 1069) by BPANN.Mean impact value(MIV) for each input variable was calculated and the sequence of factors was sorted according to their absolute MIVs.Generalized multifactor dimensionality reduction(GMDR) confirmed a joint effect of PPAR-γ and RXR-α based on the results from BPANN.By BPANN analysis,the sequences according to the importance of metabolic syndrome risk factors were in the order of body mass index(BMI).serum adiponectin,rs4240711,gender,rs4842194,family history of type 2 diabetes,rs2920502,physical activity,alcohol drinking,rs3856806,family history of hypertension,rsl045570,rs6537944,age,rsl7817276,family history of hyperlipidemia,smoking,rs1801282 and rs3132291.However,no polymorphism was statistically significant in multiple logistic regression analysis.After controlling for environmental factors,A_1,A_2,B_1 and B_2(rs4240711,rs4842194,rs2920502 and rs3856806) models were the best models(cross-validation consistency 10/10,P = 0.0107) with the GMDR method.In conclusion,the interaction of the PPAR-γ and RXR-α gene could play a role in susceptibility to metabolic syndrome.A more realistic model is obtained by using BPANN to screen out determinants of diseases of multiple etiologies like metabolic syndrome.Xu Zhao Kang Xu Hui Shi Jinluo Cheng Jianhua Ma Yanqin Gao Qian Li Xinhua Ye Ying Lu Xiaofang Yu Juan Du Wencong Du Qing Ye Ling Zhou 2014The Journal of Biomedical Research2014,28,2:3
32型糖尿病家系非糖尿病一级亲属胰岛β细胞功能状态的研究显示文摘目的:探讨2型糖尿病(T2DM)家系非糖尿病一级亲属在不同糖耐量时胰岛素分泌第一时相的变化,及其在2型糖尿病发生、发展中的作用。方法:收集T2DM一级亲属正常糖耐量(NGT)组30例、糖耐量异常(IGT)组32例及新诊断T2DM组38例,并以无糖尿病家族史的30例健康成人(NC)为对照组,进行25 g静脉葡萄糖耐量试验(IVGTT),计算各组第一时相胰岛素分泌功能指数(AIR3-5)及胰岛素敏感指数(ISI)并进行比较。结果:新诊断的T2DM人群中,Homaβ、FPG、AIR3-5和ISI异常最为明显;而T2DM家系非糖尿病一级亲属的AIR3-5(53.67±2.36)mU/L和正常对照人群相比(80.85±1.43)mU/L出现下降;而ISI显著低于正常组均(P<0.01),但所有指标均处在正常人群和新诊断T2DM患者之间。结论:与正常对照人群相比,T2DM一级亲属NGT人群的胰岛β细胞第一时相胰岛素分泌减低,且存在胰岛素抵抗。杨曙晖 谢培文 郭少明 林侬君 翁晓旭 2011细胞与分子免疫学杂志2011,27,12:1
4减重手术后相关因素变化与胰岛β细胞功能的关系显示文摘胰岛8细胞功能与2型糖尿病息息相关。国内外专家一致认为:减重手术是治疗2型糖尿病及其并发症的最有效手段,但其机制尚不清楚,可能与胰岛β细胞功能的改善有关。本文主要就减重手术后各相关因素变化与胰岛B细胞功能的关系进行综述。杨健 王勇 2013中华消化外科杂志2013,12,12:1
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