2型糖尿病患者血清hs-CRP、IL-6和TNF-α与血管病变的关系

    Relationship between serum levels of high-sensitivity C reactive protein,interleukin-6 and tumor necrosis factor-α and pathogenesis of vascular complication in type 2 diabetes mellitus

    • 摘要: 目的: 探讨2型糖尿病血清高敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)及肿瘤坏死因子α(TNF-α)与2型糖尿病血管病变发生的关系。方法: 用HITACHI7170A生化分析仪乳胶增强免疫透射比浊法检测血清中hs-CRP,采用ELISA双抗体夹心法测定血清中IL-6及TNF-α。结果: 2型糖尿病并发血管病变组血清中hs-CRP、IL-6和TNF-α水平均高于无血管病变组及正常对照组(P<0.05~P<0.01);2型糖尿病患者血清中三项指标之间有明显正相关(P<0.01)。结论: 2型糖尿病并发血管病变患者的血清中IL-6,TNF-α和肝脏急性期蛋白(CRP)水平均升高,提示这三者在2型糖尿病的血管病变发生发展中具有重要作用。

       

      Abstract: Objective: To investigate the relationship between the serum levels of high-sensitivity c-reactive protein(hs-CRP),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α) and the pathogenesis of vascular complication in patients with diabetes mellitus.Methods: Serum hs-CRP was measured by particle immunoturbidimetric method on analysis instrument Hitachi 7170A.IL-6 and TNF-α were measured by double antibody sandwich ELISA.Results: The serum levels of hs-CRP,IL-6,and TNF-α of participants with vascular disease were significantly increased than that of participants without vascular disease and that in normal controls,and the level of hsCRP was positively correlated with the levels of IL-6,and TNF-α in type 2 diabetes,but not in normal controls.Conclusions: IL-6,and TNF-α,positively correlated with hs-CRP could play important roles in pathogenesis and progression of type 2 diabetes vascular complication.

       

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