Adenosine Deaminase Activity in Diabetic and Obese Patients.

A. Nwankwo, P. Njoku
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Abstract

Adenosine deaminase (ADA) commonly associated with severe combined immunodeficiency disease believed to be an important enzyme for the modulation of bioactivity of insulin. The clinical significance in Metabolic Diseases patients in South Eastern Nigeria was studied. Body Mass Index (BMI), Fating Blood Glucose, Glycated Heamoglobin (GHbA1C), total serum Adenosine Deaminase (ADA) activities were measured apparently healthy people (control), (n =25), type II diabetic patients, n = 25), obese patients ( obese diabetics n = 25), obese non-diabetics n = 25, non –obese diabetic n = 25), respectively. The results (mean±) show that the mean values in the test groups were significantly higher than the controls respectively. . FBG in obese-diabetic (12.5±2mmol/L) and non-obese – diabetic (4.8±0.4mmol/l) 0 differed statistically (p<0.05) except in obese non- diabetic (11.3± 1.3mmol/L), (p<0.05). GHbA1C differed significantly in obeses diabetic (17.35±1.5%), obese non-diabetic (12.87±0.6%) and non-obese diabetic (14.2±0.75%) patients (p. <001) respectively. ADA activities also differed in obese diabetics (22.88±2.65iu/L), obese non-diabetics, (18.23.±0.872iu/l), and obese nondiabetics (18.076±1.4 p<0.001) respectively while. BMI showed no correlation with FBG, GHbA1C, and ADA respectively. Comparatavely adenosine deaminase, assays are cost effective –method that could be employed in the daily routine laboratories during investigation and treatment of metabolic diseases, especially obesities and diabetic patients. Key Words : Diabetes mellitus, Adenosine deaminase, Metabolic Syndrome
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糖尿病和肥胖患者的腺苷脱氨酶活性。
腺苷脱氨酶(ADA)通常与严重的联合免疫缺陷疾病相关,被认为是调节胰岛素生物活性的重要酶。研究尼日利亚东南部代谢性疾病患者的临床意义。分别测定身体质量指数(BMI)、空腹血糖、糖化血红蛋白(GHbA1C)、血清总腺苷脱氨酶(ADA)活性,分别为明显健康者(对照组)(n =25)、II型糖尿病患者(n =25)、肥胖患者(肥胖糖尿病患者n =25)、肥胖非糖尿病患者n =25、非肥胖糖尿病患者n =25)。结果(均数±)显示,各试验组的平均值均显著高于对照组。除肥胖非糖尿病患者(11.3±1.3mmol/L)外,肥胖糖尿病患者(12.5±2mmol/L)与非肥胖糖尿病患者(4.8±0.4mmol/ L)差异有统计学意义(p<0.05)。肥胖糖尿病(17.35±1.5%)、肥胖非糖尿病(12.87±0.6%)和非肥胖糖尿病(14.2±0.75%)患者的GHbA1C差异有统计学意义(p <001)。肥胖糖尿病患者(22.88±2.65iu/L)、肥胖非糖尿病患者(18.23±0.872iu/ L)和肥胖非糖尿病患者(18.076±1.4 p<0.001)的ADA活性也存在差异。BMI与FBG、GHbA1C、ADA均无相关性。相对而言,腺苷脱氨酶测定法是一种经济有效的方法,可用于日常实验室中代谢性疾病的调查和治疗,特别是肥胖和糖尿病患者。关键词:糖尿病,腺苷脱氨酶,代谢综合征
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