Gamma-Glutamyl Transferase and the Risk of Type 2 Diabetes Mellitus: A Review

Sachini M Thennakoon, N. Withanage
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Abstract

The relationship between gamma-glutamyl transferase (GGT) levels and risk factors for type 2 diabetes mellitus (T2DM) and the risk of incident T2DM was assessed using a narrative review of available evidence. Higher circulating levels of GGT are associated with an increased risk of type 2 diabetes mellitus, suggesting GGT as a risk predictor of T2DM. The incidence of type 2 diabetes and its association with GGT elevation could be explained by oxidative stress in cells followed by subclinical inflammation and fatty liver, leading to impaired insulin secretion and insulin resistance. A strong correlation is evident between BMI and GGT, in which hepatic steatosis and insulin resistance are proposed to be the intermediate connecting characteristics.
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γ-谷氨酰转移酶与 2 型糖尿病的风险:综述
通过对现有证据进行叙述性回顾,评估了γ-谷氨酰转移酶(GGT)水平与 2 型糖尿病(T2DM)风险因素之间的关系以及发生 T2DM 的风险。较高的 GGT 循环水平与 2 型糖尿病风险的增加有关,这表明 GGT 是 T2DM 的风险预测因子。2 型糖尿病的发病率及其与 GGT 升高的关系可解释为细胞中的氧化应激,随后是亚临床炎症和脂肪肝,导致胰岛素分泌受损和胰岛素抵抗。体重指数与 GGT 之间存在明显的相关性,其中肝脂肪变性和胰岛素抵抗被认为是中间连接特征。
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审稿时长
26 weeks
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