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Retracted: Alterations of Several Serum Parameters Are Associated with Preeclampsia and May Be Potential Markers for the Assessment of PE Severity. 收回:几种血清参数的改变与先兆子痫有关,可能是评估PE严重程度的潜在标志物。
4区 医学 Q3 Medicine Pub Date : 2023-07-12 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9843085
Disease Markers

[This retracts the article DOI: 10.1155/2020/7815214.].

[这收回了文章DOI:10.1155/2020/7815214.]。
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引用次数: 0
Retracted: Environmental and Genetic Factors in the Pathogenesis of COPD in the Road-Working Population. 收回:道路作业人群COPD发病机制中的环境和遗传因素。
4区 医学 Q3 Medicine Pub Date : 2023-07-12 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9759372
Disease Markers

[This retracts the article DOI: 10.1155/2021/9953234.].

[这收回了文章DOI:10.1155/2021/9953234]。
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引用次数: 0
Retracted: Distinct Urinary Metabolic Biomarkers of Human Colorectal Cancer. 撤回:人类癌症大肠癌的独特尿代谢生物标志物。
4区 医学 Q3 Medicine Pub Date : 2023-07-12 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9873530
Disease Markers

[This retracts the article DOI: 10.1155/2022/1758113.].

[这收回了文章DOI:10.1155/2022/1758113.]。
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引用次数: 0
Cuproptosis-Related Genes CDK1 and COA6 Involved in the Prognosis Prediction of Liver Hepatocellular Carcinoma. 参与肝肝细胞癌预后预测的杯突相关基因 CDK1 和 COA6
4区 医学 Q3 Medicine Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5552798
Sanfeng Han, Tao Ye, Yuqin Mao, Bo Hu, Chen Wang

Background: Liver hepatocellular carcinoma (LIHC) is the most frequently seen type of primary liver cancer. Cuproptosis is a novel form of cell death highly associated with mitochondrial metabolism. However, the clinical impact and pertinent mechanism of cuproptosis genes in LIHC remain largely unknown.

Methods: From public databases, we systematically assessed common genes from LIHC differentially expressed genes (DEGs) and cuproptosis-related genes using bioinformatics analysis. These common genes were then analyzed by enrichment analysis, mutation analysis, risk score model, and others to find candidate hub genes related to LIHC and cuproptosis. Next, hub genes were determined by expression, clinical factors, immunoassay, and prognostic nomogram.

Results: Based on 129 cuproptosis-related genes and 3492 LIHC DEGs, we totally identified 21 downregulated and 18 upregulated common genes, and they were enriched in pathways, such as zinc ion homeostasis and oxidative phosphorylation. In the mutation analysis, missense mutation was the most common type in LIHC patients, and the common gene F5 had the highest mutation frequency. After LASSO-Cox regression analysis and prognostic analysis, CDK1, ABCB6, LCAT, and COA6 were identified as prognostic signature genes. Among them, ABCB6 and LCAT were lowly expressed in tumors, and CDK1 and COA6 were highly expressed in tumors. In addition, ABCB6 and LCAT were negatively correlated with 6 kinds of immune cells, while CDK1 and COA6 were positively correlated with them. CDK1 and COA6 were identified as hub genes related to LIHC by Cox regression analysis and prognostic nomogram.

Conclusion: CDK1 and COA6 are two oncogenes in LIHC, which are involved in the molecular mechanism of cuproptosis and LIHC. Besides, CDK1 and COA6 can positively regulate the expressions of immune cells in LIHC. In clinical practice, they can be used as immunotherapeutic targets and prognostic predictors in LIHC, which sheds new light on the scientific fields of cuproptosis and LIHC.

背景:肝肝细胞癌(LIHC)是最常见的原发性肝癌类型。杯突症是一种与线粒体代谢高度相关的新型细胞死亡形式。然而,杯突基因在 LIHC 中的临床影响和相关机制在很大程度上仍不为人所知:方法:我们利用生物信息学分析方法,从公共数据库中系统评估了LIHC差异表达基因(DEGs)中的常见基因和杯突症相关基因。然后通过富集分析、突变分析、风险评分模型等方法对这些常见基因进行分析,以找到与LIHC和杯突症相关的候选枢纽基因。然后,通过表达、临床因素、免疫测定和预后提名图确定枢纽基因:结果:在129个杯突症相关基因和3492个LIHC DEGs的基础上,我们共发现了21个下调和18个上调的常见基因,它们富集在锌离子稳态和氧化磷酸化等通路中。在突变分析中,错义突变是LIHC患者最常见的突变类型,常见基因F5的突变频率最高。经过LASSO-Cox回归分析和预后分析,CDK1、ABCB6、LCAT和COA6被确定为预后特征基因。其中,ABCB6和LCAT在肿瘤中低表达,CDK1和COA6在肿瘤中高表达。此外,ABCB6和LCAT与6种免疫细胞呈负相关,而CDK1和COA6与它们呈正相关。通过Cox回归分析和预后提名图,CDK1和COA6被确定为与LIHC相关的枢纽基因:结论:CDK1和COA6是LIHC的两个致癌基因,它们参与了杯突症和LIHC的分子机制。此外,CDK1和COA6还能正向调节LIHC中免疫细胞的表达。在临床实践中,它们可作为LIHC的免疫治疗靶点和预后预测因子,这为杯突症和LIHC的科学领域带来了新的启示。
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引用次数: 1
Treatment with Antiviral Drugs Will Significantly Inhibit the HIV-1 RNA POL Gene Expression and Viral Load in AIDS Patients. 抗病毒药物治疗将显著抑制艾滋病患者的 HIV-1 RNA POL 基因表达和病毒载量。
4区 医学 Q3 Medicine Pub Date : 2023-04-14 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9910542
Penghui Shi, Xiaodong Wang, Miaomiao Su, Juan Meng, Hao Wang, Weiguang Fan

Objective: This study is to investigate the difference in HIV-1 RNA pol gene expression in AIDS patients before and after antiviral treatment and its effect on the expression level of CD4+/CD8+ T cells in peripheral blood.

Methods: The participants included 200 AIDS patients who had undergone antiviral medication, and the quantity of HIV-1 RNA pol gene was determined using nested polymerase chain reaction (nPCR). The levels of CD3+, CD4+, and CD8+ T lymphocytes in peripheral blood were measured by flow cytometry before and after therapy. The receiver operating characteristics (ROC) curve was used to assess the impact of HIV-1 RNA pol gene expression and the CD4+/CD8+ ratio on the prognosis of AIDS patients.

Results: After three months of therapy, the levels of HIV-1 RNA and viral load in the patients showed a drastic decline, while the levels of CD4+/CD8+ were markedly elevated (P < 0.05). Logistic analysis revealed that patients' viral loads were positively correlated with HIV-1 RNA and negatively correlated with CD4+/CD8+ (P < 0.05). The alanine aminotransferase (ALT), white blood cell (WBC) count, Serum creatinine (Cr), total cholesterol (TC), triglyceride (TG), and platelet (PLT) levels significantly increased following a 24-month therapy, while no significant changes were observed in the level of aspartate aminotransferase (AST), red blood cell (RBC), and neutrophil (NEU) (%). (P > 0.05).

Conclusion: Antiviral drugs significantly inhibit the HIV-1 RNA POL gene expression and viral load in AIDS patients but upregulate the expression level of CD4+/CD8+ T cells in peripheral blood.

研究目的本研究旨在探讨艾滋病患者抗病毒治疗前后 HIV-1 RNA pol 基因表达的差异及其对外周血 CD4+/CD8+ T 细胞表达水平的影响:方法:研究对象包括200名接受过抗病毒治疗的艾滋病患者,采用巢式聚合酶链反应(nPCR)检测HIV-1 RNA pol基因的表达量。通过流式细胞术测量了治疗前后外周血中 CD3+、CD4+ 和 CD8+ T 淋巴细胞的水平。采用接收者操作特征曲线(ROC)评估 HIV-1 RNA pol 基因表达和 CD4+/CD8+ 比率对艾滋病患者预后的影响:治疗三个月后,患者的 HIV-1 RNA 和病毒载量水平急剧下降,而 CD4+/CD8+ 水平明显升高(P < 0.05)。逻辑分析显示,患者的病毒载量与 HIV-1 RNA 呈正相关,而与 CD4+/CD8+ 呈负相关(P < 0.05)。经过 24 个月的治疗后,丙氨酸氨基转移酶(ALT)、白细胞(WBC)计数、血清肌酐(Cr)、总胆固醇(TC)、甘油三酯(TG)和血小板(PLT)水平显著上升,而天门冬氨酸氨基转移酶(AST)、红细胞(RBC)和中性粒细胞(NEU)(%)水平未见明显变化(P > 0.05)。(P>0.05):抗病毒药物可明显抑制艾滋病患者的 HIV-1 RNA POL 基因表达和病毒载量,但会上调外周血中 CD4+/CD8+ T 细胞的表达水平。
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引用次数: 0
The Identification and Clinical Value Evaluation of CYCS Related to Asthma through Bioinformatics Analysis and Functional Experiments. 通过生物信息学分析和功能实验鉴定与哮喘相关的 CYCS 并评估其临床价值。
4区 医学 Q3 Medicine Pub Date : 2023-04-14 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5746940
Yan Li, Li Li, Hua Zhao, Xiwen Gao, Shanqun Li

Background: Asthma is one of the most common respiratory diseases and one of the largest burdens of health care resources across the world. This study is aimed at using bioinformatics methods to find effective clinical indicators for asthma and conducting experimental validation.

Methods: We downloaded GSE64913 data and performed differentially expressed gene (DEG) screening. Weighted gene coexpression network analysis (WGCNA) on DEGs was applied to identify key module most associated with asthma for protein-protein interaction (PPI) analysis. According to the degree value, ten genes were obtained and subjected to expression analysis and receiver operating characteristic (ROC) analysis. Next, key genes were screened for expression analysis and immunological analysis. Finally, cell counting kit-8 (CCK-8) and qRT-PCR were also conducted to observe the influence of hub gene on cell proliferation and inflammatory cytokines.

Results: From the GSE64913 dataset, 711 upregulated and 684 downregulated DEGs were found. In WGCNA, the top 10 genes in the key module were examined by expression analysis in asthma, and CYCS was determined as an asthma-related oncogene with a good predictive ability for the prognosis of asthmatic patients. CYCS is significantly associated with immune cells, such as HHLA2, IDO1, TGFBR1, and CCL18 and promoted the proliferation of asthmatic cells in vitro.

Conclusion: CYCS plays an oncogenic role in the pathophysiology of asthma, indicating that this gene may become a novel diagnostic biomarker and promising target of asthma treatment.

背景:哮喘是最常见的呼吸系统疾病之一,也是全球医疗资源的最大负担之一。本研究旨在利用生物信息学方法寻找有效的哮喘临床指标并进行实验验证:方法:我们下载了 GSE64913 数据并进行了差异表达基因(DEG)筛选。方法:我们下载了 GSE64913 数据,对差异表达基因(DEG)进行了筛选,并对 DEG 进行了加权基因共表达网络分析(WGCNA),以确定与哮喘最相关的关键模块,并进行蛋白相互作用(PPI)分析。根据程度值,得到了十个基因,并对其进行了表达分析和接收者操作特征(ROC)分析。接着,对关键基因进行表达分析和免疫学分析。最后,还进行了细胞计数试剂盒-8(CCK-8)和 qRT-PCR,以观察枢纽基因对细胞增殖和炎症细胞因子的影响:结果:从 GSE64913 数据集中发现了 711 个上调 DEGs 和 684 个下调 DEGs。在 WGCNA 中,通过对哮喘关键模块中的前 10 个基因进行表达分析,确定 CYCS 为哮喘相关癌基因,对哮喘患者的预后具有良好的预测能力。CYCS与HHLA2、IDO1、TGFBR1和CCL18等免疫细胞明显相关,并在体外促进哮喘细胞的增殖:结论:CYCS 在哮喘的病理生理学中起着致癌作用,这表明该基因可能成为一种新型的诊断生物标志物和治疗哮喘的靶点。
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引用次数: 0
Identification of Inflammatory Gene in the Congenital Heart Surgery Patients following Cardiopulmonary Bypass via the Way of WGCNA and Machine Learning Algorithms. 应用WGCNA和机器学习算法鉴定先天性心脏手术患者体外循环后炎症基因
4区 医学 Q3 Medicine Pub Date : 2023-04-12 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5493415
Liang Cai, Bingdong Zhang

Performing cardiopulmonary bypass (CPB) to reduce ischemic injury during surgery is a common approach to cardiac surgery. However, this procedure can lead to systemic inflammation and multiorgan dysfunction. Therefore, elucidating the molecular mechanisms of CPB-induced inflammatory cytokine release is essential as a critical first step in identifying new targets for therapeutic intervention. The GSE143780 dataset which is mRNA sequencing from total circulating leukocytes of the neonatorum was downloaded from the Gene Expression Omnibus (GEO) database. A total of 21 key module genes were obtained by analyzing the intersection of differentially expressed gene (DEG) and gene coexpression network analysis (WGCNA), and then, 4 genes (TRAF3IP2-AS1, PPARGC1B, CD4, and PDLIM5) were further confirmed after the least absolute shrinkage and selection operator (LASSO) and support vector machine recursive feature elimination (SVM-RFE) screening and were used as hub genes for CPB-induced inflammatory cytokine release in patients with congenital heart defects. The enrichment analysis revealed 21 key module genes mainly related to the functions of developmental cell growth, regulation of monocyte differentiation, regulation of myeloid leukocyte differentiation, ERK1 and ERK2 cascade, volume-sensitive anion channel activity, and estrogen receptor binding. The result of gene set enrichment analysis (GSEA) showed that the hub genes were related to different physiological functions of cells. The ceRNA network established for hub genes includes 3 hub genes (PPARGC1B, CD4, and PDLIM5), 55 lncRNAs, and 34 miRNAs. In addition, 4 hub genes have 215 potential therapeutic agents. Finally, expression validation of the four hub genes revealed that they were all significantly low expressed in the surgical samples than before.

在手术中进行体外循环(CPB)以减少缺血性损伤是一种常见的心脏手术方法。然而,该手术可导致全身炎症和多器官功能障碍。因此,阐明cpb诱导的炎症细胞因子释放的分子机制是确定治疗干预新靶点的关键第一步。从Gene Expression Omnibus (GEO)数据库下载新生儿总循环白细胞mRNA测序数据集GSE143780。通过差异表达基因交集分析(DEG)和基因共表达网络分析(WGCNA)共获得21个关键模块基因,然后,TRAF3IP2-AS1、PPARGC1B、CD4、经最小绝对收缩和选择算子(LASSO)和支持向量机递归特征消除(SVM-RFE)筛选后,进一步证实了PDLIM5),并将其作为cpb诱导的先天性心脏缺陷患者炎症细胞因子释放的枢纽基因。富集分析发现21个关键模块基因,主要与发育细胞生长、单核细胞分化调控、髓系白细胞分化调控、ERK1和ERK2级联、体积敏感阴离子通道活性、雌激素受体结合等功能相关。基因集富集分析(GSEA)结果表明,这些中心基因与细胞的不同生理功能有关。中心基因建立的ceRNA网络包括3个中心基因(PPARGC1B、CD4和PDLIM5)、55个lncrna和34个mirna。此外,4个枢纽基因有215种潜在的治疗药物。最后,对这四个中心基因的表达验证显示,它们在手术样本中的表达都比以前明显低。
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引用次数: 0
Keloid Core Factor CTRP3 Overexpression Significantly Controlled TGF-β1-Induced Propagation and Migration in Keloid Fibroblasts. 瘢痕疙瘩核心因子 CTRP3 的过表达能显著控制 TGF-β1 诱导的瘢痕疙瘩成纤维细胞的繁殖和迁移。
4区 医学 Q3 Medicine Pub Date : 2023-04-12 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9638322
Lin He, Chan Zhu, Huicong Dou, Xueyuan Yu, Jing Jia, Maoguo Shu

Purpose: Keloid is a type of benign fibrous proliferative tumor characterized by excessive scarring. C1q/TNF-related protein 3 (CTRP3) has been proven to possess antifibrotic effect. Here, we explored the role of CTRP3 in keloid. In the current research, we examined the influence of CTRP3 on keloid fibroblasts (KFs) and investigated the potential molecular mechanism.

Methods: KF tissue specimens and adjacent normal fibroblast (NF) tissues were collected cultured from 10 keloid participants. For the TGF-β1 stimulation group, KFs were processed with human recombinant TGF-β1. Cell transfection of pcDNA3.1-CTRP3 or pcDNA3.1 was performed. The siRNA of CTRP3 (si-CTRP3) or negative control siRNA (si-scramble) was transfected into KFs.

Results: CTRP3 was downregulated in keloid tissues and KFs. CTRP3 overexpression significantly controlled TGF-β1-induced propagation and migration in KFs. Col I, α-SMA, and fibronectin mRNA and protein levels were enhanced by TGF-β1 stimulation, whereas they were inhibited by CTRP3 overexpression. In contrast, CTRP3 knockdown exhibited the opposite effect. In addition, CTRP3 attenuated TGF-β receptors TRI and TRII in TGF-β1-induced KFs. Furthermore, CTRP3 prevented TGF-β1-stimulated nuclear translocation of smad2 and smad3 and suppressed the expression levels of p-smad2 and p-smad3 in KFs.

Conclusion: CTRP3 exerted an antifibrotic role through inhibiting proliferation, migration, and ECM accumulation of KFs via regulating TGF-β1/Smad signal path.

目的:瘢痕疙瘩是一种以过度瘢痕增生为特征的良性纤维增生性肿瘤。C1q/TNF相关蛋白3(CTRP3)已被证实具有抗纤维化作用。在此,我们探讨了 CTRP3 在瘢痕疙瘩中的作用。在本研究中,我们探讨了CTRP3对瘢痕疙瘩成纤维细胞(KFs)的影响,并研究了其潜在的分子机制:方法:收集 10 名瘢痕疙瘩患者的 KF 组织标本和邻近的正常成纤维细胞(NF)组织。在 TGF-β1 刺激组,用人重组 TGF-β1 处理 KF。进行 pcDNA3.1-CTRP3 或 pcDNA3.1 细胞转染。si-CTRP3)或阴性对照 siRNA(si-scramble)转染 KFs:结果:CTRP3在瘢痕疙瘩组织和KFs中下调。结果:CTRP3在瘢痕疙瘩组织和KFs中下调,过表达CTRP3可明显控制TGF-β1诱导的KFs繁殖和迁移。Col I、α-SMA和纤连蛋白的mRNA和蛋白水平在TGF-β1刺激下升高,而CTRP3过表达则抑制了它们的升高。相反,CTRP3 基因敲除则表现出相反的效果。此外,在 TGF-β1 诱导的 KFs 中,CTRP3 可抑制 TGF-β 受体 TRI 和 TRII。此外,CTRP3还阻止了TGF-β1刺激的smad2和smad3的核转位,并抑制了KFs中p-smad2和p-smad3的表达水平:结论:CTRP3通过调节TGF-β1/Smad信号通路,抑制KFs的增殖、迁移和ECM积累,从而发挥抗纤维化作用。
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引用次数: 1
Efficacy of Butylphthalide in Combination with Edaravone in the Treatment of Acute Ischemic Stroke and the Effect on Serum Inflammatory Factors. 丁苯酞联合依达拉奉治疗急性缺血性脑卒中的疗效及对血清炎症因子的影响
4区 医学 Q3 Medicine Pub Date : 2023-04-11 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9969437
Yan Li, Zhen Hong, Shaoquan Li, Songwang Xie, Junyong Wang, Jian Wang, Yongchang Liu

Objective: To investigate the efficacy of butylphthalide combined with edaravone in the treatment of acute ischemic stroke and the effect on serum inflammatory factors.

Methods: One hundred and sixty patients with acute ischemic stroke who attended the neurovascular intervention department of our hospital from May 2020 to June 2022 were enrolled as study subjects for prospective analysis and were equally divided into a control group and an experimental group using the random number table method, with 80 cases in each group. The control group was treated with edaravone injection, while the experimental group was treated with butylphthalide combined with edaravone. The disease was recorded to compare the efficacy, erythrocyte sedimentation rate, homocysteine, serum inflammatory factors including tumor necrosis factor-α, C-reactive protein and interleukin-6 levels, and the incidence of adverse reactions between the two groups.

Results: The total effective rate of treatment in the experimental group was 90.0% (72/80), while that of the control group was 62.5% (50/80), the total effective rate of the experimental group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). After treatment, the erythrocyte sedimentation rate, homocysteine level, and serum TNF-α, CRP, and IL-6 levels of patients in the experimental group improved compared with those before treatment, and the degree of improvement was better than that of the control group, and the difference was statistically significant (P < 0.05). After 3 months of treatment, a comparison of the incidence of adverse reactions in the two groups showed no statistically significant difference between the two groups (P > 0.05).

Conclusion: The treatment of acute ischemic stroke with butylphthalide combined with edaravone has positive significance in improving blood circulation regulation and serum inflammatory factor levels and is reliable and worthy of clinical promotion.

目的研究丁苯酞联合依达拉奉治疗急性缺血性脑卒中的疗效及对血清炎症因子的影响:选取 2020 年 5 月至 2022 年 6 月在我院神经血管介入科就诊的 160 例急性缺血性脑卒中患者作为研究对象,采用随机数字表法将其平均分为对照组和实验组,每组 80 例,进行前瞻性分析。对照组采用依达拉奉注射液治疗,实验组采用丁苯酞联合依达拉奉治疗。记录两组患者的疗效、红细胞沉降率、同型半胱氨酸、血清炎症因子(包括肿瘤坏死因子-α、C反应蛋白和白细胞介素-6水平)以及不良反应发生率:实验组治疗总有效率为 90.0%(72/80),对照组为 62.5%(50/80),实验组总有效率明显高于对照组,差异有统计学意义(P<0.05)。治疗后,实验组患者的红细胞沉降率、同型半胱氨酸水平、血清TNF-α、CRP、IL-6水平较治疗前均有所改善,改善程度优于对照组,差异有统计学意义(P<0.05)。治疗3个月后,对比两组不良反应发生率,两组差异无统计学意义(P>0.05):丁苯酞联合依达拉奉治疗急性缺血性脑卒中在改善血液循环调节、提高血清炎症因子水平方面具有积极意义,疗效可靠,值得临床推广。
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引用次数: 1
Relationship between Changes in Blood Glucose and Blood Lipid Levels and the Risk of Thyroid Cancer in Patients with Type 2 Diabetes Mellitus. 2 型糖尿病患者血糖和血脂水平的变化与甲状腺癌风险之间的关系
4区 医学 Q3 Medicine Pub Date : 2023-04-11 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4814328
Bowei Zhang, Zhe Song, Li Ren, Jinju Wang, Yi Gu, Chao Feng, Tong Liu

Objective: To investigate the relationship between changes in blood glucose and blood lipid levels and the risk of thyroid cancer in patients with type 2 diabetes mellitus.

Methods: A total of 159 patients with type 2 diabetes who were treated in our hospital between June 2018 and February 2021 were recruited and assigned into the observation group, including 136 patients with type 2 diabetes without thyroid cancer (nonthyroid cancer group) and 23 patients with type 2 diabetes complicated with thyroid cancer (thyroid cancer group), and 120 healthy subjects during the same period were selected as the control group. Glycated hemoglobin (HbAlc), total cholesterol (TC), triacylglycerol (TG), high density lipoprotein cholesterol (HDL-C), and low density lipoprotein cholesterol (LDL-C) were detected and compared. Pearson's method was conducted to analyze the correlation between serum HbAlc level and TC, TG, HDL-C, and LDL-C levels in patients with type 2 diabetes mellitus; multivariate logistic regression analysis was performed to analyze the influencing factors of thyroid cancer in patients with type 2 diabetes mellitus.

Results: The serum HbAlc level and the incidence of thyroid cancer in patients with type 2 diabetes mellitus in the observation group were significantly higher than those in the control group (P < 0.05). The levels of TC, TG, and LDL-C in patients with type 2 diabetes mellitus in the observation group were significantly higher than those in the control group, and the level of HDL-C was significantly lower than that in the control group (P < 0.05). The correlation analysis showed that serum HbAlc levels in patients with type 2 diabetes were positively correlated with TC and TG levels and negatively correlated with HDL-C levels (P < 0.05) and not correlated with LDL-C levels (P > 0.05). Compared with the type 2 diabetes patients without thyroid cancer, the serum HbAlc, TC, and TG levels of the patients with type 2 diabetes mellitus in the thyroid cancer group were significantly higher, and the levels of HDL-C were significantly lower (P < 0.05). There was no significant change in the level of LDL-C (P > 0.05). Multivariate logistic regression analysis showed that serum HbAlc, TC, and TC levels were all risk factors for thyroid cancer in patients with type 2 diabetes mellitus (P < 0.05), while serum HDL-C level was a protective factor for thyroid cancer in patients with type 2 diabetes mellitus (P < 0.05).

Conclusion: Thyroid cancer in type 2 diabetes patients may be linked to elevated levels of blood HbAlc, TC, and TG. HbAlc may raise the risk of thyroid cancer in type 2 diabetes patients by modulating blood lipid levels, which might serve as a marker to assess the risk of thyroid cancer in type 2 diabetes mellitus patients. However, since this study did not conduct in vitro and in vivo experim

目的:研究2型糖尿病患者血糖和血脂水平的变化与甲状腺癌风险之间的关系:方法:探讨2型糖尿病患者血糖、血脂水平变化与甲状腺癌发病风险的关系:招募2018年6月至2021年2月期间在我院接受治疗的2型糖尿病患者共159例,将其分为观察组,其中包括136例无甲状腺癌的2型糖尿病患者(非甲状腺癌组)和23例并发甲状腺癌的2型糖尿病患者(甲状腺癌组),选取同期120例健康人作为对照组。检测并比较糖化血红蛋白(HbAlc)、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)。用皮尔逊法分析2型糖尿病患者血清HbAlc水平与TC、TG、HDL-C和LDL-C水平的相关性;用多变量Logistic回归分析2型糖尿病患者甲状腺癌的影响因素:观察组2型糖尿病患者血清HbAlc水平和甲状腺癌发病率明显高于对照组(P<0.05)。观察组2型糖尿病患者的TC、TG和LDL-C水平明显高于对照组,HDL-C水平明显低于对照组(P<0.05)。相关分析显示,2 型糖尿病患者血清 HbAlc 水平与 TC 和 TG 水平呈正相关,与 HDL-C 水平呈负相关(P < 0.05),与 LDL-C 水平无相关性(P > 0.05)。与未患甲状腺癌的2型糖尿病患者相比,甲状腺癌组2型糖尿病患者的血清HbAlc、TC和TG水平显著升高,HDL-C水平显著降低(P<0.05)。低密度脂蛋白胆固醇水平无明显变化(P > 0.05)。多变量逻辑回归分析显示,血清HbAlc、TC和TC水平都是2型糖尿病患者甲状腺癌的危险因素(P<0.05),而血清HDL-C水平是2型糖尿病患者甲状腺癌的保护因素(P<0.05):结论:2型糖尿病患者的甲状腺癌可能与血液中HbAlc、TC和TG水平升高有关。HbAlc可能会通过调节血脂水平来增加2型糖尿病患者罹患甲状腺癌的风险,因此可作为评估2型糖尿病患者罹患甲状腺癌风险的标志物。然而,由于本研究没有进行体外和体内实验,因此HbAlc如何影响甲状腺癌的发病机制在本研究中还没有描述,这也是我们今后的研究方向。希望能为甲状腺癌的预防和治疗提供新的思路。
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Disease Markers
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