综合研究2型糖尿病进展过程中的流变状态和氧化应激强度,预防其并发症。

IF 2.1 4区 医学 Q3 HEMATOLOGY Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI:10.3233/CH-221512
Lela Chkhitauri, Tamar Sanikidze, Elene Giorgadze, Ketevan Asatiani, Nana Kipiani, Nana Momtselidze, Maka Mantskava
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引用次数: 3

摘要

背景:预防2型糖尿病(T2DM)需要调节诱导β细胞功能障碍的病理过程。目的:全面研究不同阶段糖尿病患者流变学参数的改变,并确定这些改变与患者体内氧化应激强度之间的可能联系。方法:纳入IR、糖尿病前期、T2DM患者和健康志愿者60例。检测患者血液流变学指标——红细胞聚集指数(EAI)、红细胞膜相对变形能力(ERDI)、血浆粘度(BPV)和氧化应激强度(OSI)。结果:与对照组相比,胰岛素抵抗(IR)、前驱糖尿病和T2DM患者的ERDI显著降低,BPV -升高;与对照组相比,糖尿病前期和2型糖尿病患者组EAI显著增加。结论:患者流变学紊乱水平随着碳水化合物代谢紊乱水平和氧化应激强度的增加而升高,并在表现型糖尿病时达到最大值。T2DM血液流变学障碍和OSI的诊断可以作为靶器官损伤可能性的早期标志。
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Comprehensive study of the rheological status and intensity of oxidative stress during the progression of type 2 diabetes mellitus to prevent its complications.

Background: Prevention of Type 2 diabetes mellitus (T2DM) requires a modifying effect on the pathological processes inducing the β-cell dysfunction.

Objectives: the comprehensive study of the violation of rheological parameters in patients with different stages of diabetes and identification of possible links between these alterations with the intensity of the oxidative stress in the patient's body.

Methods: 60 patients with IR, prediabetes, T2DM and healthy volunteers were included. Full range of the rheological parameters of the patients' blood - the indicators of erythrocytes aggregation index (EAI), the relative deformability of the erythrocytes membranes (ERDI), blood plasma viscosity (BPV), and oxidative stress intensity (OSI) were examined.

Results: In patients with insulin resistance (IR), prediabetes, and T2DM the ERDI was statistically significantly lower and BPV - higher compared to control; a significant increase in EAI was detected in the patient group with prediabetes and T2DM compared to the control.

Conclusion: The level of rheological disorders in patients increases with the increase of the level of carbohydrate metabolism disorders and intensity of oxidative stress and reaches a maximum during manifested diabetes. Diagnosis of hemorheological disorders and OSI in T2DM can serve as an early marker of target organ damage possibility.

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来源期刊
CiteScore
4.30
自引率
33.30%
发文量
170
期刊介绍: Clinical Hemorheology and Microcirculation, a peer-reviewed international scientific journal, serves as an aid to understanding the flow properties of blood and the relationship to normal and abnormal physiology. The rapidly expanding science of hemorheology concerns blood, its components and the blood vessels with which blood interacts. It includes perihemorheology, i.e., the rheology of fluid and structures in the perivascular and interstitial spaces as well as the lymphatic system. The clinical aspects include pathogenesis, symptomatology and diagnostic methods, and the fields of prophylaxis and therapy in all branches of medicine and surgery, pharmacology and drug research. The endeavour of the Editors-in-Chief and publishers of Clinical Hemorheology and Microcirculation is to bring together contributions from those working in various fields related to blood flow all over the world. The editors of Clinical Hemorheology and Microcirculation are from those countries in Europe, Asia, Australia and America where appreciable work in clinical hemorheology and microcirculation is being carried out. Each editor takes responsibility to decide on the acceptance of a manuscript. He is required to have the manuscript appraised by two referees and may be one of them himself. The executive editorial office, to which the manuscripts have been submitted, is responsible for rapid handling of the reviewing process. Clinical Hemorheology and Microcirculation accepts original papers, brief communications, mini-reports and letters to the Editors-in-Chief. Review articles, providing general views and new insights into related subjects, are regularly invited by the Editors-in-Chief. Proceedings of international and national conferences on clinical hemorheology (in original form or as abstracts) complete the range of editorial features.
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