支链氨基酸和甘氨酸在糖尿病前期和II型糖尿病中的作用

Israa Abass Rasheed, E. Alwasiti, I. Al-Karawi
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摘要

2伊拉克muststansiriyah大学国家糖尿病中心*通讯作者:Israaalhelo2@gmail.com (Rasheed)摘要“糖尿病前期是指血糖水平不符合糖尿病标准但过高而不能被认为是正常的人。前驱糖尿病患者不应被视为一个独立的临床实体,而应被视为糖尿病和心血管疾病(CVD)风险增加的人群,它与肥胖(特别是腹部或内脏肥胖)、高甘油三酯血脂异常和/或低高密度脂蛋白胆固醇以及高血压有关。支链氨基酸(BCAAs)是必需氨基酸,包括缬氨酸、亮氨酸和异亮氨酸,甘氨酸是非必需氨基酸。最近的研究表明(BCAA)与胰岛素抵抗呈正相关,甘氨酸呈负相关,可作为2型糖尿病的预测指标。本研究显示糖尿病前期患者BCAA较对照组显著升高,甘氨酸较对照组显著降低。综上所述,氨基酸与葡萄糖代谢密切相关;氨基酸是糖异生的主要储存库,影响胰岛素和胰高血糖素的分泌。这两个过程在T2D发病的早期都发生了改变,至少在理论上,这使得氨基酸成为该领域生物标志物的良好候选者。
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Role of Branched Chain Amino Acid and Glycine in Prediabetes and Type II Diabetes Mellitus
2 National Diabetes center, Mustansiriyah University, Iraq *Corresponding author: Israaalhelo2@gmail.com (Rasheed) Abstract “Prediabetes is the term used for people whose glucose levels do not meet the diabetes criteria but is too high to be considered normal. Prediabetes patients should not be regarded as a clinical entity in their own right, but rather as an increased risk of diabetes and cardiovascular disease (CVD) ,It is linked to obesity (especially abdominal or visceral obesity), high triglyceride dyslipidemia and/or low HDL cholesterol, and hypertension. Branched-chain amino acids (BCAAs) are essential amino acids that include Valine, Leucine, and isoleucine, glycine is non-essential amino acids. Recent studied show that (BCAA) increased positively with insulin resistance and glycine work inversely this make a predictive for Type 2 DM. the present study show a higher significance increase of BCAA in prediabetes patients compared to control and lower significance decrease of glycine in prediabetes compared to control. In conclusion Amino acid and glucose metabolism are closely linked; amino acids represent a main reservoir for gluconeogenesis and influence insulin and glucagon secretion. Both processes are altered early in the pathogenesis of T2D, which, at least in theory, makes amino acids good candidates for biomarkers in this area.
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