葡萄糖和胰岛素水平与乳腺癌因素的关系

Das Mahashweta, Saha Ishita, Sinha Prasenjit, Medda Sunit Kumar, Das Rabindra Nath
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摘要

血脂和葡萄糖代谢被认为是肥胖与乳腺癌(BC)之间的中介机制。本文旨在探讨糖尿病生化因子如葡萄糖、胰岛素与BC生化因子如单核细胞趋化蛋白-1 (MCP-1)、脂联素、稳态模型评估评分胰岛素抵抗(HOMA-IR)、抵抗素、瘦素之间的关系。这些目标可以集中在基于剩余因素的两个独立的葡萄糖和胰岛素统计模型上。从葡萄糖的平均模型可以看出,平均葡萄糖水平与BC女性(P= 0.023)、瘦素(P<0.001)、HOMA-IR (P<0.001)呈正相关,而与HOMA-IR与瘦素(即HOMA-IR*瘦素(P<0.001))、脂联素与瘦素(即脂联素*瘦素(P= 0.088))的相互作用呈负相关。同样,从胰岛素的平均模型可以看出,平均胰岛素水平与HOMA-IR (P<0.001)、瘦素(P<0.001)以及Age*MCP-1 (P= 0.091)、葡萄糖*脂联素(P= 0.043)、葡萄糖*抵抗素(P<0.001)、MCP-1*HOMA-IR (P<0.001)的交互作用直接相关,与MCP-1 (P= 0.026)、抵抗素(P<0.001)、脂联素(P= 0.078)、HOMA-IR*体重指数(BMI) (P<0.001)、葡萄糖*HOMA-IR (P<0.001)、瘦素*脂联素(P= 0.071)呈负相关。胰岛素和葡萄糖的差异与BC生化因子有更多的联系。综上所述,糖尿病生化因子如胰岛素和葡萄糖与BC生物标志物如MCP-1、HOMA-IR、瘦素、抵抗素和脂联素高度相关。
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Glucose and insulin levels’ linkages with breast cancer factors
Serum lipid and glucose metabolisms are considered as the intermediary mechanisms for connecting obesity and Breast Cancer (BC). The article aims to identify the linkages between diabetes biochemical factors such as glucose & insulin and BC biochemical factors such as Monocyte Chemoattractant Protein-1 (MCP-1), adiponectin, Homeostasis Model Assessment score Insulin Resistance (HOMA-IR), resistin, leptin. These objectives can be focused on the two separate statistical models of glucose & insulin based on the remaining factors. From the mean model of glucose, it is observed that mean glucose level is directly linked with BC women (P= 0.023), leptin (P<0.001), HOMA-IR (P<0.001), while it is inversely linked with the interaction effects between HOMA-IR & leptin (i.e., HOMA-IR*leptin (P<0.001)) and adiponectin & leptin (i.e., adiponectin* leptin (P= 0.088)). Similarly, from the mean model of insulin, it is observed that mean insulin level is directly linked with HOMA-IR (P<0.001), leptin (P<0.001), and the interaction effects Age*MCP-1 (P= 0.091), glucose*adiponectin (P= 0.043), glucose*resistin (P<0.001), MCP-1*HOMA-IR (P<0.001), while it is reciprocally linked with MCP-1 (P= 0.026), resistin (P<0.001), adiponectin (P= 0.078), HOMA-IR*body mass index (BMI) (P<0.001), glucose*HOMA-IR (P<0.001), leptin*adiponectin (P= 0.071). There are more linkages of the variances of insulin and glucose with the BC biochemical factors. Based on the summarized results it is interpreted that diabetes biochemical factors such as insulin and glucose are highly linked with BC biomarkers such as MCP-1, HOMA-IR, leptin, resistin, and adiponectin.
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