Department of Internal Medicine, Faculty of Medicine, Firat University, Elazig, Turkey.
Deparment of Family Medicine, Faculty of Medicine, Firat University, Elazig, Turkey.
Endokrynol Pol. 2020;71(4):319-324. doi: 10.5603/EP.a2020.0024. Epub 2020 Jul 27.
The aim of this study was to investigate serum apelin and resistin levels in patients with impaired fasting glucose, impaired glucose tolerance, type 2 diabetes and metabolic syndrome.
The study comprised 18 patients with type 2 diabetes mellitus (T2DM) (nine females, nine males), 18 patients with impaired fasting glucose (IFG) (nine females, nine males), 18 patients with impaired glucose tolerance (IGT) (nine females, nine males), 18 patients with metabolic syndrome (MeS) (nine females, nine males), and 16 healthy individuals (eight females, eight males); serum adiponectin, apelin, resistin levels, fasting and postprandial blood glucose, insulin resistance markers, and lipid parameters were measured.
In the study, serum apelin levels were determined to be significantly lower in IGT, MeS, and T2DM groups compared with the control group (p = 0.002, p = 0.006, and p < 0.001, respectively). Serum resistin levels were determined to be significantly higher in IGT and T2DM groups compared with the control group (p < 0.001 and p < 0.001, respectively).
Apelin and resistin are thought to affect glucose metabolism and insulin resistance. Apelin is an important indicator in individuals with IGT in the prediabetic period and may play a role in preventing diabetic complications and treatment of T2DM.
本研究旨在探讨空腹血糖受损、糖耐量受损、2 型糖尿病及代谢综合征患者血清中脂联素、apelin 和 resistin 的水平。
本研究纳入 18 例 2 型糖尿病患者(9 名女性,9 名男性)、18 例空腹血糖受损患者(9 名女性,9 名男性)、18 例糖耐量受损患者(9 名女性,9 名男性)、18 例代谢综合征患者(9 名女性,9 名男性)和 16 例健康对照者(8 名女性,8 名男性);检测血清脂联素、apelin、resistin 水平,空腹及餐后血糖,胰岛素抵抗标志物及血脂参数。
研究发现,IGT、MeS 和 T2DM 组血清 apelin 水平明显低于对照组(p = 0.002、p = 0.006 和 p < 0.001),IGT 和 T2DM 组血清 resistin 水平明显高于对照组(p < 0.001 和 p < 0.001)。
apelin 和 resistin 可能影响葡萄糖代谢和胰岛素抵抗。apelin 是糖尿病前期 IGT 患者的一个重要指标,可能在预防糖尿病并发症和治疗 2 型糖尿病中发挥作用。