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系统性红斑狼疮与代谢综合征中的生物标志物

Biomarkers in Systemic Lupus Erythematosus along with Metabolic Syndrome.

作者信息

Corona-Meraz Fernanda Isadora, Vázquez-Del Mercado Mónica, Sandoval-García Flavio, Robles-De Anda Jesus-Aureliano, Tovar-Cuevas Alvaro-Jovanny, Rosales-Gómez Roberto-Carlos, Guzmán-Ornelas Milton-Omar, González-Inostroz Daniel, Peña-Nava Miguel, Martín-Márquez Beatriz-Teresita

机构信息

Multidisciplinary Health Research Center, Department of Biomedical Sciences, University Center of Tonala, University of Guadalajara, Guadalajara 45425, Jalisco, Mexico.

Department of Molecular Biology and Genomics, Institute of Rheumatology and Musculoskeletal System Research, University Center of Health Sciences, University of Guadalajara, Guadalajara 44340, Jalisco, Mexico.

出版信息

J Clin Med. 2024 Mar 29;13(7):1988. doi: 10.3390/jcm13071988.

Abstract

Metabolic syndrome (MetS) is a group of physiological abnormalities characterized by obesity, insulin resistance (IR), and hypertriglyceridemia, which carry the risk of developing cardiovascular disease (CVD) and type 2 diabetes (T2D). Immune and metabolic alterations have been observed in MetS and are associated with autoimmune development. Systemic lupus erythematosus (SLE) is an autoimmune disease caused by a complex interaction of environmental, hormonal, and genetic factors and hyperactivation of immune cells. Patients with SLE have a high prevalence of MetS, in which elevated CVD is observed. Among the efforts of multidisciplinary healthcare teams to make an early diagnosis, a wide variety of factors have been considered and associated with the generation of biomarkers. This review aimed to elucidate some primary biomarkers and propose a set of assessments to improve the projection of the diagnosis and evolution of patients. These biomarkers include metabolic profiles, cytokines, cardiovascular tests, and microRNAs (miRs), which have been observed to be dysregulated in these patients and associated with outcomes.

摘要

代谢综合征(MetS)是一组以肥胖、胰岛素抵抗(IR)和高甘油三酯血症为特征的生理异常情况,这些异常会增加患心血管疾病(CVD)和2型糖尿病(T2D)的风险。在代谢综合征中已观察到免疫和代谢改变,且这些改变与自身免疫性疾病的发展相关。系统性红斑狼疮(SLE)是一种由环境、激素和遗传因素的复杂相互作用以及免疫细胞过度激活引起的自身免疫性疾病。SLE患者中代谢综合征的患病率很高,且观察到其心血管疾病发生率升高。在多学科医疗团队为早期诊断所做的努力中,已经考虑了各种各样的因素,并将其与生物标志物的产生相关联。本综述旨在阐明一些主要的生物标志物,并提出一套评估方法以改善对患者诊断和病情发展的预测。这些生物标志物包括代谢谱、细胞因子、心血管检查和微小RNA(miR),已观察到这些指标在这些患者中失调并与疾病转归相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03d6/11012563/4660e6bfb163/jcm-13-01988-g001.jpg

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