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慢性肾衰竭患者血清脂联素与微炎症关系探讨(2)
http://www.100md.com 2011年5月15日 张凤花
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     慢性肾衰竭患者中营养状况较差,易于感染等因素加重了患者的炎症状态,而慢性肾衰患者脂联素水平增高是否与体内炎症状态有关,我们研究中慢性肾衰竭患者CRP与脂联素与健康对照组有明显差异,与文献报道一致。但二者呈正相关,考虑脂联素是由于炎症反应的一种代偿性增高,与Zoccali等[12]的研究中脂联素水平与体内炎症状态并无相关性的报道不相符。而纠其原因,脂联素可以从肾小球率过,因此有些肾脏病本身的高率过是否影响脂联素水平,这有待学者们的进一步证实。

    总之,脂联素作为一种新发现的脂肪细胞因子在糖尿病、心血管以及肾脏疾病中发挥着重要的作用,并有可能为这些疾病的诊断与治疗提供思路。

    参 考 文 献

    [1] 叶云洁.终末期肾病微炎性反应状态和动脉粥样硬化的关系.中华肾脏病杂志,2004,20(3):173-176.

    [2] Kalousova M, Zima T, Tesar V, et al. Relationship between advanced glycoxidation end products,inflammatory markers/acutephase reactants, and some autoantibodies in chronic hemodialysis patients.Kidney Int Suppl,2003,84(Supp1):S62-64.

    [3] Parekh RS, Plantinga LC, Kao WH, et al. The association of sudden cardiac death with inflammation and other traditional risk factors. Kidney Int,2008,74(10):1335-1342.

    [4] Kaysen GA. Inflammation: cause of vascular disease and malnutrition in dialysis patients. Semin Nephrol,2004,24(5):431-436.

    [5] Froebis J, Tsao T S, Javorschi S, et al. Proteolytie cleavage product of 30-KDa adipocyte complement-related protein increase fatty acid oxidation in muscle and cause weight loss in mice. Proc Nat Acad Sei USA,2001,98:2005-2010.

    [6] Tum as E, Tsao T S, Saha A K, et al. Enhanced muscle fat oxidation and glucose transport by ACRP30 globular domain: acetyl-CoA carboxylase inhibition and AMP-actlvated protein kinase activationL. Proc Nail Acad Sci USA,2002,99:16309-16313.

    [7] Yamanchi T, Kamon J, Mizokoshi Y, et al. Adiponectin stimulates glucose utilization and fatty-acid oxidation by activating AMP-activated protein kinase ......

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