胰升血糖素样肽1 对新诊断糖尿病患者分泌型卷曲相关蛋白1 和β- 连环蛋白表达水平的影响
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梁丽,E-mail :syynfm2@163.com

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Influence of GLP-1 on SFRP1 and β-catenin in newly-diagnosed type 2 diabetes patients
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    摘要:

    目的 观察新诊断糖尿病患者经胰升血糖素样肽1(GLP-1)治疗后分泌型卷曲相关蛋白1(SFRP1) 和β- 连环蛋白(β-catenin)表达水平的变化。方法 选取2015 年1~12 月于该院内分泌门诊就诊或病房住 院治疗的新诊断T2DM 患者(T2DM 组)72 例和同期体检健康者(NC 组)80 例,收集两组入组时的临床 资料和生化指标并比较。采用酶联吸附免疫法(ELISA)检测两组入组时、T2DM 组经利拉鲁肽治疗12 周 和停药12 周后的SFRP1 和β-catenin 的水平变化。结果 ① T2DM 组BMI、FPG、Fins、HbA1c、HOMAIR 、SFRP1 及β-catenin 均高于NC 组,HOMA-β 低于NC 组;②与入组时比较,T2DM 组治疗12 周和停 药12 周时BMI、FPG、HbA1c、TC、HDL-C、HOMA-IR 均降低,HOMA-β 升高;③ T2DM 组不同时 间SFRP1 和β-catenin 水平比较,差异有统计学意义(F =120.633 和376.649,均P =0.000),利拉鲁肽治疗12 周时和停药12 周时SFRP1 均高于入组时(t =-9.294 和-9.927,均P =0.000),β-catenin 低于入组时(t = 18.468 和6.956,均P =0.000),且停药12 周时SFRP1 低于治疗12 周时(t =6.355,P =0.000),β-catenin 水 平高于治疗12 周时(t =18.129,P =0.000)。结论 GLP-1 治疗新诊断T2DM 患者可改善胰岛β 细胞功能改善, 升高SFRP1 水平,降低β-catenin 的水平,其原因可能与影响Wnt 信号通路有关。

    Abstract:

    Objective To observe the influence of glucagon-like peptide 1 (GLP-1) on secreted frizzled related protein 1 (SFRP1) and β-catenin in newly-diagnosed type 2 diabetes (T2DM) patients. Methods A total of 72 patients who were newly diagnosed as T2DM and cared in the Department of Endocrinology of the People’s Hospital of Liaoning Province from January 2015 to December 2015 were recruited as T2DM group, and at the same time, 80 healthy subjects without T2DM were recruited as normal control (NC) group. The clinical data and biochemical indexes were selected and compared at the beginning of the study. The levels of SFRP1 and β-catenin at the beginning, after 12-week treatment using Liraglutide and 12 weeks after drug withdrawal were measured by enzyme-linked immunosorbent assay (ELISA). Results The levels of BMI, FPG, Fins, HbA1c, HOMA-IR, SFRP1 and β-catenin were higher, and the HOMA-β was lower in the T2DM group than in the NC group (P < 0.05). Compared with the levels at the beginning of the study, the levels of BMI, FPG, HbA1c, TC, HDL-C and HOMA IR were reduced, the HOMA-β was raised in the T2DM group after 12-week treatment and 12 weeks after drug withdrawal (P < 0.05). There were statistically significant differences in SFRP1 and β-catenin in the T2DM group at different time points (F =120.633 and 376.649, P = 0.000); the levels of SFRP1 were higher (t = -9.294 and -9.927, P = 0.000), and the β-catenin levels were lower (t = 18.468 and 6.956, P = 0.000) in the T2DM group after 12-week treatment and 12 weeks after drug withdrawal than those at the beginning; and the SFRP1 level 12 weeks after drug withdrawal was lower than that after 12-week treatment (t = 6.355, P = 0.000), and the β-catenin level was higher than that after 12-week treatment (t = 18.129, P = 0.000). Conclusions GLP-1 can improve islet beta cell function, raise the SFRP1 level and reduce the β-catenin level, which may be related to its influence on the Wnt signaling pathway.

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王笑烨,袁景,孙峥,梁丽.胰升血糖素样肽1 对新诊断糖尿病患者分泌型卷曲相关蛋白1 和β- 连环蛋白表达水平的影响[J].中国现代医学杂志,2018,(13):52-56

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  • 收稿日期:2017-05-11
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  • 在线发布日期: 2018-05-10
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