The beta cell lesion in type 2 diabetes: there has to be a primary functional abnormality.

The beta cell lesion in type 2 diabetes: there has to be a primary functional abnormality.
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DOI:
10.1007/s00125-009-1321-z
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发表时间:
2009-06
期刊:
影响因子:
8.2
通讯作者:
Hull, R. L.
Hull, R. L.
中科院分区:
医学1区
文献类型:
--
作者:
Kahn, S. E.;Zraika, S.;Utzschneider, K. M.;Hull, R. L.

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β细胞在2型糖尿病发病机制中的关键作用现已得到充分证实。当在2型糖尿病患者和那些风险增加的人中进行检查时,可以证明β细胞质量减少和β细胞功能异常。是否单独一个是足够的,或两者都是必要的高血压的发展一直有争议。根据对人类和动物的研究,似乎两者都不够。相反,对于葡萄糖升高到糖尿病的诊断水平,需要β细胞质量和β细胞功能两者的缺陷。
The critical role of the beta cell in the pathogenesis of type 2 diabetes is now well established. When examined in individuals with type 2 diabetes and those at increased risk, reductions in beta cell mass and abnormalities of beta cell function can both be demonstrated. Whether one alone is sufficient or both are necessary for the development of hyperglycaemia has been debated. Based on human and animal studies, it appears that neither alone is sufficient. Rather, for glucose to rise to the level diagnostic of diabetes, defects in both beta cell mass and beta cell function are required.
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