Effects of short-term continuous subcutaneous insulin infusion on fasting plasma fibroblast growth factor-21 levels in patients with newly diagnosed type 2 diabetes mellitus.

Effects of short-term continuous subcutaneous insulin infusion on fasting plasma fibroblast growth factor-21 levels in patients with newly diagnosed type 2 diabetes mellitus.
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DOI:
10.1371/journal.pone.0026359
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发表时间:
2011
期刊:
影响因子:
3.7
通讯作者:
Yang G
Yang G
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Yang M;Dong J;Liu H;Li L;Yang G

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探讨短期持续皮下胰岛素输注(CSII)对初诊2型糖尿病(nT 2DM)患者血浆成纤维细胞生长因子-21(FGF-21)水平的影响。68例nT 2DM患者(nT 2DM组)和52例性别、年龄和体重指数(BMI)匹配的正常葡萄糖耐量(NGT组)对照参与了研究。30例FBG≥14.0 mmol/L的nT 2DM患者接受CSII治疗2周,并在治疗前后进行正常血糖-高胰岛素钳夹试验。用商业ELISA试剂盒测量血浆FGF-21浓度。分析血浆FGF-21水平与代谢参数之间的关系。nT 2 DM组空腹血浆FGF-21水平高于NGT组(1.60±0.08 vs. 1.13±0.26 µg/L,P<0.01)。在nT 2DM患者中,CSII治疗2周后空腹血浆FGF-21浓度显著降低(1.60±0.08 vs.1.30±0.05 µg/L,P<0.05),同时全身葡萄糖摄取(M值)和血糖控制显著增加。血浆FGF-21水平(ΔFGF-21)的变化与M值变化所示的胰岛素抵抗改善呈正相关。血浆FGF-21水平与全身胰岛素敏感性相关,并在短期CSII治疗后显著降低。
To investigate the effects of short-term continuous subcutaneous insulin infusion (CSII) on plasma fibroblast growth factor-21 (FGF-21) levels in patients with newly diagnosed type 2 diabetes mellitus (nT2DM). Sixty-eight patients with nT2DM (nT2DM group), and 52 gender-, age- and body mass index (BMI) -matched normal glucose tolerance (NGT group) controls participated in the study. 30 nT2DM patients with FBG≥14.0 mmol/L were treated with CSII for 2 weeks, and were underwent a euglycemic–hyperinsulinemic clamp pre- and post-treatment. Plasma FGF-21 concentrations were measured with a commercial ELISA kit. The relationship between plasma FGF-21 levels and metabolic parameters was also analyzed. Fasting plasma FGF-21 levels were higher in the nT2DM group than in NGT groups (1.60±0.08 vs. 1.13±0.26 µg/L, P<0.01). In nT2DM patients, fasting plasma FGF-21 concentrations were significantly decreased after CSII treatment for 2 weeks (1.60±0.08 vs.1.30±0.05 µg/L, P<0.05), accompanied by a significant increase in the whole body glucose uptake (M value) and blood glucose control. The changes in plasma FGF-21 levels (ΔFGF-21) were positively associated with the amelioration of insulin resistance shown by the changes in M value. Plasma FGF-21 level is associated with whole body insulin sensitivity and significantly reduced following short-term CSII treatment.
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