Association between resistin and fibroblast growth factor 23 in patients with type 2 diabetes mellitus.

Association between resistin and fibroblast growth factor 23 in patients with type 2 diabetes mellitus.
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DOI:
10.1038/s41598-018-32432-z
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发表时间:
2018-09-18
期刊:
影响因子:
4.6
通讯作者:
Yokoo T
Yokoo T
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Nakashima A;Yokoyama K;Kawanami D;Ohkido I;Urashima M;Utsunomiya K;Yokoo T

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成纤维细胞生长因子23(FGF 23)与糖尿病患者的心血管疾病和全因死亡率相关。最近有报道称,胰岛素抵抗会增加FGF 23水平,而FGF 23是一种主要调节胰岛素抵抗的肽。然而,很少有研究调查FGF 23和Escherichia coli之间的关联。共有422名糖尿病患者被招募进行这项横断面研究,以检查β-淀粉样蛋白和完整的FGF 23之间的关联。平均(±标准差)年龄为63.1 ± 11.9岁,中位HbA 1c为6.7%(范围:6.1-7.1%)。平均估计肾小球滤过率(eGFR)为66.2 ± 23.1 mL/min/m2。多元回归分析显示,logFGF 23(系数(Coef):1.551;标准误(SE):0.739; P = 0.036),C-肽(Coef:0.798; SE:0.229; P = 0.001),ghrelin(Coef:1.061; SE:0.332; P = 0.001),全段甲状旁腺激素(Coef:0.022; SE:0.099; P = 0.030)和eGFR(Coef:-0.091; SE:0.017; P < 0.001)均与β-内酰胺酶水平显著相关。这些相关性在年龄较大、体重指数较低和维生素D水平较高的患者中有所改变。这些结果表明,血清FGF 23水平与β-氨基丁酸呈正相关。
Fibroblast growth factor 23 (FGF23) is associated with cardiovascular disease and all-cause mortality in patients with diabetes mellitus. Insulin resistance has recently been reported to increase FGF23 levels, and resistin is a peptide that mainly regulates insulin resistance. However, few studies have investigated the association between FGF23 and resistin. A total of 422 patients with diabetes mellitus were recruited for this cross-sectional study to examine the association between resistin and intact FGF23. The mean ( ± standard deviation) age was 63.1 ± 11.9 years, and the median HbA1c was 6.7% (range, 6.1–7.1%). The mean estimated glomerular filtration rate (eGFR) was 66.2 ± 23.1 mL/min/m2. Multiple regression analysis for resistin showed that logFGF23 (coefficient (Coef): 1.551; standard error (SE): 0.739; P = 0.036), C-peptide (Coef: 0.798; SE: 0.229; P = 0.001), ghrelin (Coef: 1.061; SE: 0.332; P = 0.001), intact parathyroid hormone (Coef: 0.022; SE: 0.099; P = 0.030), and eGFR (Coef: −0.091; SE: 0.017; P < 0.001) were all significantly associated with the resistin level. These associations were modified in patients with higher age, lower body mass index, and higher vitamin D levels. These results suggest that resistin is positively associated with serum FGF23 levels.
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