Foot muscle energy reserves in diabetic patients without and with clinical peripheral neuropathy.

Foot muscle energy reserves in diabetic patients without and with clinical peripheral neuropathy.
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DOI:
10.2337/dc09-0536
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发表时间:
2009-08
期刊:
影响因子:
16.2
通讯作者:
Veves A
Veves A
中科院分区:
医学1区
文献类型:
--
作者:
Dinh T;Doupis J;Lyons TE;Kuchibhotla S;Julliard W;Gnardellis C;Rosenblum BI;Wang X;Giurini JM;Greenman RL;Veves A

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研究糖尿病非神经病变和神经病变患者足部肌肉能量储备的变化。我们测量了磷酸肌酸酐(PCr)/无机磷酸盐(Pi)的比例,总31 P浓度,并在跖骨头区域的肌肉中使用MRI光谱在健康对照组和非神经性和神经性糖尿病患者的脂质/水比。PCr/Pi比值在对照组(3.23 ± 0.43)高于非神经病组(2.61 ± 0.36),而在神经病组最低(0.60 ± 1.02)(P < 0.0001)。对照组和非神经病组之间的总31 P浓度和脂/水比无差异,但神经病组的这两个测量值有差异(P < 0.0001)。静息足肌能量储备在糖尿病周围神经病变发生之前就受到影响,并与内皮功能障碍和炎症有关。
To investigate changes in the foot muscle energy reserves in diabetic non-neuropathic and neuropathic patients. We measured the phosphocreatinine (PCr)/inorganic phosphate (Pi) ratio, total 31P concentration, and the lipid/water ratio in the muscles in the metatarsal head region using MRI spectroscopy in healthy control subjects and non-neuropathic and neuropathic diabetic patients. The PCr/Pi ratio was higher in the control subjects (3.23 ± 0.43) followed by the non-neuropathic group (2.61 ± 0.36), whereas it was lowest in the neuropathic group (0.60 ± 1.02) (P < 0.0001). There were no differences in total 31P concentration and lipid/water ratio between the control and non-neuropathic groups, but both measurements were different in the neuropathic group (P < 0.0001). Resting foot muscle energy reserves are affected before the development of peripheral diabetic neuropathy and are associated with the endothelial dysfunction and inflammation.
DOI: 10.2337/diabetes.48.9.1856
发表时间: 1999-09-01
期刊: DIABETES
影响因子: 7.7
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