河北医科大学学报 ›› 2023, Vol. 44 ›› Issue (4): 402-406.doi: 10.3969/j.issn.1007-3205.2023.04.007

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2型糖尿病合并冠心病患者血浆半乳糖凝集素3水平及相关因素研究

  

  1. 河北医科大学第三医院内分泌二科,河北 石家庄 050051

  • 出版日期:2023-04-20 发布日期:2023-04-20
  • 作者简介:田梅梅(1984-),女,河北沧州人,河北医科大学第三医院主治医师,医学博士研究生,从事内分泌与代谢病诊治研究。
  • 基金资助:
    河北省医学科学研究课题计划(20170642)

Plasma galectin-3 level and related factors in type 2 diabetic patients with coronary artery disease

  1. The Second Department of Endocrinology, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China

  • Online:2023-04-20 Published:2023-04-20

摘要: 目的 探讨血浆半乳糖凝集素3(galectin-3,Gal-3)水平与2型糖尿病(type 2 diabetes mellitus,T2DM)合并冠心病(coronary artery disease,CAD)的相关性。
方法 选取T2DM患者60例设为T2DM组,T2DM合并CAD患者60例设为T2DM+CAD组。收集患者病程、年龄等数据。酶联免疫吸附测定(enzyme-linked immunosorbent assay,ELISA)  法检测两组血浆Gal-3水平,同时明确血浆 Gal-3水平与心脏射血分数、糖化血红蛋白、C反应蛋白等指标的相关性。
结果 T2DM与T2DM+CAD组患者年龄、性别、吸烟情况、饮酒情况以及血脂等生化指标差异无统计学意义。与T2DM组相比,T2DM+CAD 组患者血浆Gal-3明显升高(P<0.01),且血浆 Gal-3 水平与高密度脂蛋白水平呈负相关(P<0.05 )。多元线性回归分析显示糖化血红蛋白、C反应蛋白是血浆Gal-3的影响因素。Logistic回归分析显示血浆Gal-3水平、年龄是CAD发生的影响因素。
结论 T2DM+CAD患者血浆 Gal-3水平明显升高,可能是 T2DM 患者发生CAD的影响因素。

关键词: 糖尿病, 2型, 冠心病、半乳糖凝集素3

Abstract: Objective To investigate the correlation between plasma galectin-3 (Gal-3) level and type 2 diabees mellitus (T2DM) complicated with coronary artery disease (CAD). 
Methods Sixty patients with T2DM (T2DM group) and 60 patients with T2DM and CAD (T2DM+CAD group) were enrolled in this study. Patients' data including course of disease and age were collected. Left ventricular ejection fraction was assessed by echocardiography. Enzyme-linked immunosorbent assay (ELISA) was used to measure plasma Gal-3 levels in the two groups. The correlation of Gal-3 levels with cardiac ejection fraction, glycosylated hemoglobin and C-reactive protein (CRP) was analyzed. 
Results There was no significant difference in age, gender, smoking, alcohol consumption, and biochemical indicators such as blood lipids between the T2DM and T2DM+CAD groups. Compared with that in T2DM patients, plasma Gal-3 level was significantly increased in patients with T2DM+CAD (P<0.01). Plasma Gal-3 level was negatively correlated with high-density lipoprotein (HDL) level (P<0.05). Multiple linear regression analysis showed that glycosylated hemoglobin and CRP were influencing factors for plasma Gal-3 levels. Logistic regression analysis showed that plasma Gal-3 level and age were the risk factors influencing the occurrence of CAD in T2DM patients. 
Conclusion Plasma Gal-3 level is significantly increased in T2DM+CAD patients, which may be an influencing factor for the occurrence of CAD in T2DM patients.


Key words: type 2 diabetes mellitus, coronary artery disease, galectin- 3