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胰岛素抵抗与胆囊三角脂肪堆积及其脂肪酶表达的关系研究
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作者 郭怀斌 王兰辉 +2 位作者 张万星 宋光耀 唐勇 《中国全科医学》 CAS CSCD 北大核心 2011年第24期2724-2727,共4页
目的研究胰岛素抵抗(IR)与胆囊三角脂肪堆积程度及脂肪组织中脂肪三酰甘油酯酶(ATGL)、激素敏感性脂肪酶(HSL)表达的关系。方法选择本院择期行胆囊切除手术的住院患者55例,其胰岛素抵抗指数(HOMA-IR)中位数为2.89。将患者分为胰岛素敏感... 目的研究胰岛素抵抗(IR)与胆囊三角脂肪堆积程度及脂肪组织中脂肪三酰甘油酯酶(ATGL)、激素敏感性脂肪酶(HSL)表达的关系。方法选择本院择期行胆囊切除手术的住院患者55例,其胰岛素抵抗指数(HOMA-IR)中位数为2.89。将患者分为胰岛素敏感组(HOMA-IR<2.89)和胰岛素抵抗组(HOMA-IR≥2.89)。术前测定临床指标及血生化指标,术日在手术过程中对胆囊三角脂肪堆积程度分级,并取胆囊三角脂肪组织放入液氮中,测定脂肪组织中ATGL和HSLmRNA及其蛋白的表达。结果 (1)两组患者的年龄、性别间具有均衡性;与胰岛素敏感组比较,胰岛素抵抗组患者的体质指数、腰臀比、血清三酰甘油、空腹胰岛素(FINS)及游离脂肪酸(FFA)水平均显著增高,差异有统计学意义(P<0.05)。(2)与胰岛素敏感组比较,胰岛素抵抗组患者胆囊三角脂肪堆积程度明显严重(P<0.05)。(3)与胰岛素敏感组比较,胰岛素抵抗组患者ATGL、HSL mRNA及其蛋白表达均显著下降,差异有统计学意义(P<0.01)。(4)ATGL和HSL的蛋白表达与FINS、FFA呈负相关(P<0.05)。直线相关分析显示,ATGL与HSL蛋白的表达呈正相关(r=0.708,P<0.01)。结论 IR与胆囊三角脂肪堆积程度有关,内脏脂肪组织中ATGL和HSL的表达参与了这一过程。 展开更多
关键词 胆囊三角 脂肪堆积症 胰岛素抵抗 脂肪三酰甘油酯酶 激素敏感性脂肪
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胆囊三角脂肪堆积对腹腔镜手术的影响和处理 被引量:5
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作者 侯金华 龚兵 +2 位作者 盖兴文 黄峻松 高显清 《腹腔镜外科杂志》 2001年第1期7-8,共2页
目的:探讨胆囊三角脂肪堆积对LC的影响及其预防方法。方法:对典型的胆囊三角区脂肪堆积者从体态,B超和腹腔镜下进行观察和处理,并分析可能造成的影响和提出对策。结果:胆囊三角区脂肪堆积明显影响手术操作,增加难度,由此引起的并发症比... 目的:探讨胆囊三角脂肪堆积对LC的影响及其预防方法。方法:对典型的胆囊三角区脂肪堆积者从体态,B超和腹腔镜下进行观察和处理,并分析可能造成的影响和提出对策。结果:胆囊三角区脂肪堆积明显影响手术操作,增加难度,由此引起的并发症比例高,占LC胆道并发症的44.4%。结论:胆囊三角脂肪堆积增加手术难度,引起胆道并发症比率高。 展开更多
关键词 胆囊三角区 脂肪堆积症 胆囊切除术 腹腔镜
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Abdominal Fat Accumulation with Hyperuricemia and Hypercholesterolemia Quail Model Induced by High Fat Diet 被引量:15
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作者 Zhi-jian Lin Bing Zhang Xiao-qing Liu Hong-lian Yang 《Chinese Medical Sciences Journal》 CAS CSCD 2009年第3期191-194,共4页
Objective To establish abdominal fat accumulation with hyperuricemia and hypercholesterolemia quail model fed with high fat diet. And then to investigate the pathological characteristics of this quail model. Methods ... Objective To establish abdominal fat accumulation with hyperuricemia and hypercholesterolemia quail model fed with high fat diet. And then to investigate the pathological characteristics of this quail model. Methods Thirty Longcheng quails were randomly divided into two groups: control group and model group (n=15). The control group quails were fed with normal diet and model group quails were fed with high fat diet for 14 days. After a 12-hour overnight fast, liver and abdominal fat at euthanasia as well as serum were collected. The levels of serum uric acid, total cholesterol, high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglyceride, free fatty acid (FFA), and blood glucose were assayed. The activity changes of adenosine deaminase (ADA), xanthine oxidase (XOD), lipoprotein lipase (LPL), hepatic lipase (HL), and fatty acid synthetase (FAS) were analyzed. Results Compared with control group, the abdominal fat content (0.74±0.63 vs. 1.36±0.65 g, P〈0.05) and abdominal fat index (0.44%±0.30% vs. 0.85%±0.30%, P〈0.01) as well as live lipid index (3.61%±0.65% vs. 11.33%±2.14%, P〈0.01) in model group significantly increased; the levels of serum uric acid (210.61±94,76 vs. 304.25±141.94 /amol/L, P〈0.05), total cholesterol (4.20±0.51 vs. 20.10±11.25 mmol/L, P〈0.01), LDL-C (1.16±0.29 vs. 10.78±6.48 mmol/L, P〈0.01), and FFA (0.39±0.14 vs. 0.55±0.15 mmol/L, P〈0.01) in model group significantly increased; HDL-C (5.85±0.95 vs. 4.14±2.03 mmol/L, P〈0.05) significantly decreased; the levels of triglyceride and blood glucose had no significant changes (P〉0.05); the activities of ADA (9.71±3.05 vs. 17.19±5.10 U/ml, P〈0.01) and XOD (10.58±6,88 vs. 19.22+9.44 U/L, P〈0.01) in model group significantly increased; and FAS, LPL, HL had no significant changes (P〉0.05). Conclusions High fat diet can induce abdominal fat accumulation with hyperuricemia and hypercholesterolemia quail model. The changes of uric acid and lipid metabolic enzyme activities may he the pathological mechanism of abdominal fat accumulation with hyperuricemia and hypercholesterolemia. 展开更多
关键词 abdominal fat accumulation HYPERURICEMIA HYPERCHOLESTEROLEMIA quail model
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