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T2DM患者血游离脂肪酸、ω-3多不饱和脂肪酸、饱和脂肪酸变化及与糖尿病肾病发生的相关性
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作者 陈青云 廖继成 李晨 《联勤军事医学》 CAS 2024年第9期753-757,共5页
目的探究2型糖尿病(diabetes mellitus type 2,T2DM)患者血游离脂肪酸(free fatty acid,FFA)、ω-3多不饱和脂肪酸(omega-3 polyunsaturated fatty acid,ω-3PUFA)、饱和脂肪酸水平变化及与糖尿病肾病(diabetic kidney disease,DKD)发... 目的探究2型糖尿病(diabetes mellitus type 2,T2DM)患者血游离脂肪酸(free fatty acid,FFA)、ω-3多不饱和脂肪酸(omega-3 polyunsaturated fatty acid,ω-3PUFA)、饱和脂肪酸水平变化及与糖尿病肾病(diabetic kidney disease,DKD)发生的相关性。方法随机选取2023-01/2023-12月作者医院收治的84例DKD患者纳入DKD组,选取同期60例单纯T2DM患者纳入T2DM组,另选取60例健康体检者纳入对照组。比较3组受试者FFA、ω-3PUFA及饱和脂肪酸水平,检测并比较3组受试者肾功能血尿酸(uric acid,UA)、血肌酐(creatinine,Cr)、肾小球滤过率(glomerular filtration rate,eGFR)和尿蛋白水平。采用Pearson法分析DKD患者血FFA、ω-3PUFA及饱和脂肪酸水平与肾功能UA、Cr、eGFR和尿蛋白水平的相关性。根据eGFR水平将DKD患者分为预后良好组(n=49)和预后不良组(n=35),比较两组患者血FFA、ω-3PUFA、饱和脂肪酸水平。结果与对照组比较,DKD组、T2DM组患者FFA、饱和脂肪酸、UA、Cr、尿蛋白水平明显升高,ω-3PUFA、eGFR水平明显降低(P均<0.05);与T2DM组比较,DKD组患者FFA、饱和脂肪酸、UA、Cr、尿蛋白水平明显升高,ω-3PUFA、eGFR水平明显降低(P均<0.05)。Pearson相关性分析显示,FFA、饱和脂肪酸水平与UA、Cr、尿蛋白水平呈正相关关系,与eGFR水平呈负相关关系(P<0.05);而ω-3PUFA水平与UA、Cr、尿蛋白水平呈负相关关系,与eGFR水平呈正相关关系(P<0.05)。预后不良组DKD患者FFA、饱和脂肪酸水平高于预后良好组,而ω-3PUFA水平低于预后良好组(P均<0.05)。结论T2DM患者血FFA、饱和脂肪酸水平升高,且二者水平与DKD发生正相关,ω-3PUFA水平降低,且其水平与DKD发生负相关,并且在一定程度上可反映DKD预后情况。 展开更多
关键词 2型糖尿病 糖尿病肾病 血游离脂肪酸 Ω-3多不饱和脂肪酸 饱和脂肪酸水平 肾功能 相关性
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老年患者血管源性脑白质病变与血游离脂肪酸的相关性研究 被引量:3
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作者 吕书悦 李松涛 +1 位作者 吴凡 赵晴 《中国实验诊断学》 2022年第8期1194-1198,共5页
目的分析老年患者血管源性脑白质病变与血游离脂肪酸的相关性。方法纳入2020年9月-2021年7月在吉林大学中日联谊医院南湖神经内科住院的脑小血管病患者194例,根据头MR显示的脑白质病变程度进行Fazekas评分,按照评分结果对纳入患者进行... 目的分析老年患者血管源性脑白质病变与血游离脂肪酸的相关性。方法纳入2020年9月-2021年7月在吉林大学中日联谊医院南湖神经内科住院的脑小血管病患者194例,根据头MR显示的脑白质病变程度进行Fazekas评分,按照评分结果对纳入患者进行分级。收集患者的一般资料、低密度脂蛋白胆固醇、血同型半胱氨酸及血游离脂肪酸等数据。比较不同程度脑白质病变患者的一般资料及血游离脂肪酸。结果(1)不同程度的脑白质病变患者在吸烟史、高血压病史、年龄、同型半胱氨酸、月桂酸、山嵛酸、花生酸、硬脂酸、二十二碳六烯酸、二十碳五烯酸存在明显差异(P<0.05);(2)血游离脂肪酸与脑白质病变分级的相关性分析:月桂酸(r=-0.314,P<0.001)、山嵛酸(r=-0.164,P=0.022)、硬脂酸(r=0.182,P=0.011),二十二碳六烯酸(r=0.149,P=0.038),二十碳五烯酸(r=-0.0167,P=0.020)存在差异(P<0.05);(3)对脑白质病变分级行多因素logistic回归分析显示年龄、高血压病史、月桂酸、同型半胱氨酸、硬脂酸与脑白质病变严重程度存在独立相关性。结论月桂酸和硬脂酸与脑白质病变的严重程度具有独立相关性,血液中月桂酸水平越低、硬脂酸水平越高,脑白质病变越重。因此月桂酸与硬脂酸可在一定程度上反映脑白质病变的程度,在临床上具有预测价值,为脑白质病变的诊断及治疗提供新的思路。 展开更多
关键词 脑白质病变 血游离脂肪酸 月桂酸 硬脂酸
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胰岛素抵抗状态下高游离脂肪酸血症对血管内皮细胞功能的影响 被引量:8
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作者 余叶蓉 《中华糖尿病杂志(1006-6187)》 CAS CSCD 北大核心 2005年第4期313-315,共3页
关键词 胰岛素抵抗 游离脂肪酸 管内皮细胞 细胞功能 代谢综合征 动脉粥样硬化
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高游离脂肪酸血症是胰岛素抵抗在高血压发病机制中的作用环节之一 被引量:5
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作者 王顺 《心血管病学进展》 CAS 2003年第3期201-205,共5页
胰岛素抵抗在高血压发病机制中的作用日益得到重视 ,但其具体意义尚不清楚。
关键词 游离脂肪酸 胰岛素抵抗 发病机制 胰岛素 游离脂肪酸
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THADA基因多态性及外周血FFA、irisin与多囊卵巢综合征发病风险的相关性 被引量:1
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作者 董延华 樊荣 《中国计划生育学杂志》 2022年第8期1836-1840,共5页
目的:探究THADA基因单核苷酸多态性(SNP)位点rs13429458及循环血游离脂肪酸(FFA)、irisin与多卵巢综合征(POCS)发病的相关性。方法:将本院2018年1月-2021年1月收治的PCOS患者112例纳为观察组,80例因男方因素不孕的同龄妇女纳为正常组,... 目的:探究THADA基因单核苷酸多态性(SNP)位点rs13429458及循环血游离脂肪酸(FFA)、irisin与多卵巢综合征(POCS)发病的相关性。方法:将本院2018年1月-2021年1月收治的PCOS患者112例纳为观察组,80例因男方因素不孕的同龄妇女纳为正常组,采用聚合酶链反应-限制性片段长度多态性分析THADA基因SNP多态性,酶联免疫吸附法检测患者外周血FFA、irisin水平,分析THADA基因多态性、血FFA及irisin水平与PCOS发病的关系。结果:Hardy-Weinberg平衡试验结果提示,所纳入的研究群体具有代表性。rs134294858基因型分布及等位基因频率观察组与正常组存在差异(P<0.05)。PCOS患者中,THADA基因rs13429458位点TG+GG型与TT型患者多毛评分、黄体生成素/卵泡刺激素、雌二醇、睾酮、孕酮、甘油三酯、低密度脂蛋白、高密度脂蛋白水平及腰臀比无差异(P>0.05);而TG+GG型患者体质指数及胰岛素抵抗(IR)患者比例均高于TT型患者,胰岛素0、30、60、120、180mIU/L,血糖30、60、120mmol/L以及胰岛素抵抗指数均高于TT型患者(均P<0.05);TG+GG型与TT型患者血糖0、180无差异(P>0.05)。观察组外周血FFA水平均高于正常组,irisin水平低于正常组(P<0.05);PCOS患者中存在IR患者外周血FFA水平高于非IR患者,irisin水平低于非IR患者,TG+GG基因型患者FFA水平高于TT基因型患者,irisin水平低于TT型患者(均P<0.05)。结论:易感基因THADA SNP突变可能通过影响患者糖代谢,增加外周血FFA水平,降低irisin水平,共同促进IR,参与PCOS的致病机制。 展开更多
关键词 多卵巢综合征 THADA基因多态性 血游离脂肪酸 irisin 相关性
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高游离脂肪酸血症对不同糖耐量水平老年人血管内皮功能的影响 被引量:2
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作者 都健 姜冉华 +2 位作者 赵玉岩 赵晓娟 刘国良 《中华老年医学杂志》 CAS CSCD 北大核心 2006年第4期278-279,共2页
  血管内皮功能障碍是动脉粥样硬化(AS)的早期改变,与高血压、糖耐量受损或糖尿病、肥胖、脂代谢紊乱和吸烟等有关[1].血管内皮功能的评价已成为AS诊断的重要依据之一.高游离脂肪酸(FFAs)血症是代谢综合征患者的一个普遍现象,我...   血管内皮功能障碍是动脉粥样硬化(AS)的早期改变,与高血压、糖耐量受损或糖尿病、肥胖、脂代谢紊乱和吸烟等有关[1].血管内皮功能的评价已成为AS诊断的重要依据之一.高游离脂肪酸(FFAs)血症是代谢综合征患者的一个普遍现象,我们通过测定不同血糖和不同糖耐量水平老年人FFAs水平以及应用高分辨血管外彩色多普勒仪进行肱动脉内皮依赖性血管舒张功能的评价,旨在分析FFAs与内皮功能之间的关系及临床意义。 展开更多
关键词 管内皮功能障碍 游离脂肪酸 糖耐量受损 老年人 动脉粥样硬化(AS) 内皮依赖性管舒张功能 彩色多普勒仪 FFAS 代谢综合征
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胰岛素抵抗与血管内皮细胞功能异常——高游离脂肪酸血症扮演了主要角色? 被引量:9
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作者 余叶蓉 《国际内分泌代谢杂志》 2006年第3期203-204,208,共3页
关键词 管内皮细胞功能异常 游离脂肪酸 胰岛素抵抗状态 代谢综合征 动脉粥样硬化 影响的研究 普通人群 组成成分
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糖尿病高游离脂肪酸血症与血管内皮细胞功能障碍 被引量:6
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作者 贤惠敏 王丽宏 +1 位作者 郭译远 车慧 《中华糖尿病杂志》 CAS CSCD 2016年第8期499-501,共3页
研究发现,血管内皮细胞功能障碍vascular endothelial dysfunction,VED)是糖尿病视网膜病变(diabetic retinopathy,DR)、糖尿病。肾病、动脉粥样硬化(atherosclerosis,AS)等糖尿病血管并发症发生的共同早期阶段,与糖尿病高血... 研究发现,血管内皮细胞功能障碍vascular endothelial dysfunction,VED)是糖尿病视网膜病变(diabetic retinopathy,DR)、糖尿病。肾病、动脉粥样硬化(atherosclerosis,AS)等糖尿病血管并发症发生的共同早期阶段,与糖尿病高血糖、血脂代谢紊乱、肾素.血管紧张素系统上调等多种因素有关,其中,VED与游离脂肪酸(FFA)升高关系密切,日益受到关注。本文就二者之间的关系及相关机制作一综述。 展开更多
关键词 管内皮细胞功能障碍 糖尿病视网膜病变 游离脂肪酸 糖尿病管并发症 管紧张素系统 动脉粥样硬化 脂代谢紊乱
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Roles of the Lipid Metabolism in Hepatic Stellate Cells Activation 被引量:2
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作者 Xin-yan Jing Xue-feng Yang +1 位作者 Kai Qing Yan Ou-Yang 《Chinese Medical Sciences Journal》 CAS CSCD 2013年第4期233-236,共4页
Abstract The lipids present in hepatic stellate cells (HSCs) lipid droplets include retinyl ester, triglyceride, cholesteryl ester, cholesterol, phospholipids and free fatty acids. Activation of HSCs is crucial to t... Abstract The lipids present in hepatic stellate cells (HSCs) lipid droplets include retinyl ester, triglyceride, cholesteryl ester, cholesterol, phospholipids and free fatty acids. Activation of HSCs is crucial to the development of fibrosis in liver disease. During activation, HSCs transform into myofibroblasts with concomitant loss of their lipid droplets and production of excessive extracellular matrix. Release of lipid droplets containing retinyl esters and triglyceride is a defining feature of activated HSCs. Accumulating evidence supports the proposal that recovering the accumulation of lipids would inhibit the activation of HSCs. In healthy liver, quiescent HSCs store 80% of total liver retinols and release them depending on the extracellular retinol status. However, in injured liver activated HSCs lose their retinols and produce a considerable amount of extracelhilar matrix, subsequently leading to liver fibrosis. Further findings prove that lipid metabolism of HSCs is closely associated with its activation, yet relationship between activated HSCs and the lipid metabolism has remained mysterious. 展开更多
关键词 hepatic stellate cells vitamin A TRIGLYCERIDE CHOLESTEROL cell activation
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Effects of Subcutaneous Fat Stores on Serum Phospholipids and Nonesterified Fatty Acid Lipid Fractions in Periparturient Dairy Cows
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作者 Cynthia Madeleine Scholte Pedram Rezamand Shannon Louise Shields Kirk Christen Ramsey 《Journal of Agricultural Science and Technology(B)》 2014年第5期352-359,共8页
Negative energy balance in early lactating dairy cows results in a massive release of fatty acids (FA) into the blood in nonesterified fatty acids (NEFA) form. Large quantities of circulating NEFA may alter the se... Negative energy balance in early lactating dairy cows results in a massive release of fatty acids (FA) into the blood in nonesterified fatty acids (NEFA) form. Large quantities of circulating NEFA may alter the serum FA profile of phospholipids (PL) fraction, which is responsible for cellular plasma membrane integrity and intercellular signaling. The objective of this study was to determine the effects of subcutaneous fat stores, as assessed by body condition score (BCS) on a scale of one to five, around the time of calving and the subsequent lipomobilization on FA profile of serum NEFA and PL lipid fractions, and on productive performance. Based on BCS, cows were retrospectively dichotomized into two groups: over-conditioned (BCS _〉 3.25) and control (BCS _〈 3.0). 22 cows had serum samples obtained at -28, -7, 8, 18 and 28 d relative to parturition and analyzed for the FA profile of the NEFA and PL fractions. As expected, over-conditioned cows had greater total plasma NEFA concentrations and decreased dry matter intake. Milk yield and composition did not differ between groups. More importantly however, several FA in the NEFA fraction of plasma lipids varied significantly, including C14:1, C16:0, C18:0 and C20:3n3. In the PL fraction, other FA varied significantly by BCS around time of parturition, including C16:0, C17:0, total C18:2 cis, and C20:2. In summary, BCS did affect FA profile of serum NEFA and PL lipid fractions. This may have drastic consequences for circulating immune cells and their ability to fight infection by altering their FA profile. 展开更多
关键词 Lipid mobilization PHOSPHOLIPID nonesterified fatty acid dairy cow.
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Inhibitive effects of glucose and free fatty acids on proliferation of humanvascular endothelial cells in vitro 被引量:9
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作者 苏进 田浩明 +1 位作者 刘瑞 梁荩忠 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第10期1486-1490,共5页
OBJECTIVES: To investigate the effects of glucose and free fatty acids (FFAs) on the proliferation and cell cycle of human vascular endothelial cells in vitro, and to examine whether the combined presence of elevated ... OBJECTIVES: To investigate the effects of glucose and free fatty acids (FFAs) on the proliferation and cell cycle of human vascular endothelial cells in vitro, and to examine whether the combined presence of elevated FFAs and glucose may cross-amplify their individual injurious effects. METHODS: Cultured human vascular endothelial cells (ECV304) were incubated with various concentrations of glucose and/or FFAs (palmitate and/or oleate) for 24 - 96 h. Morphologic alterations were observed using a phase contrast microscope and an electron microscope. Inhibition of proliferation was measured by a colorimetric 3-[4, 5-dimethyl thiazol-2-yl]-2, 5-diphenyltetrazolium bromide (MTT) assay. Cell viability was determined using trypan blue exclusion. Distribution of cells along phases of the cell cycle was analyzed by flow cytometry. RESULTS: Glucose 15 or 30 mmol/L, palmitate (PA) 0.25 or 0.5 mmol/L, and oleate (OA) 0.5 mmol/L inhibited proliferation and accelerated death of endothelial cells in a dose-and-time-dependent manner. After treatment with elevated glucose and/or FFAs, the G(0)/G(1) phase cells increased, whereas S phase cells decreased, suggesting that high glucose and/or FFAs mainly arrested endothelial cells at G(0)/G(1) phase. The inhibitive rates of proliferation and population of dead cells in endothelial cells incubated with glucose plus FFAs (glucose 30 mmol/L + PA 0.25 mmol/L, glucose 30 mmol/L + OA 0.5 mmol/L, glucose 30 mmol/L + PA 0.25 mmol/L + OA 0.5 mmol/L) increased more markedly than those treated with high glucose or FFAs (PA and/or OA) alone. CONCLUSION: Both high ambient glucose and FFAs can inhibit proliferation and accelerate death of endothelial cells in vitro. These changes were cross-amplified in the combined presence of high levels of glucose and FFAs. 展开更多
关键词 Cell Division Cell Survival Cells Cultured Endothelium Vascular Fatty Acids Nonesterified GLUCOSE Humans
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胃旁路术与胰岛素敏感性的关系
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作者 柏晓勇(摘译) 王坚(审校) 《中华糖尿病杂志》 CAS 2011年第4期357-357,共1页
一般认为,高游离脂肪酸血症介导肥胖人群胰岛素抵抗。既往研究表明,胃旁路术可改善胰岛素对糖代谢的作用。然而,胃旁路术对非糖尿病患者脂肪组织胰岛素敏感性的影响尚不清楚。有人推测,胃旁路术治疗可增高胰岛素敏感性,但仍低于偏... 一般认为,高游离脂肪酸血症介导肥胖人群胰岛素抵抗。既往研究表明,胃旁路术可改善胰岛素对糖代谢的作用。然而,胃旁路术对非糖尿病患者脂肪组织胰岛素敏感性的影响尚不清楚。有人推测,胃旁路术治疗可增高胰岛素敏感性,但仍低于偏瘦者。 展开更多
关键词 胰岛素敏感性 胃旁路术 游离脂肪酸 胰岛素抵抗 肥胖人群 脂肪组织 非糖尿病 糖代谢
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Inhibitive effects of glucose and free fatty acids on proliferation of human vascular endothelial cells in vitro 被引量:1
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作者 苏进 田浩明 +1 位作者 刘瑞 梁荩忠 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第10期46-50,147,共6页
s To investigate the effects of glucose and free fatty acids (FFAs) on the proliferation and cell cycle of human vascular endothelial cells in vitro , and to examine whether the combined presence of elevated FFAs ... s To investigate the effects of glucose and free fatty acids (FFAs) on the proliferation and cell cycle of human vascular endothelial cells in vitro , and to examine whether the combined presence of elevated FFAs and glucose may cross amplify their individual injurious effects Methods Cultured human vascular endothelial cells (ECV304) were incubated with various concentrations of glucose and/or FFAs (palmitate and/or oleate) for 24-96 h Morphologic alterations were observed using a phase contrast microscope and an electron microscope Inhibition of proliferation was measured by a colorimetric 3 [4, 5 dimethyl thiazol 2 yl] 2, 5 diphenyltetrazolium bromide (MTT) assay Cell viability was determined using trypan blue exclusion Distribution of cells along phases of the cell cycle was analyzed by flow cytometry Results Glucose 15 or 30 mmol/L, palmitate (PA) 0 25 or 0 5 mmol/L, and oleate (OA) 0 5 mmol/L inhibited proliferation and accelerated death of endothelial cells in a dose and time dependent manner After treatment with elevated glucose and/or FFAs, the G 0/G 1 phase cells increased, whereas S phase cells decreased, suggesting that high glucose and/or FFAs mainly arrested endothelial cells at G 0/G 1 phase The inhibitive rates of proliferation and population of dead cells in endothelial cells incubated with glucose plus FFAs (glucose 30 mmol/L+PA 0 25 mmol/L, glucose 30 mmol/L+OA 0 5 mmol/L, glucose 30 mmol/L+PA 0 25 mmol/L+OA 0 5 mmol/L) increased more markedly than those treated with high glucose or FFAs (PA and/or OA) alone Conclusion Both high ambient glucose and FFAs can inhibit proliferation and accelerate death of endothelial cells in vitro These changes were cross amplified in the combined presence of high levels of glucose and FFAs 展开更多
关键词 glucose · free fatty acids · palmitate · oleate · endothelial cell
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