|
甘油三酯/高密度脂蛋白胆固醇比值与2型糖尿病及其并发症的关系研究进展
|
Abstract:
2型糖尿病(T2DM)是危害人类健康的最常见慢性疾病之一,其危害主要在于慢性并发症。胰岛素抵抗(IR)是T2DM的主要发病机制,也参与其慢性并发症的发生发展,早期识别IR对于预测及预防T2DM的发病、延缓疾病进展、改善患者生存质量都具有重要意义。甘油三酯/高密度脂蛋白胆固醇比值(TG/HDL-C)可作为IR的一项简单替代指标,且与T2DM及其慢性并发症存在着不同程度的相关性。
Type 2 diabetes mellitus (T2DM) is one of the most common chronic diseases jeopardizing human health, and its harm lies mainly in chronic complications. Insulin resistance (IR) is the main pathogenesis of T2DM and is also involved in the development of its chronic complications. Early identification of IR is important for predicting and preventing the onset of T2DM, delaying disease progression, and improving the quality of life of patients. Triglyceride/high-density lipoprotein cholesterol ratio (TG/HDL-C) can be used as a simple surrogate for IR and has been correlated with T2DM and its chronic complications to varying degrees.
[1] | Magliano, D.J. and Boyko, E.J. (2021) IDF Diabetes Atlas. 10th Edition, International Diabetes Federation. |
[2] | Xu, Y. (2013) Prevalence and Control of Diabetes in Chinese Adults. JAMA, 310, 948-959. https://doi.org/10.1001/jama.2013.168118 |
[3] | 王志会, 王临虹, 李镒冲, 等. 2010年中国60岁以上居民高血压和糖尿病及血脂异常状况调查[J]. 中华预防医学杂志, 2012, 46(10): 922-926. |
[4] | Wang, H., Hu, C., Xiao, S. and Wan, B. (2014) Association of Tagging SNPs in the MTHFR Gene with Risk of Type 2 Diabetes Mellitus and Serum Homocysteine Levels in a Chinese Population. Disease Markers, 2014, Article 725731. https://doi.org/10.1155/2014/725731 |
[5] | 张雯欣, 范颂, 刘霞, 等. 不同体质指数和血脂水平老年人糖尿病患病情况的纵向数据研究[J]. 中国全科医学, 2022, 25(9): 1093-1097. |
[6] | DeFronzo, R.A. (2004) Pathogenesis of Type 2 Diabetes Mellitus. Medical Clinics of North America, 88, 787-835. https://doi.org/10.1016/j.mcna.2004.04.013 |
[7] | Gungor, N., Hannon, T., Libman, I., Bacha, F. and Arslanian, S. (2005) Type 2 Diabetes Mellitus in Youth: The Complete Picture to Date. Pediatric Clinics of North America, 52, 1579-1609. https://doi.org/10.1016/j.pcl.2005.07.009 |
[8] | DeFronzo, R.A., Tobin, J.D. and Andres, R. (1979) Glucose Clamp Technique: A Method for Quantifying Insulin Secretion and Resistance. American Journal of Physiology-Endocrinology and Metabolism, 237, E214-E223. https://doi.org/10.1152/ajpendo.1979.237.3.e214 |
[9] | Reaven, G.M. (2005) Compensatory Hyperinsulinemia and the Development of an Atherogenic Lipoprotein Profile: The Price Paid to Maintain Glucose Homeostasis in Insulin-Resistant Individuals. Endocrinology and Metabolism Clinics of North America, 34, 49-62. https://doi.org/10.1016/j.ecl.2004.12.001 |
[10] | Arca, M., Pigna, G. and Favoccia, C. (2012) Mechanisms of Diabetic Dyslipidemia: Relevance for Atherogenesis. Current Vascular Pharmacology, 10, 684-686. https://doi.org/10.2174/157016112803520864 |
[11] | Dobiásová, M. and Frohlich, J. (2000) The New Atherogenic Plasma Index Reflects the Triglyceride and HDL-Cholesterol Ratio, the Lipoprotein Particle Size and the Cholesterol Esterification Rate: Changes during Lipanor Therapy. Vnitrní Léka?ství, 46, 152-156. |
[12] | Gasevic, D., Frohlich, J., Mancini, G.B.J. and Lear, S.A. (2012) The Association between Triglyceride to High-Density-Lipoprotein Cholesterol Ratio and Insulin Resistance in a Multiethnic Primary Prevention Cohort. Metabolism, 61, 583-589. https://doi.org/10.1016/j.metabol.2011.09.009 |
[13] | He, J., He, S., Liu, K., Wang, Y., Shi, D. and Chen, X. (2014) The TG/HDL-C Ratio Might Be a Surrogate for Insulin Resistance in Chinese Nonobese Women. International Journal of Endocrinology, 2014, Article 105168. https://doi.org/10.1155/2014/105168 |
[14] | Yeh, W., Tsao, Y., Li, W., Tzeng, I., Chen, L. and Chen, J. (2019) Elevated Triglyceride-to-HDL Cholesterol Ratio Is an Indicator for Insulin Resistance in Middle-Aged and Elderly Taiwanese Population: A Cross-Sectional Study. Lipids in Health and Disease, 18, Article No. 176. https://doi.org/10.1186/s12944-019-1123-3 |
[15] | Ma, M., Liu, H., Yu, J., He, S., Li, P., Ma, C., et al. (2020) Triglyceride Is Independently Correlated with Insulin Resistance and Islet Beta Cell Function: A Study in Population with Different Glucose and Lipid Metabolism States. Lipids in Health and Disease, 19, Article No. 121. https://doi.org/10.1186/s12944-020-01303-w |
[16] | Yaz?c?, D. and Sezer, H. (2017) Insulin Resistance, Obesity and Lipotoxicity. In: Engin, A. and Engin, A., Eds., Obesity and Lipotoxicity, Springer International Publishing, 277-304. https://doi.org/10.1007/978-3-319-48382-5_12 |
[17] | Cao, X., Tang, Z., Zhang, J., Li, H., Singh, M., Sun, F., et al. (2021) Association between High-Density Lipoprotein Cholesterol and Type 2 Diabetes Mellitus among Chinese: The Beijing Longitudinal Study of Aging. Lipids in Health and Disease, 20, Article No. 71. https://doi.org/10.1186/s12944-021-01499-5 |
[18] | Fiorentino, T.V., Succurro, E., Marini, M.A., Pedace, E., Andreozzi, F., Perticone, M., et al. (2020) HDL Cholesterol Is an Independent Predictor of β-Cell Function Decline and Incident Type 2 Diabetes: A Longitudinal Study. Diabetes/Metabolism Research and Reviews, 36, e3289. https://doi.org/10.1002/dmrr.3289 |
[19] | Zhou, Y., Yang, G., Qu, C., Chen, J., Qian, Y., Yuan, L., et al. (2022) Predictive Performance of Lipid Parameters in Identifying Undiagnosed Diabetes and Prediabetes: A Cross-Sectional Study in Eastern China. BMC Endocrine Disorders, 22, Article No. 76. https://doi.org/10.1186/s12902-022-00984-x |
[20] | 辛鹏, 李静, 李昌昆, 等. 脂质比值TC/HDL-C、TG/HDLC和LDL-C/HDL-C与胰岛素抵抗、糖尿病及糖尿病前期的关联性[J]. 中华疾病控制杂志, 2022, 26(5): 535-540. |
[21] | Gong, R., Liu, Y., Luo, G., Liu, W., Jin, Z., Xu, Z., et al. (2021) Associations of TG/HDL Ratio with the Risk of Prediabetes and Diabetes in Chinese Adults: A Chinese Population Cohort Study Based on Open Data. International Journal of Endocrinology, 2021, Article 9949579. https://doi.org/10.1155/2021/9949579 |
[22] | Ley, S.H., Harris, S.B., Connelly, P.W., Mamakeesick, M., Gittelsohn, J., Wolever, T.M., et al. (2012) Utility of Non-High-Density Lipoprotein Cholesterol in Assessing Incident Type 2 Diabetes Risk. Diabetes, Obesity and Metabolism, 14, 821-825. https://doi.org/10.1111/j.1463-1326.2012.01607.x |
[23] | Song, Q., Liu, X., Wang, A., Wang, Y., Zhou, Y., Zhou, W., et al. (2016) Associations between Non-Traditional Lipid Measures and Risk for Type 2 Diabetes Mellitus in a Chinese Community Population: A Cross-Sectional Study. Lipids in Health and Disease, 15, Article No. 70. https://doi.org/10.1186/s12944-016-0239-y |
[24] | 尤玉青, 韩啸, 应长江, 等. TyG指数及TG/HDL-C是2型糖尿病患者血糖控制的有效预测指标[J] . 医学研究杂志, 2021, 50(2): 121-125, 140. |
[25] | ?ahin, B. and ?lgün, G. (2020) Risk Factors of Deaths Related to Cardiovascular Diseases in World Health Organization (WHO) Member Countries. Health & Social Care in the Community, 30, 73-80. https://doi.org/10.1111/hsc.13156 |
[26] | 柯静, 赵冬, 陈燕燕. 2型糖尿病与心力衰竭的关系: 美国心脏病学会第70届科学年会热点报道[J]. 中华内分泌代谢杂志, 2021, 37(11): 1029-1034. |
[27] | Venkataraman, P., Huynh, Q., Nicholls, S.J., Stanton, T., Watts, G.F. and Marwick, T.H. (2021) Impact of a Coronary Artery Calcium-Guided Statin Treatment Protocol on Cardiovascular Risk at 12 Months: Results from a Pragmatic, Randomised Controlled Trial. Atherosclerosis, 334, 57-65. https://doi.org/10.1016/j.atherosclerosis.2021.08.002 |
[28] | 张明, 霍海洋, 李占全, 等. 甘油三酯/高密度脂蛋白胆固醇比值对冠心病的诊断价值的探讨[J]. 中华心血管病杂志, 2000, 28(1): 33-35. |
[29] | Eeg-Olofsson, K., Gudbj?rnsdottir, S., Eliasson, B., Zethelius, B. and Cederholm, J. (2014) The Triglycerides-to-HDL-Cholesterol Ratio and Cardiovascular Disease Risk in Obese Patients with Type 2 Diabetes: An Observational Study from the Swedish National Diabetes Register (NDR). Diabetes Research and Clinical Practice, 106, 136-144. https://doi.org/10.1016/j.diabres.2014.07.010 |
[30] | 钟东塔, 黄敬泽, 王健. 甘油三酯/高密度脂蛋白胆固醇比值与2型糖尿病大血管病变的相关性评估[J]. 福建医药杂志, 2003(6): 9-11. |
[31] | Yang, S., Du, Y., Li, X., Zhang, Y., Li, S., Xu, R., et al. (2017) Triglyceride to High-Density Lipoprotein Cholesterol Ratio and Cardiovascular Events in Diabetics with Coronary Artery Disease. The American Journal of the Medical Sciences, 354, 117-124. https://doi.org/10.1016/j.amjms.2017.03.032 |
[32] | Zhang, X., Kong, J. and Yun, K. (2020) Prevalence of Diabetic Nephropathy among Patients with Type 2 Diabetes Mellitus in China: A Meta-Analysis of Observational Studies. Journal of Diabetes Research, 2020, Article 2315607. https://doi.org/10.1155/2020/2315607 |
[33] | Abbasi, F., Moosaie, F., Khaloo, P., Dehghani Firouzabadi, F., Fatemi Abhari, S.M., Atainia, B., et al. (2020) Neutrophil Gelatinase-Associated Lipocalin and Retinol-Binding Protein-4 as Biomarkers for Diabetic Kidney Disease. Kidney and Blood Pressure Research, 45, 222-232. https://doi.org/10.1159/000505155 |
[34] | 崔庆, 张代民. 三酰甘油/高密度脂蛋白胆固醇比值与糖尿病肾病的关系[J]. 临床军医杂志, 2006(3): 276-277. |
[35] | 马力. TG/HDL-C、HCY与2型糖尿病肾病的相关性分析[D]: [硕士学位论文]. 长春: 吉林大学, 2022. |
[36] | 赵美茹. 简易胰岛素抵抗替代指标对2型糖尿病肾病的预测价值[D]: [硕士学位论文]. 济南: 山东大学, 2023. |
[37] | Frazier, R., Mehta, R., Cai, X., Lee, J., Napoli, S., Craven, T., et al. (2019) Associations of Fenofibrate Therapy with Incidence and Progression of CKD in Patients with Type 2 Diabetes. Kidney International Reports, 4, 94-102. https://doi.org/10.1016/j.ekir.2018.09.006 |
[38] | 袁梦华, 汤绍芳, 朱梅, 等. 糖尿病视网膜病变药物治疗的研究进展[J]. 山东医药, 2014(26): 92-94. |
[39] | Amoaku, W.M., Ghanchi, F., Bailey, C., Banerjee, S., Banerjee, S., Downey, L., et al. (2020) Diabetic Retinopathy and Diabetic Macular Oedema Pathways and Management: UK Consensus Working Group. Eye, 34, 1-51. https://doi.org/10.1038/s41433-020-0961-6 |
[40] | Klein, R. (1989) The Wisconsin Epidemiologic Study of Diabetic Retinopathy. Archives of Ophthalmology, 107, 244-249. https://doi.org/10.1001/archopht.1989.01070010250031 |
[41] | Leiter, L.A. (2005) The Prevention of Diabetic Microvascular Complications of Diabetes: Is There a Role for Lipid Lowering? Diabetes Research and Clinical Practice, 68, S3-S14. https://doi.org/10.1016/j.diabres.2005.03.015 |
[42] | 程金涛, 戚金泽, 梁佳美, 等. 糖尿病视网膜病变患者血清apelin与血脂水平观察[J]. 中华眼底病杂志, 2015, 31(2): 139-142. |
[43] | 陈之阳, 孙伟峰, 曹健. 血清TG/HDL及瘦素脂联素水平与2型糖尿病视网膜病变的相关性[J]. 西部医学, 2018, 30(10): 1475-1478. |
[44] | Zoppini, G., Negri, C., Stoico, V., Casati, S., Pichiri, I. and Bonora, E. (2012) Triglyceride-High-Density Lipoprotein Cholesterol Is Associated with Microvascular Complications in Type 2 Diabetes Mellitus. Metabolism, 61, 22-29. https://doi.org/10.1016/j.metabol.2011.05.004 |
[45] | Miric, D.J., Kisic, B.M., Filipovic-Danic, S., Grbic, R., Dragojevic, I., Miric, M.B., et al. (2016) Xanthine Oxidase Activity in Type 2 Diabetes Mellitus Patients with and without Diabetic Peripheral Neuropathy. Journal of Diabetes Research, 2016, Article 4370490. https://doi.org/10.1155/2016/4370490 |
[46] | Tesfaye, S., Boulton, A.J.M., Dyck, P.J., Freeman, R., Horowitz, M., Kempler, P., et al. (2010) Diabetic Neuropathies: Update on Definitions, Diagnostic Criteria, Estimation of Severity, and Treatments. Diabetes Care, 33, 2285-2293. https://doi.org/10.2337/dc10-1303 |
[47] | Kobayashi, M. and Zochodne, D.W. (2018) Diabetic Neuropathy and the Sensory Neuron: New Aspects of Pathogenesis and Their Treatment Implications. Journal of Diabetes Investigation, 9, 1239-1254. https://doi.org/10.1111/jdi.12833 |
[48] | 中华医学会糖尿病学分会神经并发症学组, 时立新, 朱大龙, 等. 糖尿病神经病变诊治专家共识(2021年版) [J]. 中华糖尿病杂志, 2021, 13(6): 540-557. |
[49] | Xu, T., Weng, Z., Pei, C., Yu, S., Chen, Y., Guo, W., et al. (2017) The Relationship between Neutrophil-to-Lymphocyte Ratio and Diabetic Peripheral Neuropathy in Type 2 Diabetes Mellitus. Medicine, 96, e8289. https://doi.org/10.1097/md.0000000000008289 |
[50] | Wakabayashi, I. and Daimon, T. (2019) Comparison of Discrimination for Cardio-Metabolic Risk by Different Cut-off Values of the Ratio of Triglycerides to HDL Cholesterol. Lipids in Health and Disease, 18, Article No. 156. https://doi.org/10.1186/s12944-019-1098-0 |
[51] | 戎辉, 马建波, 华馨. 三酰甘油与高密度脂蛋白胆固醇比值在2型糖尿病周围神经病变中的价值研究[J]. 现代实用医学, 2019, 31(5): 586-588. |
[52] | 李东风, 章秋. 三酰甘油/高密度脂蛋白胆固醇比值对老年糖尿病患者周围神经病变的预测价值研究[J]. 中国全科医学, 2020, 23(29): 3690-3694. |
[53] | 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版) [J]. 中华内分泌代谢杂志, 2021, 37(4): 311-398. |
[54] | Jiang, Y., Wang, X., Xia, L., Fu, X., Xu, Z., Ran, X., et al. (2015) A Cohort Study of Diabetic Patients and Diabetic Foot Ulceration Patients in China. Wound Repair and Regeneration, 23, 222-230. https://doi.org/10.1111/wrr.12263 |
[55] | Andros, G. (2004) Diagnostic and Therapeutic Arterial Interventions in the Ulcerated Diabetic Foot. Diabetes/Metabolism Research and Reviews, 20, S29-S33. https://doi.org/10.1002/dmrr.468 |
[56] | 苏晓燕, 黄昭穗, 郭琦. TG/HDL-C比值预测2型糖尿病下肢动脉硬化的价值[J]. 临床军医杂志, 2011, 39(5): 881-883. |