首页|尿酸代谢异常与2型糖尿病关系的研究进展

尿酸代谢异常与2型糖尿病关系的研究进展

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尿酸是人体内嘌呤代谢的终产物,当尿酸生成与排泄失衡时可发生尿酸代谢异常。尿酸代谢异常目前已成为代谢性疾病(如糖尿病、肥胖、高血压、代谢综合征)的重要危险因素之一。近年来研究发现,尿酸代谢异常增加了2型糖尿病(T2DM)及其并发症的发生风险,改善尿酸代谢可能是干预T2DM的新手段。本文主要从尿酸代谢异常对T2DM发生发展的影响及其机制、降尿酸疗法对T2DM的获益效果以及降糖药物的选择等方面阐述了尿酸代谢异常与T2DM关系的研究进展,以期为T2DM及其并发症的早期防治提供参考。
Research progress on the relationship between abnormal uric acid metabolism and type 2 diabetes mellitus
Uric acid,the end product of purine metabolism in human body,can lead to uric acid metabolism abnormality when its production and excretion are out of balance.This abnormality has emerged as one of the important risk factors for metabolic diseases,including diabetes,obesity,hypertension and metabolic syndrome.Recent studies have found that abnormal uric acid metabolism increases the risk of occurrence and development of type 2 diabetes mellitus(T2DM)and its complications,suggesting that uric acid metabolism could be a novel approach for intervening in T2DM.This review summarizes the research progress on how uric acid metabolism abnormality influences the occurrence,development and pathogenesis of T2DM,the beneficial effects of uric acid-lowering therapy,and the selection of hypoglycemic drugs on T2DM,which provide evidence for the early prevention and treatment of T2DM and its complications.

uric aciddiabetes mellitus,type 2metabolismpurine

杨若梅、闫振成

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陆军军医大学陆军特色医学中心高血压内分泌科,重庆 400042

尿酸 糖尿病,2型 代谢 嘌呤

国家自然科学基金面上项目

81870614

2024

解放军医学杂志
人民军医出版社

解放军医学杂志

CSTPCD北大核心
影响因子:1.644
ISSN:0577-7402
年,卷(期):2024.49(8)