首页|铁代谢与2型糖尿病相关性及胰高血糖素样肽-1调控作用的研究进展

铁代谢与2型糖尿病相关性及胰高血糖素样肽-1调控作用的研究进展

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铁代谢在多种代谢性疾病中发挥调控作用,过量铁积累会增加代谢性疾病尤其是2型糖尿病(T2DM)的发生风险.铁沉积、铁过载和铁死亡等病理过程可激活氧化应激、脂质过氧化、细胞自噬等,促进机体炎症反应级联放大和抗氧化能力降低,使胰岛β细胞功能逐渐衰退,从而促进T2DM的发生发展.胰高血糖素样肽-1(GLP-1)是由肠道L细胞分泌的一种生理性激素,GLP-1类似物或GLP-1受体激动剂可调节机体铁代谢过程,抑制铁沉积、铁过载和铁死亡相关炎症反应,促进胰岛β细胞增殖及分化,进而减轻胰岛素抵抗,抑制内皮细胞损伤,在T2DM及其并发症的防治中发挥重要作用.
Research progress in the correlation between iron metabolism and type 2 diabetes mellitus as well as the regulatory role of glucagon-like peptide-1
Iron metabolism plays a regulatory role in various metabolic diseases,and excessive iron accumulation can increase the risk of metabolic diseases,especially type 2 diabetes mellitus(T2DM).Pathological processes such as iron deposition,iron overload,and ferroptosis can activate oxidative stress,lipid peroxidation,autophagy,and other processes,promote the amplification of in-flammatory reactions and the reduction of antioxidant capacity,gradually decline the function of pan-creatic islet β-cells,thereby promoting the occurrence and development of T2DM.Glucagon-like pep-tide-1(GLP-1)is a physiological hormone secreted by intestinal L cells.GLP-1 analogs or GLP-1 receptor agonists can regulate the body's iron metabolism process,inhibit iron deposition,iron over-load,and ferroptosis-related inflammatory reactions,promote the proliferation and differentiation of pancreatic isletβ-cells,thereby reducing insulin resistance,inhibiting endothelial cell damage,and playing an important role in the prevention and treatmentof T2DM and its complications.

iron metabolismpancreatic islet β-cellsdiabetes mellituschronic complica-tionsglucagon-like peptide-1insulin resistance

任志芳、任洁、刘睿、肖金凤、秦洁

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山西医科大学第五临床医学院,山西 太原,030012

山西省人民医院,山西 太原,030012

铁代谢 胰岛β细胞 糖尿病 慢性并发症 胰高血糖素样肽-1 胰岛素抵抗

山西省科技厅自然科学研究面上项目山西省研究生教育创新项目

2022030212110592022Y394

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(7)
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