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Lp(a)在糖尿病血管并发症中的表达与机制

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2型糖尿病患病率逐年上升,糖尿病血管病变是主要的慢性并发症之一,是糖尿病致死率、致残率居高不下的重要原因.脂蛋白a[lipoprotein(a),Lp(a)]是2型糖尿病及血管并发症的有效预测因子与危险因素,通过促进动脉粥样硬化、促进血栓形成、抗血管生成、诱导炎症和氧化应激等机制参与胰岛素抵抗和脂代谢异常的进程,Lp(a)与凝血功能、肾功能等相关指标有明显相关性,有望成为糖尿病血管并发症早期诊断和评估预后的潜在生物学标志物.该文旨在对Lp(a)在糖尿病血管并发症的表达与机制作一综述,以期提高其临床应用价值.
Expression and mechanism of Lp(a)in diabetic vascular complications
The prevalence of type 2 diabetes is increasing every year and diabetic vasculopathy is one of the major chronic complications,which is an important cause of high mortality and disability in diabetes.Lipoprotein(a)[Lp(a)]was found to be an effective predictor and risk factor for type 2 diabetes and vascular complications,and is involved in the process of insulin resistance and abnormal lipid metabolism through mechanisms such as promoting atherosclerosis,promoting thrombosis,anti-angiogenesis,inducing inflamma-tion and oxidative stress.This paper aims to review the expression and mechanism of Lp(a)in diabetic vascular complications,with a view to improving its clinical application.

lipoprotein(a)type2 diabetes mellitusdiabetic vascular complications

王钰滢、崔德芝

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山东中医药大学,济南 250013

山东中医药大学附属医院,济南 250011

脂蛋白a 2型糖尿病 糖尿病血管并发症

2023

生命的化学
中国生物化学与分子生物学会

生命的化学

CSTPCD
影响因子:0.404
ISSN:1000-1336
年,卷(期):2023.43(6)
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