首页|帕金森病患者体重减轻与胃饥饿素和瘦素以及低氧环境的相关性研究进展

帕金森病患者体重减轻与胃饥饿素和瘦素以及低氧环境的相关性研究进展

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体重减轻是帕金森病(PD)患者常见的非运动症状之一,通常比运动症状早几年出现,并贯穿疾病全程.目前PD患者体重减轻的原因尚未明了,其潜在的机制可能与能量平衡紊乱、神经内分泌异常等有关,胃饥饿素及瘦素可能在PD患者体重减轻中扮演重要作用.阻塞性睡眠呼吸暂停低通气综合征可能是PD发病的独立危险因素,且其可显著影响PD患者的认知功能、运动功能及其他非运动症状等,而研究报道低氧环境可增加致病蛋白α-突触核蛋白的表达和聚集,提示缺氧应激、低氧/间歇性缺氧可能是导致PD的致病因素之一.本文就近年来PD患者体重减轻与胃饥饿素、瘦素以及低氧环境对其影响进行阐述.
Research progress on the correlation between weight loss and ghrelin,leptin and hypoxic environment in patients with Parkinson's disease
Weight loss is a prevalent non-motor symptom of Parkinson's disease(PD),often appearing several years before motor symptoms and continuing throughout the course of the disease.The cause of weight loss in PD may be linked to an imbalance in energy and neuroendocrine function.Ghrelin and leptin are thought to be significant factors in the weight loss experienced by those with PD.Obstructive sleep apnea hypopnea syndrome may independently increase the risk of PD and significantly impact the cognitive and motor functions,as well as other non-motor symptoms,of PD patients.Research has shown that a hypoxic environment can enhance the expression and aggregation of the pathogenic protein α-synuclein.This suggests that hypoxic stress and intermittent hypoxia may be contributing factors to the development of PD.This article examines the correlation between weight loss in patients with Parkinson's disease and the hormones ghrelin and leptin,as well as the impact of a hypoxic environment on these hormones.

Parkinson diseaseWeight lossLeptinGhrelin

刘建刚、朱爱琴

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青海大学研究生院,西宁 810000

青海省人民医院老年医学科,西宁 810000

帕金森病 体重减轻 瘦素 胃饥饿素

青海省重点研发与转化计划项目青海省科技厅科技成果转化专项项目青海省卫生健康系统重点课题

2019-SF-1352021-SF-1332021-wjzd-03

2024

中华老年医学杂志
中华医学会

中华老年医学杂志

CSTPCD北大核心
影响因子:1.606
ISSN:0254-9026
年,卷(期):2024.43(2)
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