首页|2型糖尿病患者外周血miR-223与2型糖尿病周围神经病变相关性分析

2型糖尿病患者外周血miR-223与2型糖尿病周围神经病变相关性分析

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目的 分析miR-223与糖尿病周围神经病变的相关性.方法 收集2020年12月至2022年5月138例2型糖尿病患者的临床资料,根据是否发生周围神经病变,将患者分为2组,2型糖尿病组77例;2型糖尿病伴周围神经病变组61例.通过实时定量PCR方法检测所有患者血清miR-223的表达水平,ELISA法测定所有患者血清肿瘤坏死因子α(TNF-α)水平.比较两组miR-223及TNF-α的差异.结果 与2型糖尿病组比较,miR-223及TNF-α在2型糖尿病伴周围神经病变组明显升高,差异有统计学意义(P<0.05).ROC曲线分析,miR-223预测糖尿病周围神经病变的敏感度67.2%,特异度76.6%(95%CI:0.634~0.809,P<0.05),miR-223联合糖尿病病程预测糖尿病周围神经病变的敏感度73.8%,特异度为77.9%(95%CI:0.750~0.889,P<0.05).结论 2型糖尿病患者外周血miR-223可作为预测糖尿病周围神经病变的分子标志物,联合糖尿病病程诊断价值更高.
Objective To analyze the association of serum miR-223 and type 2 diabetic peripheral neuropathy.Methods A total of 138 patients with type 2 diabetes who were hospitalized in the Endocrinology Department of Jiaxing First Hospital from December 2020 to May 2022 were collected.According to the presence or absence of diabetic peripheral neuropathy,the patients were divided into 2 groups:type 2 diabetes group(77 cases),type 2 diabetic peripheral neuropathy group(61 cases).The expression level of serum miR-223 was detected by real-time quantitative PCR and tumor necrosis factor α(TNF-α)was determined by ELISA.Investigated the differences of miR-223 and TNF-α between the two groups.Results Compared with the type 2 diabetes group,miR-223 and TNF-α were significantly increased in the type 2 diabetic peripheral neuropathy group,with statistical difference between groups(P<0.05).Receiver operating characteristic(ROC)curve analysis of miR-223 predicted diabetic peripheral neuropathy with a sensitivity of 67.2%and specificity of 76.6%(95%CI:0.634~0.809,P<0.05).The sensitivity and specificity of miR-223 combined with diabetes course in predicting diabetic peripheral neuropathy were 73.8%and 77.9%(95%CI:0.750~0.889,P<0.05).Conclusion miR-223 in peripheral blood of type 2 diabetes patients can be used as a molecular marker to predict diabetic peripheral neuropathy,with higher diagnostic value of combined with diabetic disease course.

Type 2 diabetic peripheral neuropathymiR-223TNF-α

徐成高、罗丽君

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浙江省嘉兴市第一医院

2型糖尿病周围神经病变 miR-223 肿瘤坏死因子α

嘉兴市科技计划

2019AD32172

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(3)
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