首页|外周血miR-146a和miR-155在1型糖尿病中的诊断价值

外周血miR-146a和miR-155在1型糖尿病中的诊断价值

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目的:探讨微小核糖核酸-146a(miR-146a)和微小核糖核酸-155(miR-155)在 1 型糖尿病中的诊断价值。方法:选取 2020 年 1 月—2022 年 12 月苏州大学附属太仓医院收治的 106 例疑似 1 型糖尿病患者为研究对象。根据检查结果将其分为 1 型糖尿病组,非 1 型糖尿病组。检测所有患者miR-146a、miR-155。收集所有患者一般资料。分析分组情况。比较非 1 型糖尿病组与 1 型糖尿病组一般资料及miR-146a、miR-155。分析 1 型糖尿病的危险因素。分析miR-146a、miR-155对 1 型糖尿病的诊断价值。结果:106 例疑似 1 型糖尿病患者中,1 型糖尿病 96 例。1 型糖尿病组miR-155、miR-146a均低于非 1 型糖尿病组,白细胞介素-17A(IL-17A)、γ干扰素(IFN-γ)、胰岛再生源蛋白 3A(REG3A)均高于非 1 型糖尿病组,差异有统计学意义(P<0。05)。IL-17A、IFN-γ、REG3A均为 1 型糖尿病的危险因素,miR-146a、miR-155 水平均为1 型糖尿病的保护因素(P<0。05)。ROC曲线结果显示,miR-146a、miR-155 及联合诊断 1 型糖尿病的AUC为 0。768,0。775,0。801,联合诊断AUC高于单一诊断。结论:1 型糖尿病患者外周血miR-146a、miR-155 水平异常,miR-146a、miR-155 水平与 1 型糖尿病密切相关,且两者在诊断 1 型糖尿病中具有重要价值,联合诊断 1 型糖尿病价值更高。
Diagnostic Value of Peripheral Blood miR-146a and miR-155 in Type 1 Diabetes Mellitus
Objective:To investigate the diagnostic value of microribonucleic acid-146a(miR-146a)and microribonucleic acid-155(miR-155)in type 1 diabetes mellitus.Method:A total of 106 patients with suspected type 1 diabetes mellitus admitted to Taicang Hospital Affiliated to Suzhou University from January 2020 to December 2022 were selected as the study objects.According to examination results,they were divided into type 1 diabetes group and non-type 1 diabetes group.miR-146a and miR-155 were detected in all patients.General data of all patients were collected.The grouping condition was analyzed.The general data and miR-146a and miR-155 were compared between the non-type 1 diabetes group and the type 1 diabetes group.The risk factors of type 1 diabetes was analyzed.The diagnostic value of miR-146a and miR-155 in type 1 diabetes was analyzed.Result:Among 106 suspected patients with type 1 diabetes,96 had type 1 diabetes.The levels of miR-155 and miR-146a in type 1 diabetes group were lower than those in non-type 1 diabetes group,and the levels of interleukin-17A(IL-17A),γ interferon(IFN-γ)and islet regeneration associated protein 3A(REG3A)were higher than those in non-type 1 diabetes group,the differences were statistically significant(P<0.05).IL-17A,IFN-γ and REG3A were risk factors for type 1 diabetes,miR-146a and miR-155 levels were protective factors for type 1 diabetes(P<0.05).ROC curve results showed that the AUC of miR-146a,miR-155 and combined diagnosis of type 1 diabetes was 0.768,0.775 and 0.801,and the AUC of combined diagnosis was higher than that of single diagnosis.Conclusion:The levels of miR-146a and miR-155 in peripheral blood of patients with type 1 diabetes are abnormal,and the levels of miR-146a and miR-155 are closely related to type 1 diabetes,and the two have important value in the diagnosis of type 1 diabetes,and the combined diagnosis of type 1 diabetes is of higher value.

Microribonucleic acid-155Microribonucleic acid-146aType 1 diabetes mellitus

吴祎、凌伟、刘松良、杨文漪、曹季军、许爱萍、李勇

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苏州大学附属太仓医院(太仓市第一人民医院) 江苏太仓 215400

微小核糖核酸-155 微小核糖核酸-146a 1型糖尿病

太仓市科技计划项目

TC2021JCYL02

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(3)
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