首页|面向早期筛查的血糖失稳态人群"舌象-舌苔微生物组学"特征与机制研究

面向早期筛查的血糖失稳态人群"舌象-舌苔微生物组学"特征与机制研究

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血糖失稳态是糖尿病、冠心病、脑卒中、痴呆、恶性肿瘤等许多慢性重大性疾病的独立风险因素,临床危害极大,但其高度可逆性的特点也给上述重大疾病的早期防治提供了机会窗口。然而,当前针对血糖失稳态人群早期筛查及干预尚无系统性研究,对其中重要组成部分的糖尿病前期人群所用筛查方法在特异性、准确性方面均存在不足,临床应用受限。在中医临床实践中,舌象是反映正邪消长和病情进退的重要依据,特别是在"血糖稳态—血糖失稳态—糖尿病"病程进展中舌象具有一定的动态演化特点,而其舌象变化的潜在机制可能与舌苔微生物密切相关。基于血糖失稳态人群"舌象-舌苔微生态"的临床表观与微生物组学特征构建"舌象-舌苔微生物"宏微观映射模型,有望为血糖失稳态人群的大规模早期筛查和相关疾病早期防治提供新路径,并为阐明中医舌象诊断理论科学内涵、探讨复杂性疾病演化特点与潜在机制提供新视角。
Study on Characteristics and Mechanism of"Tongue Image-Tongue Coating Microbiome"in People with Unbalance of Glucose Homeostasis for Early Screening
Unbalance of glucose homeostasis is an independent risk factor for many chronic major diseases,such as diabetes,coronary heart disease,stroke,dementia and malignant tumors.It has great clinical harm,but its highly reversible characteristics also provide an opportunity window for the early prevention and treatment of these major diseases.However,at present,there is no systematic study on early screening intervention for people with unbalance of glucose homeostasis.The screening methods used for prediabetes,an important part of the population,are insufficient in specificity and accuracy,and their clinical application is limit-ed.In the clinical practice of traditional Chinese medicine,tongue image is an important basis to reflect the growth and decline of healthy Qi and progression and regression of the diseases.In the course of"glucose homeostasis-unbalance of glucose homeosta-sis-diabetes",tongue image has certain dynamic evolution characteristics.And the underlying mechanism of tongue image change may be closely related to tongue coating microorganisms.Based on the clinical appearance and microbiome characteristics of"tongue image-tongue coating microbiome"in people with unbalance of glucose homeostasis,a macro-micro mapping model of"tongue image-tongue coating microbiome"is constructed,which is expected to provide a new path for large-scale early screening and early prevention and treatment of related diseases in people with unbalance of glucose homeostasis.It also provides a new perspective for elucidating the scientific connotation of traditional Chinese medicine tongue diagnosis theory and exploring the evolution characteristics and potential mechanism of complex diseases.

blood glucose homeostasisearly screeningtonguetongue coating microbiome

雷聪、石康乐、刘欠欠、于越凡、马伯艳、孟庆刚

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黑龙江中医药大学,黑龙江哈尔滨 150040

中国科学院大学,北京 100049

北京中医药大学,北京 100029

血糖失稳态 早期筛查 舌象 舌苔微生物

国家自然科学基金项目国家自然科学基金项目中国科学院大学优秀青年教师科研能力提升项目

8187323182174530E0E48979

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(8)