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胰岛细胞抗体与胰岛β细胞功能关系的探讨
引用本文:张爱芳,董维平,彭永德,王非,顾丽萍. 胰岛细胞抗体与胰岛β细胞功能关系的探讨[J]. 中华糖尿病杂志, 2008, 16(11): 674-675
作者姓名:张爱芳  董维平  彭永德  王非  顾丽萍
作者单位:上海交通大学附属第一人民医院内分泌科糖尿病研究室,200080
摘    要:
对251例1型糖尿病(T1DM)患者进行胰岛细胞抗体(ICA)检测,发现ICA阳性组中谷氨酸脱羧酶抗体(GADA)和蛋白酪氨酸磷酸酶抗体(IA-2A)阳性率均显著高于ICA阴性组(P〈0.01),空腹和餐后胰岛素水平明显低于ICA阴性组(P〈0.05,P〈0.01),胰岛素抵抗指数亦明显下降(P〈0.05),提示T1DM患者中ICA阳性更易于合并有GADA、1A-2A阳性,且对胰岛β细胞功能的破坏更大。

关 键 词:胰岛细胞抗体  胰岛素抵抗  糖尿病,1型

Association of pancreatic β-cell auto-antibody and islet beta-cell function
ZHANG Ai-fang,DONG Wei-ping,PENG Yong-de,et al.. Association of pancreatic β-cell auto-antibody and islet beta-cell function[J]. CHINESE JOURNAL OF DIABETES MELLITUS, 2008, 16(11): 674-675
Authors:ZHANG Ai-fang  DONG Wei-ping  PENG Yong-de  et al.
Affiliation:ZHANG Ai-fang,DONG Wei-ping,PENG Yong-de,et al.Department of Endocrinology , Diabetic Research Laboratory,Shanghai Jiaotong University-affiliated First People's Hospital,Shanghai 200080,China
Abstract:
251 patients with type 1 diabetes were collected to detect the level of islet cell antibody(ICA).The positive rates of GADA and IA-2A were higher in ICA positive group than in ICA negative group(P<0.01).While fasting and postprandial insulin levels were much lower in ICA positive group than in ICA negative group(P<0.05 or P<0.01).According to the increased insulin resistance index and reduced insulin sensitivity index in ICA negative group(P<0.05),islets with negative ICA may have less impairment and may se...
Keywords:Islet cell antibody  Insulin resistance  Diabetes mellitus  type 1  
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