Diabetes Care:血浆pCD59-用于检测妊娠诱导葡糖耐受不良的新型生物学标志物!

2017-04-28 xing.T MedSci原创

由此可见,在妊娠24-28周期间进行一次pGCD59测量可以高灵敏度和特异性识别妊娠诱导的葡糖耐受不良,并且可能潜在地识别LGA的风险。

血浆中糖基化CD59(pGCD59)是一种新兴的糖尿病检测生物标志物。 近日,糖尿病领域权威杂志Diabetes Care上发表了一研究文章,研究人员旨在评估了pGCD59是否可以预测以下几点:妊娠期糖尿病筛查(GDM)的葡萄糖筛查实验(GCT)结果(主要分析); 以及GDM的诊断和大于胎龄儿(LGA)的患病率(次要分析)。

研究人员对从接受了标准产前护理的孕妇收集到的1000例血浆样本进行了病例对照研究,500名孕妇完成了GCT实验(作为对照受试者),另有500名孕妇GCT实验失败,随后行口服葡萄糖耐量试验(病例组)。

与对照者相比,研究人员发现病例组患者血浆中pGCD59水平的中位数(四分位数范围)要高出8.5倍,而GDM患者则要高出10倍。正如以下所示:对照者为0.33(0.19);病例组患者为2.79(1.4); GDM患者则为3.23(1.43)(P<0.001);接受者操作特征曲线下面积为0.92。pGCD59水平位于最低四分位数范围的患者LGA的患病率为4.3%,pGCD59水平在最高四分位数范围的患者LGA的患病率为13.5%。

由此可见,在妊娠24-28周期间进行一次pGCD59测量可以高灵敏度和特异性识别妊娠诱导的葡糖耐受不良,并且可能潜在地识别LGA的风险。

原始出处:

Pamela Ghosh,et al. Plasma Glycated CD59, a Novel Biomarker for Detection of Pregnancy-Induced Glucose Intolerance.Diabetes Care 2017. http://care.diabetesjournals.org/content/early/2017/04/05/dc16-2598

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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdicLmdJEK9VoiaDianY6fzHNN9iaGv80m39pMHU3eSnNN0kn1o0rdQ7Bz2f03Qibcf1ia7rKvxIt4UVlErF2d4gCmDC5/0, createdBy=98e31740255, createdName=cqykthl, createdTime=Sat Apr 29 01:03:11 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
  5. 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  6. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdicLmdJEK9VoiaDianY6fzHNN9iaGv80m39pMHU3eSnNN0kn1o0rdQ7Bz2f03Qibcf1ia7rKvxIt4UVlErF2d4gCmDC5/0, createdBy=98e31740255, createdName=cqykthl, createdTime=Sat Apr 29 01:03:11 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-05-01 往日如昨

    继续学习中谢谢

    0

  7. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdicLmdJEK9VoiaDianY6fzHNN9iaGv80m39pMHU3eSnNN0kn1o0rdQ7Bz2f03Qibcf1ia7rKvxIt4UVlErF2d4gCmDC5/0, createdBy=98e31740255, createdName=cqykthl, createdTime=Sat Apr 29 01:03:11 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-04-30 1e1b8538m79(暂无匿称)

    无论如何,学习到了

    0

  8. 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  9. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdicLmdJEK9VoiaDianY6fzHNN9iaGv80m39pMHU3eSnNN0kn1o0rdQ7Bz2f03Qibcf1ia7rKvxIt4UVlErF2d4gCmDC5/0, createdBy=98e31740255, createdName=cqykthl, createdTime=Sat Apr 29 01:03:11 CST 2017, time=2017-04-29, status=1, ipAttribution=)]
    2017-04-29 半夏微凉

    学习了谢谢分享!

    0

  10. 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    2017-04-29 cqykthl

    又一个检测指标,对糖耐量

    0