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Distinct features of the atherosclerotic plaque of the insulino-resistant, type 2 diabetic patient: therapeutic implications

机译:胰岛素抵抗的2型糖尿病患者的动脉粥样硬化斑块的不同特征:治疗意义

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摘要

An accelerated atherosclerotic process is not only the factor leading to coronary ar- tery disease in type 2 diabetic subjects with visceral obesity. This type of obesity is also associated with high levels of interleukin-6 (IL-6) and of plasminogen activator inhibitor-1 (RAI-1). Furthermore, recent data have shown that plasma concentra- tions of inflammatory markers, such as C-reactive protein (CRP), were closely re- lated to the accumlation of abdominal fat. Thus, from the increased production of cytokines secreted by the hypertrophied visceral adipose tissue, type 2 diabetes could be associated with a state of chronic inflammation which could be deleteri- ous for cardiovascular health as high levels of CRP have been associated with an increased risk of acute coronary events.
机译:加速的动脉粥样硬化过程不仅是导致患有内脏性肥胖的2型糖尿病患者发生冠状动脉疾病的因素。这种肥胖也与白细胞介素6(IL-6)和纤溶酶原激活物抑制剂1(RAI-1)的高水平有关。此外,最近的数据表明,炎症标志物(如C反应蛋白(CRP))的血浆浓度与腹部脂肪的积聚密切相关。因此,由于肥大的内脏脂肪组织分泌的细胞因子的产生增加,因此2型糖尿病可能与慢性炎症有关,而慢性炎症可能对心血管健康有害,因为高水平的CRP与增加的CRP风险有关。急性冠状动脉事件。

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