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首页> 外文期刊>Diabetes research and clinical practice >Association of serum TRAIL levels with atherosclerosis in patients with type 2 diabetes mellitus.
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Association of serum TRAIL levels with atherosclerosis in patients with type 2 diabetes mellitus.

机译:2型糖尿病患者血清TRAIL水平与动脉粥样硬化的关系。

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Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) was originally isolated as an inducer of apoptosis. Recent cross-sectional and prospective studies suggest an inverse association of serum TRAIL levels with the severity of coronary artery disease (CAD) and with an adverse outcome in patients with CAD or heart failure. However, it is unknown whether TRAIL can inversely reflect the progression of atherosclerosis from its early stage. We therefore examined the association between TRAIL measured by ELISA and intima-media thickness (IMT) in carotid and femoral arteries evaluated by ultrasonography as a surrogate marker of atherosclerosis in 416 type 2 diabetic patients without any symptoms of CAD and heart failure. Concurrently, the existence of calcified plaque (CP) was examined. There was no significant association between TRAIL and carotid IMT (rho=-0.096, p=0.052) or femoral IMT (rho=-0.025, p=0.610), although TRAIL was associated with carotid IMT in a subset of patients with macrovascular diseases (rho=-0.174, p=0.034). No difference in TRAIL levels was found between two groups with or without CP. TRAIL may not be a good candidate as a biomarker to evaluate early-stage atherosclerotic lesions.
机译:肿瘤坏死因子(TNF)相关的凋亡诱导配体(TRAIL)最初是作为凋亡诱导剂而分离的。最近的横断面和前瞻性研究表明,血清TRAIL水平与冠心病(CAD)的严重程度以及CAD或心力衰竭患者的不良结局呈负相关。然而,未知的是,TRAIL能否从早期起逆向反映动脉粥样硬化的进展。因此,我们检查了通过ELISA测得的TRAIL与超声检查评估的416型2型糖尿病患者中无动脉粥样硬化和心力衰竭症状的动脉粥样硬化的替代标志物之间的关联(通过超声检查评估颈动脉和股动脉的内膜中层厚度(IMT))。同时,检查钙化斑块(CP)的存在。尽管在部分大血管疾病患者中TRAIL与颈动脉IMT相关,但TRAIL与颈动脉IMT(rho = -0.096,p = 0.052)或股骨IMT(rho = -0.025,p = 0.610)之间无显着关联。 rho = -0.174,p = 0.034)。在有或没有CP的两组之间,TRAIL水平没有差异。 TRAIL可能不是评估早期动脉粥样硬化病变的生物标志物的理想选择。

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