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Clin Chem:中美研究人员开发出糖尿病并发症快速检测方法

2019-10-06 周舟 新华网

​中美两国科研人员开发出一种快速、精确检测糖尿病并发症的方法,只需几滴血,即可发现糖尿病病人是否出现心脏病、动脉粥样硬化和肾衰竭等危及生命的并发症。

中美两国科研人员开发出一种快速、精确检测糖尿病并发症的方法,只需几滴血,即可发现糖尿病病人是否出现心脏病、动脉粥样硬化和肾衰竭等危及生命的并发症。


全球超过4亿糖尿病患者中,大约超过三分之二死于血管并发症,及早发现并发症有利于控制病情、减少死亡。


目前检测糖尿病并发症的方法包括检查患者的身体质量指数、患病时长等,易于出错且不利于提早干预。而新的检测方法只需要3到5毫升血液。如果患者出现血管并发症,其受损血管会向血液中释放DNA,高度敏感的血液检测方法能分析并发现相关的生物标记物。


中国武汉大学、美国芝加哥大学和西北大学的研究人员共同参与了这项研究,论文发表在最新一期美国《临床化学》杂志上。研究人员对62名糖尿病患者进行测试,其中12名无并发症、34名有一种并发症、16名有多种并发症。结果显示,新方法比目前的检测方法快速准确得多。


据介绍,这种方法此前用于检测肝癌,曾在3000多份血样中成功检测出肝癌患者,且没有错误地将风险人群标记为肝癌患者。这种方法目前还用于检测淋巴瘤、多发性骨髓瘤和结肠癌等,可检出约88%的肿瘤,优于传统血检方法。


原始出处:


Ying Yang, Chang Zeng, Xingyu Lu, et.al. 5-Hydroxymethylcytosines in Circulating Cell-Free DNA Reveal Vascular Complications of Type 2 Diabetes. Clinical Chemistry 10.1373/clinchem.2019.305508 Published October 2019

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    2020-06-19 丁鹏鹏
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    2019-10-07 txqjm

    谢谢了,学习

    0

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    2019-10-06 misszhang

    谢谢MedSci提供最新的资讯

    0

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根据2019年美国传染病学会年会上发表的一项研究表明,无论糖尿病状态如何,奥马环素(Omadacycline)对患有急性细菌性皮肤结构感染(ABSSSI)的患者都是安全有效的。

JAMA:代谢手术可降低糖尿病患者主要心血管事件发生率

对于II型糖尿病以及肥胖人群,接受代谢手术可降低主要心血管事件发生率

Diabetes Care:1型和2型糖尿病患者血浆合肽素与下肢截肢风险

由此可见,1型和2型糖尿病患者血浆合肽素与LEA的累积发生率相关,其可能有助于识别有LEA风险的患者。

Diabetes Care:美国成年糖尿病患者服用他汀类药物后高甘油三酸酯血症和估计的动脉粥样硬化性心血管疾病风险

由此可见,五分之一(约550万)的美国糖尿病成人会发生HTG,包括接受他汀类药物治疗和LDL-C控制良好的糖尿病患者。超过四分之三的HTG的成年人有中等或较高的10年ASCVD风险。需要做出更大的努力来促进生活方式和药物手段以解决HTG。

NEJM:替卡格雷用于稳定型冠心病和糖尿病患者疗效

由此可见,在没有心肌梗塞或卒中病史的稳定冠心病和糖尿病患者中,接受替卡格雷加阿司匹林治疗的患者发生缺血性心血管事件的发生率较低,但发生大出血的发生率高于那些接受安慰剂加阿司匹林治疗的患者。

20年首次突破!FDA批准卡格列净治疗“糖尿病肾病”适应症!

2019年9月30日,美国食品药品监督管理局(FDA)批准了卡格列净(怡可安®)肾病获益适应症:卡格列净用于降低糖尿病肾病患者的终末期肾病、肾功能恶化、心血管死亡以及心衰住院风险。这使卡格列净成为近20年来首个且唯一一个在糖尿病肾病患者中延缓肾病进展同时降低心衰住院风险的降糖药。

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