[1]赵长胜,董 倩,张海涛,等.新诊断2型糖尿病患者GADA和ZnT8A自身抗体检测意义研究[J].现代检验医学杂志,2015,30(03):50-52.[doi:10.3969/j.issn.1671-7414.2015.03.014]
 ZHAO Chang-sheng,DONG Qian,ZHANG Hai-tao,et al.Role of Detecting GADA and ZnT8A in Newly Diagnosed Type 2 Diabetes Patients[J].Journal of Modern Laboratory Medicine,2015,30(03):50-52.[doi:10.3969/j.issn.1671-7414.2015.03.014]
点击复制

新诊断2型糖尿病患者GADA和ZnT8A自身抗体检测意义研究()
分享到:

《现代检验医学杂志》[ISSN:/CN:]

卷:
第30卷
期数:
2015年03期
页码:
50-52
栏目:
论著
出版日期:
2015-06-10

文章信息/Info

Title:
Role of Detecting GADA and ZnT8A in Newly Diagnosed Type 2 Diabetes Patients
文章编号:
1671-7414(2015)03-050-03
作者:
赵长胜1董 倩1张海涛1杨锡琴2赵 照3王国华2赵琰枫2张贺秋2冯晓燕2
1.唐山市丰南区钱营中心卫生院,河北唐山 063301;
2.军事医学科学院基础医学研究所,北京 100850;
3.首都师范大学数科院,北京100048
Author(s):
ZHAO Chang-sheng1DONG Qian1ZHANG Hai-tao1YANG Xi-qin2 ZHAO Zhao3WANG Guo-hua2ZHAO Yan-feng2ZHANG He-qiu2FENGXiao-yan2
1.Fengnan District Qianying Center Hospital,Hebei Tangshan 063301,China;
2.Institute of Basic Medical Sciences,Academy of Military Medical Sciences,Beijing 100850,China;
3.Capital Normal University Mathematical Sciences,Beijing 100048,China
关键词:
新诊断2型糖尿病 成人迟发型自身免疫性糖尿病 谷氨酸脱羧酶自身抗体 锌转运子8自身抗体
分类号:
R587.1; R392.11
DOI:
10.3969/j.issn.1671-7414.2015.03.014
文献标志码:
A
摘要:
目的 分析新诊断2型糖尿病患者中谷氨酸脱羧酶自身抗体(GADA)和锌转运子8自身抗体(ZnT8A)阳性情况。方法 通过ELISA法检测2014年5月~10月收集的101例新诊断2型糖尿病患者血清样本GADA和ZnT8A水平。结果 GADA阳性率为21.78%,ZnT8A阳性率为17.82%,两种自身抗体共同阳性率为8.91%,且GADA和ZnT8A阳性与否与患者的性别(t=-0.724,-0.550; 0.903,1.359,P值均>0.05)、年龄(r=-0.185,-0.158; 0.367,0.084,P值均>0.05)、血糖(r=0.290,0.110; -0.264,-0.047,P值均>0.05)、胆固醇(r=-0.047,0.004; 0.154,-0.138,P值均>0.05)、三酰甘油(r=-0.092,-0.054; -0.217,-0.023,P值均>0.05),以及低密度脂蛋白(r=-0.045,-0.027; 0.202,-0.025,P值均>0.05)水平不存在明显相关性。结论 为了早期诊断成人迟发型自身免疫性糖尿病患者,应该对新诊断的2型糖尿病患者及时进行自身抗体的筛查。
Abstract:
Objective To analysis the positive rates of glutamic acid decarboxylase autoantibody(GADA)and zinc transporter 8 autoantibody(ZnT8A)in newly diagnosed type 2 diabetes patients.Methods GADA and ZnT8A were detected in 101 cases of newly diagnosed type 2 diabetes mellitus patients using ELISA.Results The positive rate of GADA was 21.78%,the positive rate of ZnT8A was 17.82%,and the common positive rate of GADA and ZnT8A was 8.91%.There were no correlations between GADA or ZnT8A autoantibodies and the patient's sex(t=-0.724,-0.550; 0.903,1.359,P>0.05),age(t=-0.724,-0.550; 0.903,1.359,P>0.05),blood glucose(r=0.290,0.110; -0.264,-0.047,P>0.05),cholesterol(r=-0.047,0.004; 0.154,-0.138,P>0.05),triglyceride(r=-0.092,-0.054; -0.217,-0.023,P>0.05),and low density lipoprotein(r=-0.045,-0.027; 0.202,-0.025,P>0.05).Conclusion It should be screened autoantibodies timely for newly diagnosed type 2 diabetic patients in order to diagnosis the Latent autoimmune diabetes in adults early.

参考文献/References:

[1] Zhou ZG,Xiang YF,Ji L,et al.Frequency,immunogenetics,and clinical characteristics of latent autoimmune diabetes in China(LADA China study):a nationwide,multicenter,clinic-based cross-sectional study[J].Diabetes,2013,62(2):543-550.
[2] 鲁 郡,侯旭宏,贾伟平.成人迟发型自身免疫性糖尿病发病机制研究进展[J].上海交通大学学报(医学版),2014,34(4):546-550.
Lu J,Hou XH,Jia WP.Advances of pathogenesis of latent autoimmunediabetes in adults[J].Journal of Shanghai Jiaotong University(Medical Science),2014,34(4):546-550.
[3] 宋晓国,张贺秋,王国华,等.人重组谷氨酸脱羧酶65基因的克隆表达及其在1型糖尿病诊断中的初步应用[J].中华糖尿病杂志,2010,2(1):24-28.
Song XG,Zhang HQ,Wang GH,et al.Cloning,expression and diagnostic application for type 1 diabetes mellitus of human glutamic acid decarboxylase65 gene[J].Chinese Journal of Diabetes Mellitus,2010,2(1):24-28.
[4] 冯晓燕,宋晓国,王国华,等.人ZnT8抗原在1型糖尿病诊断中的初步应用[J].中国实验诊断学,2011,15(1):102-106.
Feng XY,Song XG,Wang GH,et al.The application for type 1 diabetes mellitus of human zine transporter ZnT8 antigen[J].Chinese Journal of Laboratory Dianosis,2011,15(1):102-106.
[5] Palmer JP,Hampe CS,Chiu H,et al.Is latent autoimmune diabetes in adults distinct from type 1 diabetes or just type 1 diabetes at an older age?[J].Diabetes,2005,54( Suppl 2):S62-S67.
[6] Naik RG,Brooks-Worrell BM,Palmer JP.Latent autoimmune diabetes in adults[J].J Clin Endocrinol Metab,2009,94(12):4635-4644.
[7] Huang G,Xiang YF,Pan LL,et al.Zinc transporter 8 autoantibody(ZnT8A)could help differentiate latent autoimmune diabetes in adults(LADA)from phenotypic type 2 diabetes mellitus[J].Diabetes Metab Res Rev,2013,29(5):363-368.
[8] Ujihara N,Daw K,Gianani R,et al.Identification of glutamic acid decarboxylase autoantibody heterogeneity and epitope regions in type I diabetes[J].Diabetes,1994,43(8):968-975.
[9] Wenzlau JM,Juhl K,Yu LP,et al.The cation efflux transporter ZnT8(Slc30A8)is a major autoantigen in human type 1 diabetes[J].Proc Natl Acad Sci USA,2007,104(43):17040-17045.
[10] 吴 敏,杨宏山,黄淑玉.新诊断2型糖尿病患者谷氨酸脱羧酶抗体、胰岛细胞抗体和胰岛素自身抗体联合筛查成人隐匿性自身免疫性糖尿病的意义[J].中国糖尿病杂志,2013,21(11):1018-1020.
Wu M,Yang HS,Huang SY.The role of combinedly detecting GADA,ICA and IAA in screening LADA in newly diagnosed type 2 diabetes patients[J].Chinese Journal of Diabetes,2013,21(11):1018-1020.
[11] 曾东良,姜焕好.自身抗体检测作为体检项目的预警价值[J].检验医学与临床,2014,11(9):1262-1263,1266.
Zeng DL,Jiang HH.Autoantibodies as an early wa-rning of the value of medical items[J].Laboratory Medicine and Clinic,2014,11(9):1262-1263,1266.

备注/Memo

备注/Memo:
基金项目:十二五国家高技术研究发展计划(863计划)课题,编号2011AA02A113。
作者简介:赵长胜(1969-),男,大专,主治医师,从事全科医学,Tel: 15933424770,E-mail:531177954@qq.com。
通讯作者:冯晓燕(1973-),女,博士,副研究员,主要研究方向为疾病诊断标志物筛选与诊断试剂研制,Tel:13011821686,E-mail:xyfeng2002@126.com。
更新日期/Last Update: 2015-06-10