Diabetes:儿童体内脂肪组织生物学及功能的早期改变的证据及其与肥胖相关炎症及胰岛素抵抗的关系研究

2014-11-23 MedSci MedSci原创

成人中脂肪细胞的肥大或增生导致肥胖者体内脂肪量的增加,还常与脂肪组织的功能异常有关。本项研究中我们对171名0-18岁的正常和肥胖儿童进行全面综合的研究及临床特征的记录,并评估他们的脂肪组织样本在生物学及功能方面出现了哪些早期改变。 我们的研究发现,从儿童早期即可观察到肥胖者与正常组相比脂肪细胞体积和数量的增加。肥胖儿童脂肪组织组成的改变还伴随着体外实验中基础脂解水平的下降以及基质血管细胞增

成人中脂肪细胞的肥大或增生导致肥胖者体内脂肪量的增加,还常与脂肪组织的功能异常有关。本项研究中我们对1710-18岁的正常和肥胖儿童进行全面综合的研究及临床特征的记录,并评估他们的脂肪组织样本在生物学及功能方面出现了哪些早期改变。

我们的研究发现,从儿童早期即可观察到肥胖者与正常组相比脂肪细胞体积和数量的增加。肥胖儿童脂肪组织组成的改变还伴随着体外实验中基础脂解水平的下降以及基质血管细胞增殖的增强,这可能与脂肪细胞的肥大和增生的现象相对应。进一步研究提示6岁以上的肥胖儿童体内,脂肪组织中包括形成皇冠样结构等的巨噬细胞浸润现象显著增加,并且与血清超敏C反应蛋白的水平升高相关。临床上儿童中脂肪细胞的肥大不仅仅与血清瘦素水平有关,还作为一个独立于HOMA-IR的指标与胰岛素抵抗高度相关。

综上所述,我们的工作提示脂肪细胞的肥大与肥胖儿童体内脂肪组织的炎症增加有关,并且支持肥胖儿童在早期即发生肥胖相关脂肪组织功能异常,并且这种异常与胰岛素抵抗相关。

原始出处:

Kathrin Landgraf, Denise Rockstroh, Isabel V. Wagner, Sebastian Weise, Roy Tauscher, Julian T. Schwartze, Dennis Löffler, Ulf Bühligen, Magdalena Wojan, Holger Till, Jürgen Kratzsch, Wieland Kiess, Matthias Blüher and Antje Körner. Evidence of early alterations in adipose tissue biology and function and its association with obesity-related inflammation and insulin resistance in children. Diabetes, Nov 12, 2014.

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    2015-10-23 baoya
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    2015-06-08 ljjj1053

    非常好非常好

    0

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