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胰岛素抵抗的炎症机制 被引量:21

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摘要 研究证明胰岛素抵抗是一个慢性亚临床炎症过程 ,细胞因子肿瘤坏死因子 (TNF)α和白介素 (IL) 6都能减低机体组织细胞对胰岛素的敏感性 ,来自脂肪等组织的细胞因子和炎症敏感蛋白如IL 8、抵抗素、脂联素、C反应蛋白和纤溶酶原激活物抑制剂 (PAI) 1等对胰岛素抵抗的发生也有重要作用。另一方面 ,在胰岛素抵抗时脂肪组织、骨骼肌细胞、肝脏和动脉血管组织都不同程度地增加一些细胞因子的表达 ,这些细胞因子通过内分泌、旁分泌和自分泌机制进一步减低组织细胞对胰岛素的敏感性。通过对胰岛素抵抗炎症机制的认识 ,有助于对这些代谢性疾病的发生和发展进行预测、动态观察和干预治疗。
作者 陈述林 罗敏
出处 《国外医学(内分泌学分册)》 2004年第6期376-378,共3页 Foreign Medical Sciences(Section of Endocrinology)
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