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The impact of the novel starch-lipid complexes on the glucolipids metabolism, inflammation, and gut dysbiosis of type 2 diabetes mellitus rats
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作者 Yingshuang Lu Renbing Qin +8 位作者 Jin Wang Fengjuan Xiang Yan Zhang Bowei Zhang Dancai Fan Huan Lü Xuemeng Ji Shujun Wang Shuo Wang 《Food Science and Human Wellness》 SCIE CAS CSCD 2024年第6期3210-3223,共14页
It has been widely accepted that resistant starch(RS)provides numerous health benefits for human.In this research,we aimed at evaluating the performance of novel starch-lipid complexes,RS5,in comparison with RS2 on ph... It has been widely accepted that resistant starch(RS)provides numerous health benefits for human.In this research,we aimed at evaluating the performance of novel starch-lipid complexes,RS5,in comparison with RS2 on physical features,glucolipids metabolism,inflammation,and gut microbiota profiles of type 2 diabetes mellitus(T2DM)rats.The T2DM model was established by streptozotocin injection to the high-fat-sugar fed rats.According to a serial of biochemical analyses,we found that RS5 diets were strongly correlated with enhanced homeostatic model assessment for insulin secretion(HOMA-IS),high-density lipoprotein cholesterol(HDL-C),adiponectin(ADP),insulin action index(IAI),glucagon-like peptide-1(GLP1),and short-chain fatty acids(SCFAs)in T2DM rats whilst negatively associated with the low-density lipoprotein(LDL-C)and inflammatory cytokines,showing the capabilities to ameliorate T2DM symptoms by regulation of glucolipid metabolism,gut metabolites,and inflammation.On the other hand,RS2-enriched supplementations were influential in the mediation of insulin secretion to improve glucose metabolism.The increasing evidence collected herein suggested that intestinal microbiota could mediate glucolipids metabolism and alleviate inflammation after certain microflora nourished by RS.In addition,RS intake made an impact on phosphoinositide 3-kinase/protein kinase B signaling pathway that might contribute to the improvement of glucose metabolism,insulin resistance,and inflammatory responses. 展开更多
关键词 Resistant starch Type 2 diabetes glucolipid metabolism Gut microbiota INFLAMMATION
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Effect of berberine on glucolipid metabolization in diabetic skeletal muscle and its mechanism 被引量:1
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作者 周吉银 周世文 《Journal of Chinese Pharmaceutical Sciences》 CAS 2007年第4期300-306,共7页
Aim To investigate the effect of berberine on damaged morphology and glucolipid metabolization in skeletal muscle of diabetic rat and the relationship between peroxisome proliferator-activated receptor (PPARs) α/γ... Aim To investigate the effect of berberine on damaged morphology and glucolipid metabolization in skeletal muscle of diabetic rat and the relationship between peroxisome proliferator-activated receptor (PPARs) α/γ/δ protein expression. Methods Type 2 diabetes mellitus rats were induced by an injection of 35 mg.kg^-1 streptozotocin (STZ) and a high-carbohydrate/ high-fat diet for 16 weeks. From week 17 to 32, diabetic rats were given low-, middle-, high-dose berberine (75, 150, 300 mg.kg^-1), fenofibrate (100 mg.kg^-1) and rosiglitazone (4 mg.kg^-1) by oral administration, respectively. The skeletal muscle structure was observed with hematoxylin-eosin (HE) staining, glycogen and triglyceride contents were measured by spectrophotometry and PPAR α/γ/δ protein expressions were detected by immunohistochemistry. Results Fiber distribution remained normal in skeletal muscles of all the groups, middle-, high-dose berberine partly improved diabetic fibre atrophy, increased glycogen and decreased triglyceride levels in diabetic muscle (P〈 0.01). Middle-, high-dose berberine and rosiglitazone all significantly reduced PPARy protein level in diabetic skeletal muscle (P 〈 0.01); middle-, high-dose berberine and fenofibrate strikingly increased both PPARu and PPAR8 expression (P〈 0.01). Conclusion Berberine modulates PPAR α/γ/δ protein expression in diabetic skeletal muscle which may contribute to ameliorate fibre damage and glucolipid metabolization. 展开更多
关键词 BERBERINE PPAR α/γ/δ Skeletal muscle glucolipid metabolization
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Characteristics of glucolipid metabolism as well as atherosclerosis in patients with obstructive sleep apnea-hypopnea syndrome combined with cerebral infarction
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作者 Yan-Li Cai Jian-Qiang Hao Hai-Bin Wang 《Journal of Hainan Medical University》 2018年第8期57-60,共4页
Objective:To evaluate the characteristics of glucolipid metabolism as well as atherosclerosis in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) combined with cerebral infarction.Methods:Patients who w... Objective:To evaluate the characteristics of glucolipid metabolism as well as atherosclerosis in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) combined with cerebral infarction.Methods:Patients who were treated in the hospital due to acute cerebral infarction between March 2015 and February 2018 were selected, and according to the combination of OSAHS, the 300 patients with cerebral infarction were divided into the cerebral infarction group A who were combined with OSAHS and the cerebral infarction group B who were not combined with OSAHS;the 100 cases of healthy volunteers who underwent physical examination in our hospital during the same period were selected as the control group. The contents of glucolipid metabolism indexes, cytokines and plaque hydrolysis molecules in serum were determined.Results: Serum F-Ins, TC, LDL-C, VE-cadherin, YKL-40, FKN, M-CSF, MCP-1, MMP9, Caspase-3, ICTP and VCAM-1 levels of cerebral infarction group A and cerebral infarction group B were significantly higher than those of control group whereas HDL-C levels were significantly lower than that of control group;serum F-Ins, TC, LDL-C, VE-cadherin, YKL-40, FKN, M-CSF, MCP-1, MMP9, Caspase-3, ICTP and VCAM-1 levels of cerebral infarction group A were significantly higher than those of cerebral infarction group B whereas HDL-C level was significantly lower than that of cerebral infarction group B.Conclusion: There are more significant glucolipid metabolism disorder and worse plaque stability in patients with OSAHS combined with cerebral infarction. 展开更多
关键词 Cerebral infarction OBSTRUCTIVE sleep apnea-hypopnea syndrome glucolipid metabolism ATHEROSCLEROSIS
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Activation without Proteolysis of Anti-<i>σ</i>Factor RsiV of the Extracytoplasmic Function <i>σ</i>Factor <i>σ</i><sup>V</sup>in a Glucolipid-Deficient Mutant of <i>Bacillus subtilis</i>
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作者 Takahiro Seki Kouji Matsumoto +1 位作者 Satoshi Matsuoka Hiroshi Hara 《Advances in Microbiology》 2017年第4期315-327,共13页
Extracytoplasmic function (ECF) σ factors are a crucial link in the process of bacterial response to environmental stresses, in which bacteria transmit information across the cytoplasmic membrane. Among the seven ECF... Extracytoplasmic function (ECF) σ factors are a crucial link in the process of bacterial response to environmental stresses, in which bacteria transmit information across the cytoplasmic membrane. Among the seven ECF σ factors of Bacillus subtilis σV, which is sequestered by transmembrane anti-σ factor RsiV under normal growth conditions, responds to lysozyme. When B. subtilis cells are challenged by lysozyme, the lysozyme-bound RsiV undergoes two successive proteolysis steps, by a signal peptidase and RasP protease, and releases σV. An unchallenged B. subtilis ugtP mutant lacking glucolipids exhibited higher σV activity than wild type. However, the activation occurred in the absence of RasP, and no proteolysis of RsiV was observed. It is likely that a conformational change, not proteolysis, of RsiV leads to this activation of σV in the absence of glucolipids. Replacement of the C-terminal region of RsiV with that of RsiW, the cognate σ factor of which, σW, is not activated in the ugtP mutant, indicated that the C-terminal extracytoplasmic region of RsiV was necessary for the response to glucolipid deficiency. 展开更多
关键词 Anti-σ FACTOR Bacillus subtilis ECF σ FACTOR glucolipid RsiV σV UgtP
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Inonotus obliquus(Chaga)against HFD/STZ-induced glucolipid metabolism disorders and abnormal renal functions by regulating NOS-cGMP-PDE5 signaling pathway
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作者 FENG Yating LIU Jing +4 位作者 GONG Le HAN Zhaodi ZHANG Yan LI Rongshan LIAO Hui 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2024年第7期619-631,共13页
Our prior investigations have established that Inonotus obliquus(Chaga)possesses hypoglycemic effects.Persistent hyperglycemia is known to precipitate renal function abnormalities.The functionality of the kidneys is i... Our prior investigations have established that Inonotus obliquus(Chaga)possesses hypoglycemic effects.Persistent hyperglycemia is known to precipitate renal function abnormalities.The functionality of the kidneys is intricately linked to the levels of cyclic guanosine-3',5'-monophosphate(cGMP),which are influenced by the activities of nitric oxide synthase(NOS)and phosphodiesterase(PDE).Enhanced cGMP levels can be achieved either through the upregulation of NOS activity or the downregulation of PDE activity.The objective of the current study is to elucidate the effects of Chaga on disorders of glucolipid metabolism and renal abnormalities in rats with type 2 diabetes mellitus(T2DM),while concurrently examining the NOS-cGMP-PDE5 signaling pathway.A model of T2DM was developed in rats using a high-fat diet(HFD)combined with streptozotocin(STZ)administration,followed by treatment with Chaga extracts at doses of 50 and 100 mg·kg^(−1)for eight weeks.The findings revealed that Chaga not only mitigated metabolic dysfunctions,evidenced by improvements in fasting blood glucose,total cholesterol,triglycerides,and insulin resistance,but also ameliorated renal function markers,including serum creatinine,urine creatinine(UCr),blood urea nitrogen,24-h urinary protein,and estimated creatinine clearance.Additionally,enhancements in glomerular volume,GBM thickness,podocyte foot process width(FPW),and the mRNA and protein expressions of podocyte markers,such as nephrin and wilms tumor-1,were observed.Chaga was found to elevate cGMP levels in both serum and kidney tissues by increasing mRNA and protein expressions of renal endothelial NOS and neural NOS,while simultaneously reducing the expressions of renal inducible NOS and PDE5.In summary,Chaga counteracts HFD/STZ-induced glucolipid metabolism and renal function disturbances by modulating the NOS-cGMP-PDE5 signaling pathway.This research supports the potential application of Chaga in the clinical prevention and treatment of T2DM and diabetic nephropathy(DN),with cGMP serving as a potential therapeutic target. 展开更多
关键词 Inonotus obliquus Diabetic nephropathy glucolipid metabolism disorders Renal functions NOS-cGMP-PDE5 signaling
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Fluorescent probes for glucolipid metabolism of bacterial cell wall
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作者 Yurou Huang Xiaoxie Ma +3 位作者 Caimin Gao Yuan Xie Mingqiang Qiu Jun Yin 《Green Chemical Engineering》 EI CSCD 2023年第4期417-426,共10页
Cell wall is a basic component of bacteria that promotes bacteria to adapt the complicated environment as well as play an essential role in antimicrobial resistance.The structure of bacterial cell wall is remarkably r... Cell wall is a basic component of bacteria that promotes bacteria to adapt the complicated environment as well as play an essential role in antimicrobial resistance.The structure of bacterial cell wall is remarkably rich,and some complex components,such as peptidoglycan,lipopolysaccharide,and peptidoglycan-arabinogalactan et al.,can only be found in bacteria.Furthermore,the biosynthesis and transfer of these glycolipids are indispensable for bacteria during cell elongation.And the process of biosynthesis and transfer are generally associated with metabolism and sophisticated enzyme mechanisms.However,how the metabolic process takes place,what role enzymes play in this process and how they function have been major concerns for scientists in this field.Numerous significant progresses on fluorescent probes and biological imaging bring opportunity for the studying of metabolism and enzyme mechanisms recently due to its non-invasive and high sensitivity.In this review,we focused on metabolic fluorescent probes for the detection of glycolipids in bacterial cell wall and highlighted the involving mechanisms and biological application. 展开更多
关键词 Fluorescent probes BACTERIA Cell wall glucolipid metabolism
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运动联合益生菌干预2型糖尿病大鼠糖脂代谢、氧化应激及骨骼肌卫星细胞成肌分化水平的变化
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作者 陈娟娟 郑荣发 +2 位作者 莫伟彬 李国峰 李明亮 《中国实验动物学报》 CAS CSCD 北大核心 2024年第9期1171-1181,共11页
目的观察运动联合益生菌干预2型糖尿病大鼠糖脂代谢、氧化应激及骨骼肌卫星细胞表达的影响。方法8周龄SPF级SD雄性大鼠60只,随机选择10只大鼠为正常对照组(NC组),造模组大鼠腹腔注射链脲佐菌素,建立2型糖尿病大鼠模型,随机分为模型组(TN... 目的观察运动联合益生菌干预2型糖尿病大鼠糖脂代谢、氧化应激及骨骼肌卫星细胞表达的影响。方法8周龄SPF级SD雄性大鼠60只,随机选择10只大鼠为正常对照组(NC组),造模组大鼠腹腔注射链脲佐菌素,建立2型糖尿病大鼠模型,随机分为模型组(TN组)、运动+糖尿病组(YTN组)、益生菌+糖尿病组(GTN组)、运动+益生菌+糖尿病组(YGTN组),6周的递增负荷有氧跑台运动(第1周跑台速度为15 m/min,持续30 min;第2周跑台速度为15 m/min,持续60 min;第3~6周跑台速度为19.3 m/min,运动时间持续60 min,持续训练到第6周,每周5 d);GTN组和YGTN组在训练前1 h灌胃10.0 mL/(kg·d)的Lactibiane Iki益生菌溶液(浓度为10~7 CFU/mL)。最后,测定大鼠糖脂代谢指标、氧化应激指标及骨骼肌卫星细胞蛋白的表达。结果(1)TN组、YTN组、GTN组和YGTN组大鼠空腹血糖(fasting plasma glucose,FBG)、血清胰岛素(fasting serum insulin,FINS)、糖化血红蛋白(hemoglobin A1c,HBA1C)和胰岛素抵抗指数(homeostasis model assessment-insulin resistance index,HOMA-IR)水平均高于NC组(P<0.01),其中,YGTN组大鼠FBG水平均低于TN组、YTN组、GTN组(P<0.05);YTN组、GTN组和YGTN组大鼠血清FINS水平均与TN组比较均有所下降(P<0.01);YGTN组大鼠血清HBA1C水平均低于TN组、YTN组和GTN组水平(P<0.01);YGTN组大鼠HOMA-IR指数与TN组、YTN组和GTN组比较下降较显著(P<0.01)。结果表明有氧运动联合益生菌干预组大鼠FBG、FINS、HBA1C和HOMA-IR含量下降较明显。(2)TN组大鼠血清总胆固醇(total cholesterol,T-CHO)、甘油三酯(triglyceride,TG)、低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL)和游离脂肪酸(free fatty acid,FFA)水平均高于NC组(P<0.05),YGTN组大鼠血清T-CHO、TG、LDL和FFA水平均低于TN组(P<0.05),基本上恢复到NC组的水平。TN组大鼠血清高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL)水平低于NC组(P<0.05),YGTN组大鼠血清HDL水平高于TN组(P<0.05),基本上恢复到NC组水平。结果表明有氧运动联合益生菌干预糖尿病大鼠,可降低糖尿病大鼠血清T-CHO、TG、LDL、FFA含量,提高HDL水平较明显。(3)TN组大鼠血清丙二醛(malondialdehyde,MDA)和游离8-异前列腺素F2α(8-iso-prostaglandin F2α,8-isoPGF2α)水平均高于NC组(P<0.05或P<0.01),YGTN组大鼠血清MDA和8-isoPGF2α水平均低于TN组(P<0.05或P<0.01);TN组大鼠血清过氧化氢酶(catalase,CAT)、超氧化物歧化酶(superoxide dismutase,SOD)、谷胱甘肽过氧化物酶(glutathione peroxidase,GSH-Px)和总抗氧化能力(total antioxidant capacity,T-AOC)水平均低于NC组(P<0.01),YGTN组大鼠血清CAT、SOD、GSH-Px和T-AOC水平均高于NC组(P<0.01),但基本上恢复到NC组的水平。(4)TN组大鼠骨骼肌卫星细胞配对盒基因7(paired box gene 7,Pax7)、成肌分化因子(myogenic determination gene,MyoD)、肌细胞生成素(myogenin,MyoG)和生肌因子5(myogenic factor 5,Myf5)蛋白表达均低于NC组(P<0.05或P<0.01),YGTN组大鼠骨骼肌Pax7、MyoD、MyoG和Myf5蛋白表达均高于TN组(P<0.05或P<0.01);基本上恢复到NC组水平。TN组大鼠骨骼肌生成抑制素(myostatin,MSTN)蛋白表达高于NC组(P<0.05),YGTN组大鼠骨骼肌MSTN蛋白表达低于TN组(P<0.05),基本上恢复到NC组水平。结论益生菌和有氧运动具有减轻胰岛素抵抗,改善血脂和氧化激的作用,在改善2型糖尿病大鼠血糖和胰岛素水平具有协同作用。此外,有氧运动联合益生菌干预促进了肌细胞的分化,可能对防止T2DM引起肌肉质量的流失和力量下降以及肌肉组织的并发症发挥一定的作用。 展开更多
关键词 运动 益生菌 2型糖尿病大鼠 糖脂代谢 氧化应激 骨骼肌卫星细胞
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有氧及抗阻运动对糖尿病前期心血管风险的干预效果
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作者 阮芳 玉琴 +5 位作者 马小敏 冯有琴 戴霞 刘玲芳 游越西 陈青云 《吉林医学》 CAS 2024年第3期570-573,共4页
目的:评价有氧及抗阻运动对糖尿病前期患者的糖脂代谢水平、疾病转归情况以及心血管风险的影响。方法:选取2019年12月~2020年12月广西医科大学第一附属医院糖尿病前期患者84例,均接受糖尿病饮食宣教,用随机法分为有氧运动组及抗阻运动组... 目的:评价有氧及抗阻运动对糖尿病前期患者的糖脂代谢水平、疾病转归情况以及心血管风险的影响。方法:选取2019年12月~2020年12月广西医科大学第一附属医院糖尿病前期患者84例,均接受糖尿病饮食宣教,用随机法分为有氧运动组及抗阻运动组各42例,两组3次/w中强度运动,50 min/次,进行为期12个月的运动干预。分析患者运动干预前、运动干预6个月后及运动干预12个月后的糖化血红蛋白(HbA1c)、血糖和血脂水平变化。结果:两组患者运动干预前基线资料、HbA1c、空腹血糖、餐后2 h血糖(2 h PG)、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)生化指标比较差异无统计学意义(P>0.05);两组患者运动干预6、12个月后各项指标较干预前均有改善,差异有统计学意义(P<0.05)。两组运动干预6个月后,抗阻组降低2 h PG水平优于有氧运动组,差异有统计学意义(P<0.05),HbA1c、空腹血糖、TC、TG、HDL-C和LDL-C指标比较差异无统计学意义(P>0.05)。两组运动干预12个月后,抗阻组降低HbA1c、空腹血糖和2 h PG水平优于有氧运动组,差异有统计学意义(P<0.05),TC、TG、HDL-C和LDL-C指标两组比较差异无统计学意义(P>0.05)。结论:有氧及抗阻运动有效改善糖尿病前期患者血糖水平和脂质代谢,延缓病情发展,降低心血管风险,运动疗法对糖尿病前期人群转归正常具有积极作用。 展开更多
关键词 有氧运动 抗阻运动 糖尿病前期 糖脂代谢 心血管风险
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短链脂肪酸干预老年大鼠肌少症的作用及机制
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作者 徐锐 李燕燕 徐红 《中国组织工程研究》 CAS 北大核心 2024年第32期5172-5176,共5页
背景:研究显示短链脂肪酸是一种潜在的骨骼肌能量代谢调节物,但具体机制尚不明确。目的:探索短链脂肪酸对老年肌少症的作用及可能的相关机制。方法:将SD大鼠随机分为对照组、肌少症组、肌少症+短链脂肪酸组,后2组大鼠采用摘除大鼠卵巢、... 背景:研究显示短链脂肪酸是一种潜在的骨骼肌能量代谢调节物,但具体机制尚不明确。目的:探索短链脂肪酸对老年肌少症的作用及可能的相关机制。方法:将SD大鼠随机分为对照组、肌少症组、肌少症+短链脂肪酸组,后2组大鼠采用摘除大鼠卵巢、1周后按体质量5 mg/kg皮下注射地塞米松、连续7 d给药的方案建立老年肌少症大鼠模型;对照组大鼠打开腹腔找到卵巢但不摘除,随即缝合腹腔。肌少症+短链脂肪酸组大鼠造模术后给予含有150 mmol/L短链脂肪酸的饮用水(乙酸钠600 mg/kg、丙酸钠200 mg/kg、丁酸钠200 mg/kg),对照组及肌少症组大鼠给予等量的生理盐水,1次/d,连续4周。造模结束后测量大鼠双侧腓肠肌质量和体质量计算腓肠肌指数,评估造模是否成功。于造模成功后0,1,2,4周测量大鼠的摄食量、体质量及抓力;苏木精-伊红染色观察腓肠肌形态学改变;Western blot法检测腓肠肌中p-AMPK、p-ULK1蛋白的表达。结果与结论:与对照组比较,肌少症组大鼠摄食量、体质量及抓力均显著降低(P<0.05),腓肠肌的湿质量显著降低(P<0.05),腓肠肌中p-AMPK和p-ULK1蛋白表达均显著降低(P<0.05);与肌少症组相比,肌少症+短链脂肪酸组大鼠摄食量、体质量、抓力、腓肠肌的湿质量及腓肠肌中p-AMPK和p-ULK1的蛋白表达显著增加(P<0.05)。结果提示,短链脂肪酸可改善老年肌少症的症状,可能与骨骼肌中AMPK和ULK1蛋白水平增高有关。 展开更多
关键词 肌少症 AMPK ULK1 短链脂肪酸 骨骼肌 糖脂代谢
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清化方治疗湿热蕴结型非酒精性脂肪性肝病临床研究
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作者 李运东 王怡群 +2 位作者 王德鹤 吴眉 李莹 《山东中医杂志》 2024年第6期578-584,共7页
目的:观察清化方治疗非酒精性脂肪性肝病(NAFLD)的临床疗效。方法:将66例NAFLD患者按随机数字表法分为对照组和观察组各33例,因研究过程中有脱落,对照组、观察组最终完成研究的患者例数分别为30例、32例。两组均给予生活方式干预,观察... 目的:观察清化方治疗非酒精性脂肪性肝病(NAFLD)的临床疗效。方法:将66例NAFLD患者按随机数字表法分为对照组和观察组各33例,因研究过程中有脱落,对照组、观察组最终完成研究的患者例数分别为30例、32例。两组均给予生活方式干预,观察组在此基础上给予清化方干预。两组均以12周为1个疗程,共治疗2个疗程。观察两组患者干预前、干预12周、干预24周的受控衰减参数(CAP)、血脂代谢指标、肝功能指标、血糖代谢指标及体质量指数(BMI),并评价干预24周的腹部B超疗效和中医证候疗效。结果:①干预12周、24周后,两组CAP较干预前均降低(P<0.05);干预24周后,两组CAP较干预12周均降低(P<0.05)。干预12周、24周后,观察组CAP均低于对照组(P<0.05)。②干预24周后,观察组血清TG水平较干预前及干预12周降低(P<0.05),且低于同时点对照组(P<0.05)。③干预24周后,观察组空腹胰岛素(FINS)水平和HOMA胰岛素抵抗(HOMA-IR)指数较干预前降低(P<0.05),且低于同时点对照组(P<0.05)。④干预12周、24周后,两组BMI较干预前均降低(P<0.05)。干预24周后,观察组BMI较干预12周降低(P<0.05),且低于同时点对照组(P<0.05)。⑤干预24周后,观察组腹部B超疗效和中医证候疗效均优于对照组(P<0.05)。结论:清化方联合生活方式干预有助于改善NAFLD患者肝脏脂肪沉积,并可改善患者中医证候,疗效确切。 展开更多
关键词 非酒精性脂肪性肝病 清化方 湿热 糖脂代谢 受控衰减参数 中医证候
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2型糖尿病合并代谢综合征患者血清CTRP9、A-FABP水平变化及临床意义
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作者 杨柳 韦金梅 +6 位作者 林华 黄琳秋 莫丽雯 陆丽莹 廖苑竹 韦秋燕 刘江华 《临床和实验医学杂志》 2024年第13期1400-1403,共4页
目的研究2型糖尿病(T2DM)合并代谢综合征(MS)(T2DM~MS)患者血清补体C1q肿瘤坏死因子相关蛋白(CTRP9)、脂肪型脂肪酸结合蛋白(A-FABP)水平变化及临床意义。方法前瞻性选择2021年1月至2023年12月于广西医科大学第二附属医院治疗的90例T2D... 目的研究2型糖尿病(T2DM)合并代谢综合征(MS)(T2DM~MS)患者血清补体C1q肿瘤坏死因子相关蛋白(CTRP9)、脂肪型脂肪酸结合蛋白(A-FABP)水平变化及临床意义。方法前瞻性选择2021年1月至2023年12月于广西医科大学第二附属医院治疗的90例T2DM患者纳入研究组,根据是否合并MS将其分为T2DM~MS组(n=71)、T2DM未合并MS组(n=19)。将同期于广西医科大学第二附属医院进行体检的90名健康者纳入对照组。检测并比较研究组与对照组、T2DM~MS组与T2DM未合并MS组的糖脂代谢指标[空腹血糖、高密度脂蛋白(HDL-C)、总胆固醇、低密度脂蛋白(LDL-C)、甘油三酯]及血清CTRP9、A-FABP水平。采用Pearson相关性分析CTRP9、A-FABP与各糖脂代谢指标的相关性;采用受试者操作特征(ROC)曲线评价CTRP9、A-FABP对T2DM~MS的诊断效能。结果研究组的空腹血糖、总胆固醇、LDL-C、甘油三酯及血清A-FABP水平分别为(9.37±0.95)mmol/L、(4.38±0.45)mmol/L、(2.83±0.29)mmol/L、(1.58±0.17)mmol/L、(15.48±1.72)ng/mL,均高于对照组,研究组HDL-C及血清CTRP9水平分别为(1.23±0.14)mmol/L、(8.38±0.85)ng/mL,均低于对照组,差异均有统计学意义(P<0.05)。T2DM~MS组空腹血糖、总胆固醇、LDL-C、甘油三酯及血清A-FABP水平分别为(10.26±1.32)mmol/L、(4.51±0.47)mmol/L、(3.15±0.33)mmol/L、(1.74±0.20)mmol/L、(18.21±2.06)ng/mL,均高于T2DM未合并MS组,T2DM~MS组HDL-C及血清CTRP9水平分别为(1.12±0.13)mmol/L、(7.26±0.75)ng/mL,均低于T2DM未合并MS组,差异均有统计学意义(P<0.05)。经Pearson相关分析,血清CTRP9水平与空腹血糖、总胆固醇、LDL-C、甘油三酯均呈负相关(r=-0.902、-0.780、-0.745、-0.753;均P<0.05),与HDL-C呈正相关(r=0.827,P<0.05);血清A-FABP水平与空腹血糖、总胆固醇、LDL-C、甘油三酯均呈正相关(r=0.843、0.812、0.839、0.722;均P<0.05),与HDL-C呈负相关(r=-0.768,P<0.05)。经ROC曲线分析,血清CTRP9联合A-FABP对T2DM~MS的诊断效能高于两者单独诊断。结论T2DM~MS患者血清CTRP9水平低表达,A-FABP水平高表达,血清CTRP9、A-FABP水平与糖脂代谢指标密切相关。血清CTRP9联合A-FABP可提高T2DM~MS的诊断效能,监测血清CTRP9、A-FABP水平有助于预测T2DM~MS的发生。 展开更多
关键词 2型糖尿病合并代谢综合征 CTRP9 A-FABP 糖脂代谢
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Dietary fat supplementation relieves cold temperature-induced energy stress through AMPK-mediated mitochondrial homeostasis in pigs
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作者 Wei He Xinyu Liu +4 位作者 Ye Feng Hongwei Ding Haoyang Sun Zhongyu Li Baoming Shi 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2024年第4期1669-1687,共19页
Background Cold stress has negative effects on the growth and health of mammals, and has become a factor restricting livestock development at high latitudes and on plateaus. The gut-liver axis is central to energy met... Background Cold stress has negative effects on the growth and health of mammals, and has become a factor restricting livestock development at high latitudes and on plateaus. The gut-liver axis is central to energy metabolism, and the mechanisms by which it regulates host energy metabolism at cold temperatures have rarely been illustrated. In this study, we evaluated the status of glycolipid metabolism and oxidative stress in pigs based on the gut-liver axis and propose that AMP-activated protein kinase(AMPK) is a key target for alleviating energy stress at cold temperatures by dietary fat supplementation.Results Dietary fat supplementation alleviated the negative effects of cold temperatures on growth performance and digestive enzymes, while hormonal homeostasis was also restored. Moreover, cold temperature exposure increased glucose transport in the jejunum. In contrast, we observed abnormalities in lipid metabolism, which was characterized by the accumulation of bile acids in the ileum and plasma. In addition, the results of the ileal metabolomic analysis were consistent with the energy metabolism measurements in the jejunum, and dietary fat supplementation increased the activity of the mitochondrial respiratory chain and lipid metabolism. As the central nexus of energy metabolism, the state of glycolipid metabolism and oxidative stress in the liver are inconsistent with that in the small intestine. Specifically, we found that cold temperature exposure increased glucose transport in the liver, which fully validates the idea that hormones can act on the liver to regulate glucose output. Additionally, dietary fat supplementation inhibited glucose transport and glycolysis, but increased gluconeogenesis, bile acid cycling, and lipid metabolism. Sustained activation of AMPK, which an energy receptor and regulator, leads to oxidative stress and apoptosis in the liver;dietary fat supplementation alleviates energy stress by reducing AMPK phosphorylation.Conclusions Cold stress reduced the growth performance and aggravated glycolipid metabolism disorders and oxidative stress damage in pigs. Dietary fat supplementation improved growth performance and alleviated cold temperature-induced energy stress through AMPK-mediated mitochondrial homeostasis. In this study, we high-light the importance of AMPK in dietary fat supplementation-mediated alleviation of host energy stress in response to environmental changes. 展开更多
关键词 Apoptosis Cold temperature Energy stress FAT glucolipid metabolism Mitochondrial homeostasis
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利拉鲁肽序贯联合胰岛素泵强化治疗对初诊肥胖T2DM疗效及对患者相关指标的影响
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作者 朱伟宏 黄珂珂 +2 位作者 张馨怡 邓宝珠 冯宝萍 《西部医学》 2024年第10期1456-1459,1464,共5页
目的探讨利拉鲁肽序贯联合胰岛素泵强化(CSⅡ)治疗初诊肥胖2型糖尿病(T2DM)疗效及对患者糖脂代谢、胰岛功能及体重相关指标的影响。方法选取我院内分泌科于2018年4月-2022年4月收治的合并肥胖[体重质量指数(BMI)≥28 kg/m 2]的T2DM患者... 目的探讨利拉鲁肽序贯联合胰岛素泵强化(CSⅡ)治疗初诊肥胖2型糖尿病(T2DM)疗效及对患者糖脂代谢、胰岛功能及体重相关指标的影响。方法选取我院内分泌科于2018年4月-2022年4月收治的合并肥胖[体重质量指数(BMI)≥28 kg/m 2]的T2DM患者104例,均空腹血糖(FPG)≥11.1 mmol/L和(或)糖化血红蛋白(HbA1c)≥9%,将患者分为常规组与GLP-1组,每组52例。两组均给予胰岛素泵强化治疗1周,血糖控制达标,撤泵后常规组给予二甲双胍,GLP-1组给予利拉鲁肽注射治疗,两组患者治疗10周。比较两组患者治疗前后体重相关指标(BMI、腰围)、糖代谢[FPG、餐后2 h血糖(2 hPG)及HbA1c]、脂代谢[载脂蛋白A1(ApoA1)、载脂蛋白B(ApoB)、总胆固醇(TC)及三酰甘油(TG)]、胰岛素抵抗情况[胰岛β细胞指数(HOMA-β)、胰岛素抵抗指数(HOMA-IR)]并统计药物不良反应。结果治疗后,两组患者BMI、腰围、FPG、2 hPG及HbA1c、ApoB、TC、TG及HOMA-IR均显著下降(P<0.05),且GLP-1组显著低于常规组(P<0.05);治疗后,两组患者ApoA1、HOMA-β均显著上升(P<0.05);GLP-1组与常规组总药物不良反应发生率差异无统计学意义(P>0.05)。结论利拉鲁肽序贯联合CSⅡ治疗可显著改善肥胖T2DM患者体脂情况、糖脂代谢以及胰岛素抵抗等情况,不良反应较小,安全有效,值得推广应用。 展开更多
关键词 利拉鲁肽 胰岛素泵 肥胖2型糖尿病 糖脂代谢 胰岛素抵抗
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基于肠道菌群及其代谢产物SCFA探讨左归降糖通脉方对2型糖尿病大鼠糖脂代谢的影响 被引量:1
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作者 彭岚玉 李定祥 +2 位作者 姚敬心 罗政 邓奕辉 《湖南中医药大学学报》 CAS 2024年第3期365-373,共9页
目的基于肠道菌群及代谢产物短链脂肪酸(short-chain fatty acid,SCFA)探讨左归降糖通脉方(Zuogui Jiangtang Tongmai formula,ZJTF)干预2型糖尿病(type 2 diabetes mellitus,T2DM)的可能机制。方法取12只SD大鼠为空白(Control)组,喂食... 目的基于肠道菌群及代谢产物短链脂肪酸(short-chain fatty acid,SCFA)探讨左归降糖通脉方(Zuogui Jiangtang Tongmai formula,ZJTF)干预2型糖尿病(type 2 diabetes mellitus,T2DM)的可能机制。方法取12只SD大鼠为空白(Control)组,喂食普通饲料;48只大鼠为造模组,以高脂饲料联合链脲佐菌素(streptozocin,STZ)制备T2DM模型。造模成功后随机分为模型(DM)组、ZJTF低剂量(ZJTF.L,12 g·kg^(-1))组、ZJTF高剂量(ZJTF.H,24 g·kg^(-1))组、二甲双胍150 mg·kg^(-1)+阿托伐他汀10 mg·kg^(-1)(M.A)组,药物干预4周。监测大鼠精神状态、体质量与随机血糖;ELISA检测血清胰岛素(insulin,INS)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)、炎症因子的水平;生化分析法检测血脂常规含量;HE染色观察结肠病理改变;16SrRNA观察肠道菌群结构;GC-MS检测血清SCFA水平。结果与Control组比较,DM组出现多饮、多食、多尿、体质量减轻等症状;血糖、INS、HbA1c明显上升(P<0.01);总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TG)、低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)水平升高,高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)明显降低(P<0.01);白细胞介素-1β(interleukin-1β,IL-1β)、白细胞介素-6(interleukin-6,IL-6)及肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平均明显升高(P<0.01);结肠固有层出现部分中断和消失,细胞肿胀、绒毛紊乱。DM组厚壁菌门和变形菌门、肠杆菌科、埃希菌-志贺菌属的相对丰度增加;血清乙酸、丁酸含量下降(P<0.05,P<0.01)。与DM组比较,ZJTF组血糖、INS、HbAlc均明显降低(P<0.05,P<0.01);TC、TG、LDL-C明显降低,HDL-C明显升高(P<0.01);IL-1β、IL-6及TNF-α水平明显降低(P<0.01);结肠细胞肿胀及炎性浸润缓解;拟杆菌门和疣微菌门、乳酸菌科、阿克曼菌属丰度增加;血清丁酸、乙酸含量升高(P<0.05,P<0.01)。结论左归降糖通脉方可能通过调节肠道菌群和SCFAs水平起到降血糖、稳血脂、减轻炎症反应的作用。 展开更多
关键词 左归降糖通脉方 2型糖尿病 肠道菌群 短链脂肪酸 糖脂代谢
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黄刺多糖对STZ诱导的Ⅰ型糖尿病大鼠糖脂代谢的调节作用
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作者 马娜娜 韩丽娟 +3 位作者 杨永晶 索有瑞 院珍珍 叶英 《食品工业科技》 CAS 北大核心 2024年第16期348-357,共10页
为探究黄刺多糖(Berberis dasystachya Maxim.Polysaccharide,BDP)对链脲佐菌素(STZ)诱导的I型糖尿病大鼠的糖脂代谢的调节作用,本文采用STZ诱导I型糖尿病大鼠模型,糖尿病模型大鼠随机分为模型对照组、多糖低剂量组(BDP-L,100 mg/kg)、... 为探究黄刺多糖(Berberis dasystachya Maxim.Polysaccharide,BDP)对链脲佐菌素(STZ)诱导的I型糖尿病大鼠的糖脂代谢的调节作用,本文采用STZ诱导I型糖尿病大鼠模型,糖尿病模型大鼠随机分为模型对照组、多糖低剂量组(BDP-L,100 mg/kg)、中剂量组(BDP-M,200 mg/kg)、高剂量组(BDP-H,400 mg/kg)。灌胃28 d后,监测大鼠体重及血糖变化,测定血脂水平、脂代谢酶活性及体内抗氧化酶活等指标。结果表明:黄刺多糖给药第28 d,与模型组相比BDP给药组的血糖、血脂水平均显著降低(P<0.05),其中高剂量组血糖下降39.16%(P<0.01)。BDP给药组的血清胰岛素水平、肝糖原(HG)水平有所增加(P<0.05或P<0.01),其中高剂量组的大鼠血清胰岛素水平增加1.28倍(P<0.01),HG水平增加89.79%(P<0.01)。相比较模型组大鼠,经BDP给药后大鼠/血清和胰腺中的过氧化氢酶(CAT),超氧化物歧化酶(SOD)和还原型谷胱甘肽(CSHPx)以剂量依赖性方式显著增加(P<0.05或P<0.01),丙二醛(MDA)含量显著减少(P<0.05)。综上,黄刺多糖通过改善Ⅰ型糖尿病大鼠氧化应激从而保护胰岛β细胞的损伤,进而改善糖尿病大鼠的糖脂代谢。 展开更多
关键词 黄刺多糖 Ⅰ型糖尿病 糖脂代谢 氧化应激
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基于糖脂代谢调控的薏苡仁提取物生物学活性作用机制探讨
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作者 张潇宇 任爽 +2 位作者 孟凡艳 刘妍彤 张杰 《中华中医药学刊》 CAS 北大核心 2024年第5期121-124,共4页
糖脂代谢是人体生命活动的一项基础能量代谢,有助于人体正常生长发育、维持细胞组织营养和调节机体的动态平衡。薏苡仁是中药的利水渗湿药之一,其主要有效单体成分包括多糖类、酯类、脂肪酸类等,其中具有多种与糖脂代谢相关的生物活性,... 糖脂代谢是人体生命活动的一项基础能量代谢,有助于人体正常生长发育、维持细胞组织营养和调节机体的动态平衡。薏苡仁是中药的利水渗湿药之一,其主要有效单体成分包括多糖类、酯类、脂肪酸类等,其中具有多种与糖脂代谢相关的生物活性,由于其生物学上的积极治疗作用,故在糖脂代谢紊乱相关疾病中具有治疗潜力。因此,回顾有关薏苡仁提取物对糖脂代谢失调相关疾病影响的文献,对相关机制进行整理、分析、总结,从而得出薏苡仁提取物可以通过调控糖脂代谢,在调节肠道菌群、抗炎、镇痛、抗癌等方面发挥多组分、多靶点、多途径以及相互协调的干预效应,使薏苡仁调控糖脂代谢成为疾病治疗的新策略。 展开更多
关键词 糖脂代谢 薏苡仁 薏苡仁提取物 作用机制
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苗药治疗糖脂代谢性疾病的研究进展
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作者 刘雨晴 周修腾 罗朵生 《世界科学技术-中医药现代化》 CSCD 北大核心 2024年第3期787-796,共10页
糖脂代谢性疾病(Glucolipid metabolic disease,GLMD)是一类与糖、脂代谢紊乱密切相关的疾病,主要包括高脂血症、糖尿病、非酒精性脂肪性肝病、动脉粥样硬化等,发病率逐年上升,严重威胁着国民健康。苗医药是我国传统医药的重要组成部分... 糖脂代谢性疾病(Glucolipid metabolic disease,GLMD)是一类与糖、脂代谢紊乱密切相关的疾病,主要包括高脂血症、糖尿病、非酒精性脂肪性肝病、动脉粥样硬化等,发病率逐年上升,严重威胁着国民健康。苗医药是我国传统医药的重要组成部分,资源丰富且极具特色,在治疗糖脂代谢病上具有优势,但目前尚未见有关苗药治疗该类疾病的系统文献梳理。本文以《中华本草·苗药卷》中记载的常用苗药为主,通过检索近年来苗药治疗糖脂代谢病的相关文献,对其药理作用、作用机制、临床应用的研究进展进行归纳总结,以期为苗药的深入研究开发与利用提供参考依据和研究思路。 展开更多
关键词 苗药 糖脂代谢病 高脂血症 糖尿病 非酒精性脂肪性肝病 动脉粥样硬化
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借鉴整合医学模式探讨糖脂代谢病的中药防治
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作者 刘颖 徐凤芹 +1 位作者 张秀媛 林谦 《中国医药导报》 CAS 2024年第22期142-148,共7页
整合医学是在以人为本的基础上,整合理论知识和临床实践经验,整合社会、环境、心理等因素形成的新医学体系。糖脂代谢病以糖、脂代谢紊乱为核心,包括糖脂异常、肥胖、高血压等一系列疾病,其多阶段、多机制、多途径发病,多病并存等特点... 整合医学是在以人为本的基础上,整合理论知识和临床实践经验,整合社会、环境、心理等因素形成的新医学体系。糖脂代谢病以糖、脂代谢紊乱为核心,包括糖脂异常、肥胖、高血压等一系列疾病,其多阶段、多机制、多途径发病,多病并存等特点使管理难度增加,成为公共健康的重大挑战。本文借鉴整合医学模式,探讨中药在糖脂代谢病防治中的应用,包括借鉴中医的治未病理论、实现疾病的早期干预和整个防治过程的动态整合。以脏腑相关为依据,整合中医发病机制;整合调控靶点,多途径发挥中医特色优势;并利用代谢组学、基因测序等现代技术,优化中西医结合的治疗方案,实现协同增效。不仅治疗患者的躯体疾病,还注重其心理和情绪状态,整合身心同治方案。 展开更多
关键词 整合医学 糖脂代谢病 中药 理论探讨
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Liver-Adipose Tissue Crosstalk:A Key Player in the Pathogenesis of Glucolipid Metabolic Disease 被引量:15
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作者 YE De-wei RONG Xiang-lu +1 位作者 XU Ai-min GUO Jiao 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2017年第6期410-414,共5页
Glucolipid metabolic disease (GLMD), a complex of interrelated disorders in glucose and lipid metabolism, has become one of the leading chronic diseases causing public and clinical problem worldwide. As the metaboli... Glucolipid metabolic disease (GLMD), a complex of interrelated disorders in glucose and lipid metabolism, has become one of the leading chronic diseases causing public and clinical problem worldwide. As the metabolism of lipid and glucose is a highly coordinated process under both physiological and diseased conditions, the impairment in the signals corresponding to the metabolism of either lipid or glucose represents the common mechanism underlying the pathogenesis of GLMD. The liver and adipose tissue are the major metabolic organs responsible for energy utilization and storage, respectively. This review article aims to summarize the current advances in the investigation of the functional roles and the underling mechanisms of the interplay between the liver and adipose tissue in the modulation of GLMD development. Fibroblast growth factor 21 (FGF21) and adiponectin represent the two major hormones secreted from the liver and adipose tissues, respectively. FGF21 exerts pleiotropic effects on regulating glucose and lipid homeostasis majorly through inducing the expression and secretion of adiponectin. Therefore, FGF21-adiponectin axis functions as the key mediator for the crosstalk between the liver and adipose tissue to exert the beneficial effects on the maintenance of the homeostasis of energy consumption. The liver- and adipose tissue-derived factors with pleiotropic effects on regulating of lipid and glucose metabolism function as the key mediator for the crosstalk between these two highly active metabolic organs, thereby coordinating the initiation and development of GLMD. 展开更多
关键词 OBESITY type 2 diabetes mellitus insulin resistance glucolipid metabolic disease Chinese medicine
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Research Progress on Prevention and Treatment of Glucolipid Metabolic Disease with Integrated Traditional Chinese and Western Medicine 被引量:23
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作者 GUO Jiao 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2017年第6期403-409,共7页
Hyperlipidemia, type 2 diabetes mellitus, nonalcoholic fatty liver and many other metabolic disorder are frequently co-existing in patients. In addition, these diseases are closely related in pathophysiological settin... Hyperlipidemia, type 2 diabetes mellitus, nonalcoholic fatty liver and many other metabolic disorder are frequently co-existing in patients. In addition, these diseases are closely related in pathophysiological settings. However, increasing of the disease incidence, lacking of comprehensive prevention and control measurements against the key pathology point concomitant occurrence with the pattem of the single disease, single target therapy, that is leading therapeutic strategy for these metabolic disorders in the setting of Western medicine (WM). On the basis of the combination of the advantages of integrated Chinese medicine (CM) and WM, with unified understanding of such diseases, the new concept of glucolipid metabolic disease (GLMD) is introduced. In this new concept, disorders in glucose and lipid metabolism are recognized as the key trigger and major driving force for the progress of GLMD. The key points of pathology included dysfunction of neuronal-endocrine-immune system,insulin resistance, oxidative stress, inflammation and intestinal flora imbalance. In the core pathogenic perspective of CM, it can be explained as "Gan (Liver) Shi Shu Xie" (dysfunction of Gan in metabolism and emotion regulation) that will lead to the occurence/production of endogenous dampness and phlegm, blood stasis and turbid. This leads to the new concept of "Liver-based regulatory system for metabolic homeostasis" to be introduced further. The comprehensive prevention and control strategy "Tiao Gan Qi Shu Hua Zhuo" (modulating Gan, trigging key metabolic system to resolve pathogenic factors such as phlegm retention and dampness). Its representative formula Fufang Zhenzhu Tiaozhi Capsule (复方贞术调脂胶囊) is innovated under such rationales. Comment for some commonly-used CM GLMD therapeutic drugs was presented. High-level evidence-based and epidemiological and mechanism studies should be carded out to further interpret and explain of the scientific connotation of GLMD. 展开更多
关键词 glucolipid metabolic disease liver-based regulatory system for metabolic homeostasis Tiao Gan (Liver) Qi Shu Hua Zhuo (modulating Gan trigging key metabolic system to resolve pathogenic factors such as phlegm retention and dampness) Chinese medicine
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