Glycosylation

糖基化
  • 文章类型: Journal Article
    观察性研究揭示了衰老过程中免疫球蛋白G(IgG)N-糖基化的变化。然而,它缺乏因果洞察力,尚不清楚因果关系存在于哪个方向。采用双样本双向孟德尔随机化(MR)设计来探索IgGN-聚糖与衰老相关分泌表型(SASP)之间的因果关系。采用逆方差加权(IVW)和Wald比率方法作为主要分析,辅以敏感性分析。前向MR分析揭示了聚糖峰(GP)和SASP之间的因果关系,包括GP6(比值比[OR]=0.428,95%置信区间[CI]=0.189-0.969)和GP17(OR=0.709,95CI=0.504-0.995)与生长/分化因子15(GDF15),GP19具有高级糖基化终产物特异性受体(RAGE)(OR=2.142,95%CI=1.384-3.316),GP15与基质金属蛋白酶2(MMP2)(OR=1.136,95%CI=1.008-1.282)。反向MR表明,RAGE的遗传倾向与GP17(OR=1.125,95%CI=1.003-1.261)和GP24(OR=1.222,95%CI=1.046-1.428)水平升高有关,而肺和活化调节趋化因子(PARC)与GP10(OR=1.269,95%CI=1.048-1.537)和GP15(OR=1.297,95%CI=1.072-1.570)有因果关系。研究结果提供了IgGN-聚糖和SASP之间双向因果关系的证据,这可能揭示潜在的监管机制。
    Observational studies revealed changes in Immunoglobulin G (IgG) N-glycosylation during the aging process. However, it lacks causal insights and remains unclear in which direction causal relationships exist. The two-sample bidirectional Mendelian randomization (MR) design was adopted to explore causal associations between IgG N-glycans and the senescence-associated secretory phenotype (SASP). Inverse variance weighted (IVW) and Wald ratio methods were used as the main analyses, supplemented by sensitivity analyses. Forward MR analyses revealed causal associations between the glycan peak (GP) and SASP, including GP6 (odds ratio [OR] = 0.428, 95% confidence interval [CI] = 0.189-0.969) and GP17 (OR = 0.709, 95%CI = 0.504-0.995) with growth/differentiation factor 15 (GDF15), GP19 with an advanced glycosylation end-product-specific receptor (RAGE) (OR = 2.142, 95%  CI  = 1.384-3.316), and GP15 with matrix metalloproteinase 2 (MMP2) (OR = 1.136, 95%  CI =1.008-1.282). The reverse MR indicated that genetic liability to RAGE was associated with increased levels of GP17 (OR = 1.125, 95%  CI  = 1.003-1.261) and GP24 (OR = 1.222, 95%  CI  = 1.046-1.428), while pulmonary and activation-regulated chemokines (PARC) exhibited causal associations with GP10 (OR = 1.269, 95%  CI  = 1.048-1.537) and GP15 (OR = 1.297, 95%  CI = 1.072-1.570). The findings provided suggested evidence on the bidirectional causality between IgG N-glycans and SASP, which might reveal potential regulatory mechanisms.
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  • 文章类型: Journal Article
    背景:神经免疫在重度抑郁症(MDD)中起重要作用。N-连接蛋白糖基化(NLG)可能通过调节神经炎症反应而导致抑郁症。小胶质细胞是中枢神经系统(CNS)神经免疫功能的主要执行者,针对用于抑郁症研究的小鼠中的小胶质细胞的N-连接蛋白糖基化过程,可能为MDD策略提供新的途径.
    方法:建立慢性不可预知轻度应激(CUMS)小鼠模型,用于全脑小胶质细胞分离。然后,提取小胶质细胞的RNA样品用于转录组测序和mRNA分析。免疫荧光(IF)用于鉴定NLG相关酶的表达水平,B4galt1,在小胶质细胞中。
    结果:数据显示NLG与抑郁症呈正相关。此外,NLG相关基因,B4galt1在CUMS小鼠小胶质细胞中的表达增加。然后,抑制NLG逆转了CUMS小鼠的抑郁行为。在NLG抑制剂治疗后,CUMS小鼠中B4galt1的表达水平上调。在神经元中没有观察到类似的结果。从这些实验获得的信息显示,在抑郁样行为后,小胶质细胞中B4galt1的表达增加。
    结论:这些发现表明小胶质细胞中的NLG与MDD有关,并表明治疗靶向NLG可能是治疗抑郁症的有效策略。
    结论:如何有效和经济地调节小胶质细胞中的B4galt1或NLG通路需要新的技术。
    BACKGROUND: Neuroimmune plays an important role in major depressive disorders (MDD). N-linked protein glycosylation (NLG) might contribute to depression by regulating the neuroinflammatory response. As microglia is the main executor of neuroimmune function in the central neural system (CNS), targeting the process of N-linked protein glycosylation of microglia in the mice used for studying depression might potentially offer new avenues for the strategy for MDD.
    METHODS: The chronic unpredictable mild stress (CUMS) mouse model was established for the whole brain microglia isolating. Then, RNA samples of microglia were extracted for transcriptome sequencing and mRNA analysis. Immunofluorescence (IF) was used to identify the expression level of NLG-related enzyme, B4galt1, in microglia.
    RESULTS: The data showed that NLG was positively related to depression. Moreover, the NLG-related gene, B4galt1 increased expression in the microglia of CUMS mice. Then, the inhibition of NLG reversed the depressive behavior in CUMS mice. The expression level of B4galt1 in CUMS mice was upregulating following the NLG-inhibitor treatment. Similar results haven\'t been observed in neurons. Information obtained from these experiments showed increasing expression of B4galt1 in microglia following depressive-like behaviors.
    CONCLUSIONS: These findings indicate that NLG in microglia is associated with MDD, and suggest that therapeutically targeting NLG might be an effective strategy for depression.
    CONCLUSIONS: How to modulate the B4galt1 or NLG pathways in microglia efficiently and economically request new technologies.
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  • 文章类型: Journal Article
    越来越多的研究表明,糖基化在自身免疫性疾病(ADs)中起着至关重要的作用。激发了我们对基于文献计量分析的知识框架和该领域的热门话题进行研究的兴趣。通过搜索WebofScienceCoreCollection数据库收集了2003年至2023年AD领域中的糖基化研究。使用VOSviewer进行文献计量分析,CiteSpace,和Bibliometrix软件。本研究共纳入530项研究。根据H,G,和M指数,美国在世界范围内做出了最多的贡献,近年来,中国做出了重大贡献。荷兰莱顿大学在出版物和引文排名方面名列前茅,该机构的作者ManfredWuhrer对这一领域贡献最大。免疫学前沿是H指数最高的杂志。该领域的研究主要集中在抗体糖基化,特别是IgG和IgA的特异性糖基化,以及它在各种广告中的作用。糖工程糖基化蛋白在靶向单克隆抗体合成中的应用,药物输送,再生医用材料可能是ADs治疗的新趋势。人工智能是糖生物学的新兴工具。本研究总结了近年来AD领域有关糖基化的客观数据,为该领域的研究者提供参考。
    An increasing amount of research has shown that glycosylation plays a crucial role in autoimmune diseases (ADs), prompting our interest in conducting research on the knowledge framework and hot topics in this field based on bibliometric analysis. Studies on glycosylation in the field of ADs from 2003 to 2023 were collected by searching the Web of Science Core Collection database. Bibliometric analysis was conducted using VOSviewer, CiteSpace, and Bibliometrix software. This study included a total of 530 studies. According to the H, G, and M indices, the United States has made the most contributions worldwide, with China making significant contributions in recent years. Leiden University from the Netherlands ranks among the top institutions in terms of publication and citation rankings, with the institution\'s author Manfred Wuhrer contributing the most to this field. Frontiers in Immunology is the journal with the highest H-index. Research in this field has focused on antibody glycosylation, particularly the specific glycosylation of IgG and IgA, and its role in various ADs. The application of glycoengineering glycosylated proteins in the synthesis of targeted monoclonal antibodies, drug delivery, and regenerative medical materials may be a new trend in the treatment of ADs. Artificial intelligence is an emerging tool in glycobiology. This study summarizes the objective data on glycosylation in the field of AD publications in recent years, providing a reference for researchers in this field.
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  • 文章类型: Journal Article
    体内晚期糖基化终产物(AGEs)的过度积累与糖尿病及其并发症有关。在这项研究中,我们的目的是首次在使用牛血清白蛋白和葡萄糖(BSA-Glu)的体外糖基化模型中探索咖啡叶提取物(CLE)抑制AGEs及其前体生成的潜力和机制。高效液相色谱分析显示,用超声预处理(CLE-U)制备的CLE中含有较高的芦苇碱,芒果苷,3,5-二咖啡酰基奎尼酸,和γ-氨基丁酸比CLE未经超声预处理(CLE-NU)。这些成分的浓度,还有咖啡因和芦丁,当CLE-U或CLE-NU与BSA-Glu反应混合物孵育时,显著降低。CLE-U和CLE-NU均表现出对荧光AGEs的剂量依赖性抑制,羧甲基赖氨酸,果糖胺,5-羟甲基糠醛,3-脱氧葡萄糖酮,乙二醛,以及蛋白质氧化产物。值得注意的是,与CLE-NU相比,CLE-U表现出更高的抑制能力。CLE-U有效地猝灭了BSA-Glu复合物的荧光强度并增加了α-螺旋结构。分子对接结果表明,CLE-U中存在的关键生物活性化合物与BSA的精氨酸残基相互作用,从而防止其糖化。总的来说,这项研究揭示了CLE作为功能性成分在通过抑制AGEs的产生对抗糖尿病中的可能应用。
    Excessive accumulation of advanced glycation end products (AGEs) in the body is associated with diabetes and its complications. In this study, we aimed to explore the potential and mechanism of coffee leaf extract (CLE) in inhibiting the generation of AGEs and their precursors in an in vitro glycation model using bovine serum albumin and glucose (BSA-Glu) for the first time. High-performance liquid chromatography analysis revealed that CLE prepared with ultrasound pretreatment (CLE-U) contained higher levels of trigonelline, mangiferin, 3,5-dicaffeoylquinic acid, and γ-aminobutyric acid than CLE without ultrasound pretreatment (CLE-NU). The concentrations of these components, along with caffeine and rutin, were dramatically decreased when CLE-U or CLE-NU was incubated with BSA-Glu reaction mixture. Both CLE-U and CLE-NU exhibited a dose-dependent inhibition of fluorescent AGEs, carboxymethyllysine, fructosamine, 5-hydroxymethylfurfural, 3-deoxyglucosone, glyoxal, as well as protein oxidation products. Notably, CLE-U exhibited a higher inhibitory capacity compared to CLE-NU. CLE-U effectively quenched fluorescence intensity and increased the α-helix structure of the BSA-Glu complex. Molecular docking results suggested that the key bioactive compounds present in CLE-U interacted with the arginine residues of BSA, thereby preventing its glycation. Overall, this research sheds light on the possible application of CLE as a functional ingredient in combating diabetes by inhibiting the generation of AGEs.
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  • 文章类型: Journal Article
    晚期糖基化终产物(AGEs)可在糖氧化反应期间引起。这种反应与糖尿病并发症和健康问题的后果有关。因此,我们正在探索高地大麦蛋白水解物(HBPHs)对AGE形成的禁止作用。在这里,首先在各种pH条件下从高原大麦中提取蛋白质,然后使用四种不同的蛋白水解酶(flavourzyme,胰蛋白酶,木瓜蛋白酶,胃蛋白酶)在不同程度的水解。我们评估了三度水解产物(最低,中间,最高)用于表征抗氧化活性和理化性质的酶。在所有的水解产物中,黄酮酶处理的水解产物F-1,F-2和F-3表明清除DPPH的能力很高(IC50值为0.97%,0.63%,和0.90%),结构和功能特性。最后,在多个葡萄糖-糖化牛血清白蛋白(BSA)系统中评估了活性最强的水解产物F-1,F-2和F-3对AGEs形成的抑制作用.此外,在BSA系统中,F-3表现出较强的抗糖基化活性,有效抑制非荧光AGE(CML),和果糖胺水平。此外,它减少了羰基化合物,同时也防止了硫醇基团的损失。我们的结果将有益于食品工业作为几种慢性疾病的潜在抗糖基化剂的应用。
    Advanced glycation end products (AGEs) can be caused during a glycoxidation reaction. This reaction is associated with complications of diabetes and the consequences of health problems. Therefore, we are exploring the prohibitory effect of highland barley protein hydrolysates (HBPHs) on AGE formation. Herein, first extracted the protein from highland barley with various pH conditions and then hydrolyzed using four different proteolytic enzymes (flavourzyme, trypsin, papain, pepsin) under different degrees of hydrolysis. We assessed three degrees of hydrolysates (lowest, middle, highest) of enzymes used to characterize the antioxidant activity and physicochemical properties. Among all the hydrolysates, flavourzyme-treated hydrolysates F-1, F-2, and F-3 indicated the high ability to scavenge DPPH (IC50 values of 0.97 %, 0.63 %, and 0.90 %), structural and functional properties. Finally, the inhibitory effect of the most active hydrolysates F-1, F-2, and F-3 against the AGEs formation was evaluated in multiple glucose-glycated bovine serum albumin (BSA) systems. Additionally, in a BSA system, F-3 exhibited the strong antiglycation activity, effectively suppressed the non-fluorescent AGE (CML), and the fructosamine level. Moreover, it decreased carbonyl compounds while also preventing the loss of thiol groups. Our results would be beneficial in the application of the food industry as a potential antiglycation agent for several chronic diseases.
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  • 文章类型: Journal Article
    单克隆抗体(mAb)代表最大类别的治疗性蛋白质药物产品。mAb糖基化产生异质,由于基于糖基化的产品质量属性(PQA)可能影响产品质量,因此通常应充分表征的糖型分析具有挑战性的分布,免疫原性,和功效。在这项研究中,使用一组分析方法比较了两种产品。两个高分辨率质谱(HRMS)工作流程用于分析N-聚糖,而核磁共振(NMR)用于产生单糖指纹图谱。将这些现有技术与使用结合有荧光检测(FLD)的亲水相互作用色谱(HILIC)的常规分析进行比较。讨论了每种方法的优缺点,并比较了已鉴定的聚糖分布。结果表明,所有方法对主要糖型的一致性,证明如何通过结合正交分析方法提高聚糖表征的信心。所使用的方法的完整面板代表了一个不同的工具箱,可以根据特定产品或分析的需求进行选择。
    Monoclonal antibodies (mAbs) represent the largest class of therapeutic protein drug products. mAb glycosylation produces a heterogeneous, analytically challenging distribution of glycoforms that typically should be adequately characterized because glycosylation-based product quality attributes (PQAs) can impact product quality, immunogenicity, and efficacy. In this study, two products were compared using a panel of analytical methods. Two high-resolution mass spectrometry (HRMS) workflows were used to analyze N-glycans, while nuclear magnetic resonance (NMR) was used to generate monosaccharide fingerprints. These state-of-the-art techniques were compared to conventional analysis using hydrophilic interaction chromatography (HILIC) coupled with fluorescence detection (FLD). The advantages and disadvantages of each method are discussed along with a comparison of the identified glycan distributions. The results demonstrated agreement across all methods for major glycoforms, demonstrating how confidence in glycan characterization is increased by combining orthogonal analytical methodologies. The full panel of methods used represents a diverse toolbox that can be selected from based on the needs for a specific product or analysis.
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  • 文章类型: Journal Article
    缺氧缺血性脑病(HIE)是一种严重的新生儿脑损伤,由炎症和围产期缺氧和缺血后的免疫反应引起。IgGN-糖基化通过介导抗炎和促炎反应之间的平衡在各种炎性疾病中起着至关重要的作用。本研究旨在探讨IgGN-糖基化对HIE发生发展的影响。
    这项病例对照研究包括53例HIE患者和57例对照新生儿。超高效液相色谱(UPLC)方法用于确定血浆IgGN-聚糖的特征,通过该方法对24个初始聚糖峰(GP)进行定量。多因素logistic回归用于检查初始聚糖与HIE之间的关联。通过这些重要参数被用来开发诊断模型。通过接收器工作特性(ROC)曲线,计算曲线下面积(AUC)和95%置信区间(CI)以评估诊断模型的性能.
    患者组和对照组之间的11种初始聚糖存在显着差异。HIE患者的岩藻糖基化和半乳糖糖基化聚糖水平明显低于对照组,而HIE患者唾液酸化聚糖含量较高(p<0.05)。使用三种初始IgGN-聚糖和胎儿窘迫建立了预测模型,低出生体重,和球蛋白。ROC分析显示该模型能够区分HIE患者和健康个体[AUC=0.798,95%CI:(0.716-0.880)]。
    IgGN-糖基化可能在HIE的发病机制中起作用。血浆IgGN-聚糖是筛选HIE高危个体的潜在非侵入性生物标志物。
    UNASSIGNED: Hypoxic-ischemic encephalopathy (HIE) is one of severe neonatal brain injuries, resulting from inflammation and the immune response after perinatal hypoxia and ischemia. IgG N-glycosylation plays a crucial role in various inflammatory diseases through mediating the balance between anti-inflammatory and pro-inflammatory responses. This study aimed to explore the effect of IgG N-glycosylation on the development of HIE.
    UNASSIGNED: This case-control study included 53 HIE patients and 57 control neonates. An ultrahigh-performance liquid chromatography (UPLC) method was used to determine the features of the plasma IgG N-glycans, by which 24 initial glycan peaks (GPs) were quantified. Multivariate logistic regression was used to examine the association between initial glycans and HIE, by which the significant parameters were used to develop a diagnostic model. Though receiver operating characteristic (ROC) curves, area under the curve (AUC) and 95% confidence interval (CI) were calculated to assess the performance of the diagnostic model.
    UNASSIGNED: There were significant differences in 11 initial glycans between the patient and control groups. The levels of fucosylated and galactosylated glycans were significantly lower in HIE patients than in control individuals, while sialylated glycans were higher in HIE patients (p < 0.05). A prediction model was developed using three initial IgG N-glycans and fetal distress, low birth weight, and globulin. The ROC analysis showed that this model was able to discriminate between HIE patients and healthy individuals [AUC = 0.798, 95% CI: (0.716-0.880)].
    UNASSIGNED: IgG N-glycosylation may play a role in the pathogenesis of HIE. Plasma IgG N-glycans are potential noninvasive biomarkers for screening individuals at high risk of HIE.
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  • 文章类型: Journal Article
    背景:免疫球蛋白G(IgG)N-糖基化被认为是衰老和各种病理状况的潜在生物标志物。然而,IgGN-糖基化的这些变化是衰老过程的结果还是原因尚不清楚.本研究旨在使用孟德尔随机化(MR)分析研究IgGN-糖基化与衰老之间的因果关系。
    方法:我们利用了与IgGN-糖基化性状相关的遗传变异,脆弱指数(FI),和白细胞端粒长度(LTL)来自先前对欧洲血统个体的全基因组关联研究(GWAS)。进行了双样本和多变量MR分析,采用逆方差加权(IVW)方法。进行敏感性分析以评估潜在的混杂因素。
    结果:使用IVW方法,我们在两样本MR分析中发现GP14与FI(β0.026,95%CI0.003~0.050,p=0.027)和LTL(β-0.020,95%CI-0.037~-0.002,p=0.029)之间存在因果关系的暗示性证据.在多变量MR分析中,发现GP23和FI(β-0.119,95%CI-0.219至-0.019,p=0.019)以及GP2和LTL(β0.140,95%CI0.020至0.260,p=0.023)的提示证据。
    结论:结论:我们的结果支持GP23水平降低对晚期衰老状态的潜在因果效应.需要额外的验证以进一步证实糖基化与衰老之间的因果关系。
    BACKGROUND: Immunoglobulin G (IgG) N-glycosylation is considered a potential biomarker for aging and various pathological conditions. However, whether these changes in IgG N-glycosylation are a consequence or a contributor to the aging process remains unclear. This study aims to investigate the causality between IgG N-glycosylation and aging using Mendelian randomization (MR) analysis.
    METHODS: We utilized genetic variants associated with IgG N-glycosylation traits, the frailty index (FI), and leukocyte telomere length (LTL) from a previous genome-wide association study (GWAS) on individuals of European ancestry. Two-sample and multivariable MR analyses were conducted, employing the inverse-variance weighted (IVW) method. Sensitivity analyses were performed to assess potential confounding factors.
    RESULTS: Using the IVW method, we found suggestive evidence of a causal association between GP14 and FI (β 0.026, 95% CI 0.003 to 0.050, p = 0.027) and LTL (β -0.020, 95% CI -0.037 to -0.002, p = 0.029) in the two-sample MR analysis. In the multivariable MR analysis, suggestive evidence was found for GP23 and FI (β -0.119, 95% CI -0.219 to -0.019, p = 0.019) and GP2 and LTL (β 0.140, 95% CI 0.020 to 0.260, p = 0.023).
    CONCLUSIONS: In conclusion, our results supported a potentially causal effect of lower GP23 levels on an advanced aging state. Additional verification is required to further substantiate the causal relationship between glycosylation and aging.
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  • 文章类型: Journal Article
    皮肤成纤维细胞非酶糖基化反应的发生可导致皮肤健康的严重损害。研究龙胆科主要功能成分的保护作用。龙胆苦苷(GPS)对成纤维细胞,网络药理学用于分析GPS对皮肤影响的潜在途径和靶标。在生化和细胞水平,我们检查了GPS对AGEs的抑制作用,GPS对关键ECM蛋白和波形蛋白的调节,GPS对线粒体膜电位的损伤和基质金属蛋白酶(MMP-2,MMP-9)等炎症因子的调节,活性氧(ROS),和IL-6通过RAGE/NF-κB途径。结果表明,GPS可以通过多种途径抑制AGE引起的真皮损伤。生化和细胞实验结果表明,GPS可以强烈抑制AGE的产生。相反,GPS可以通过破坏AGE-RAGE信号来阻断AGE诱导的皮肤细胞氧化应激和炎症反应,维持ECM合成和分解代谢的平衡,并缓解AGE诱导的细胞行为功能障碍。本研究为使用GPS作为AGE抑制剂改善皮肤健康和减轻糖基化所造成的损害提供了理论依据,显示了其在护肤领域的潜在应用价值。
    The occurrence of nonenzymatic glycosylation reactions in skin fibroblasts can lead to severe impairment of skin health. To investigate the protective effects of the major functional ingredient from Gentianaceae, gentiopicroside (GPS) on fibroblasts, network pharmacology was used to analyse the potential pathways and targets underlying the effects of GPS on skin. At the biochemical and cellular levels, we examined the inhibitory effect of GPS on AGEs, the regulation by GPS of key ECM proteins and vimentin, the damage caused by GPS to the mitochondrial membrane potential and the modulation by GPS of inflammatory factors such as matrix metalloproteinases (MMP-2, MMP-9), reactive oxygen species (ROS), and IL-6 via the RAGE/NF-κB pathway. The results showed that GPS can inhibit AGE-induced damage to the dermis via multiple pathways. The results of biochemical and cellular experiments showed that GPS can strongly inhibit AGE production. Conversely, GPS can block AGE-induced oxidative stress and inflammatory responses in skin cells by disrupting AGE-RAGE signalling, maintain the balance of ECM synthesis and catabolism, and alleviate AGE-induced dysfunctions in cellular behaviour. This study provides a theoretical basis for the use of GPS as an AGE inhibitor to improve skin health and alleviate the damage caused by glycosylation, showing its potential application value in the field of skin care.
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  • 文章类型: Journal Article
    在临床实践中引入连续葡萄糖监测(CGM)系统可以更详细地了解1型糖尿病(T1D)患者的每日和每日血糖波动。然而,CGM测量的葡萄糖控制指标有时可能不准确。这项研究旨在评估T1D儿童和青少年队列中葡萄糖管理指标(GMI)和糖化血红蛋白(HbA1c)(ΔGMI-HbA1c)之间的差异。探讨其与其他CGM指标和血细胞计数参数的相关性。在这个单一中心,横断面研究,我们收集了人口统计学和临床数据,包括血细胞计数参数,HbA1c值,和CGM指标,来自128名患有T1D的儿科受试者(43%为女性;平均年龄,13.4±3.6年)。我们的发现显示,在ΔGMI-HbA1c>0.3%的受试者中,变异系数(CV)(p<0.001)和超过250mg/dL(p=0.033)的时间较高。在血细胞计数参数和ΔGMI-HbA1c之间没有观察到相关性。总之,尽管CGM系统取得了进步和广泛采用,HbA1c仍然是评估血糖控制的重要参数,特别是在代谢控制欠佳和血糖变异性极高的个体中。
    The introduction of continuous glucose monitoring (CGM) systems in clinical practice has allowed a more detailed picture of the intra- and interdaily glycemic fluctuations of individuals with type 1 diabetes (T1D). However, CGM-measured glucose control indicators may be occasionally inaccurate. This study aims to assess the discrepancy between the glucose management indicator (GMI) and glycated hemoglobin (HbA1c) (ΔGMI-HbA1c) within a cohort of children and adolescents with T1D, exploring its correlation with other CGM metrics and blood count parameters. In this single-center, cross-sectional study, we gathered demographic and clinical data, including blood count parameters, HbA1c values, and CGM metrics, from 128 pediatric subjects with T1D (43% female; mean age, 13.4 ± 3.6 years). Our findings revealed higher levels of the coefficient of variation (CV) (p < 0.001) and time above range > 250 mg/dL (p = 0.033) among subjects with ΔGMI-HbA1c > 0.3%. No association was observed between blood count parameters and ΔGMI-HbA1c. In conclusion, despite the advancements and the widespread adoption of CGM systems, HbA1c remains an essential parameter for the assessment of glycemic control, especially in individuals with suboptimal metabolic control and extreme glycemic variability.
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