Abstract
Diabetic
nephropathy
(DN)
is
a
frequent
and
costly
complication
of
diabetes
with
limited
understandings
mechanisms
therapies.
Emerging
evidence
points
to
the
important
roles
interleukin‐33
(IL‐33)
in
acute
kidney
injury,
yet
its
contribution
DN
still
unclear.
We
here
found
ubiquitous
increase
IL‐33
receptor
(ST2)
murine
models
patients
DN.
Surprisingly,
both
ST2
knockdown
aggravated
renal
lesions
DN,
while
overexpression
also
exacerbated
condition.
Further
population‐based
analyses
revealed
positive
correlation
expression
dysfunction
patients.
Individuals
high
expression‐related
polygenic
risk
score
had
higher
risk.
These
findings
confirmed
harmful
effects
on
Conversely,
endogenous
exogenous
partial
reduction
signaling
conferred
renoprotective
vivo
vitro.
Mechanistically,
induced
senescence
by
regulating
cell
cycle
factors
HK‐2
cells,
accordingly
led
damage
through
secretion
senescence‐related
secretory
phenotype
(SASP)
including
prostaglandins.
Together,
elevated
accelerates
cellular
drive
possibly
SASP
production,
blockage
improves
injury
senescence.
Our
pinpoint
possible
new
avenue
for
interventions.
American Journal of Kidney Diseases,
Год журнала:
2024,
Номер
84(5), С. 557 - 566.e1
Опубликована: Июнь 24, 2024
Rationale
&
ObjectiveSocial
disconnection
has
been
associated
with
poor
cardiometabolic
health.
This
study
sought
to
investigate
the
associations
of
social
isolation
and
loneliness
diabetic
microvascular
complications
(DMC)
among
individuals
type
2
diabetes
mellitus
(T2DM)
compare
these
those
related
traditional
risk
factors.Study
DesignProspective
cohort
study.Setting
ParticipantsA
total
24,297
UK
Biobank
participants
T2DM
no
DMC
at
baseline.ExposureSocial
measured
using
self-reported
questionnaires.OutcomeThe
incidence
defined
as
a
composite
kidney
disease,
retinopathy,
or
neuropathy.Analytical
ApproachMultivariable
cause-specific
hazards
regression.
To
relative
importance
other
established
factors,
R2
values
Cox
models
were
calculated.ResultsDuring
median
follow-up
12.6
years,
5,530
patients
documented
develop
(3,458
2,255
1,146
neuropathy).
The
highest
level
was
an
increased
any
component
(most
vs.
least:
HR:
1.13;
95%
CI:
1.05-1.22),
especially
disease
(HR:
1.14,
1.04-1.25)
neuropathy
1.31,
1.11-1.53).
Any
1.12;
1.02-1.23)
1.16,
1.03-1.30).
Social
exhibited
comparable
conventional
factors
including
smoking,
blood
pressure,
physical
activity.LimitationsLimited
generalizability
composition
in
Study.ConclusionsSocial
independently
higher
incident
T2DM,
factors.
These
findings
underscore
novel
potentially
modifiable
for
DMC.
European Heart Journal,
Год журнала:
2024,
Номер
45(14), С. 1281 - 1283
Опубликована: Март 5, 2024
Journal
Article
Frailty,
genetic
predisposition,
and
incident
atrial
fibrillation
Get
access
Ying
Sun,
Sun
Institute
Department
of
Endocrinology
Metabolism,
Shanghai
Ninth
People's
Hospital,
JiaoTong
University
School
Medicine,
No.
639
Zhizaoju
Road,
Huangpu
District,
200011,
China
https://orcid.org/0000-0002-8529-3521
Search
for
other
works
by
this
author
on:
Oxford
Academic
PubMed
Google
Scholar
Yinuo
Zhou,
Zhou
Bowei
Yu,
Yu
Kun
Zhang,
Zhang
Bin
Wang,
Wang
Xiao
Tan,
Tan
Big
Data
in
Health
Science,
Zhejiang
University,
Hangzhou,
ChinaDepartment
Medical
Sciences,
Uppsala
Uppsala,
Sweden
Yingli
Lu,
Lu
Corresponding
author.
Tel:
+86
21
23271699,
Email:
[email protected]
(N.W.),
[email protected]
(Y.L.)
https://orcid.org/0000-0002-5117-1614
Ningjian
https://orcid.org/0000-0001-9591-6991
European
Heart
Journal,
ehae130,
https://doi.org/10.1093/eurheartj/ehae130
Published:
05
March
2024
history
Received:
12
December
2023
Revision
received:
13
January
Accepted:
15
February
Journal of Diabetes,
Год журнала:
2025,
Номер
17(3)
Опубликована: Март 1, 2025
A
relationship
between
frailty
index
(FI)
and
metabolic
diseases
(MDs)
has
been
reported
in
previous
observational
studies.
However,
the
causality
them
remains
unclear.
This
study
aimed
to
examine
causal
effect
of
FI
on
MDs.
We
performed
a
bidirectional
two-sample
Mendelian
randomization
(MR)
study.
recent
large-scale
genome-wide
association
(GWAS)
provided
available
data
associated
with
FI,
summary
statistics
eight
MDs
were
collected
from
IEU
OpenGWAS
database.
Inverse
variance
weighted
(IVW)
was
used
as
main
analysis
estimate
effects,
together
MR
pleiotropy
residual
sum
outlier
(MR-PRESSO),
MR-Egger,
Cochran's
Q
test,
leave-one-out
method,
Steiger
sensitivity
analyses.
Our
demonstrated
for
first
time
that
elevated
causally
an
increased
risk
including
obesity
(odds
ratio
[OR]
=
1.78;
95%
confidence
interval
[CI]:
1.17-2.70;
p
0.0075),
T2DM
(OR
1.67;
CI:
1.24-2.24;
6.95
×
10-4),
gout
2.45;
1.29-4.64;
0.006),
hypothyroidism
1.96;
1.47-2.60;
3.47
10-6),
HTN
2.17;
1.72-2.74;
5.25
10-11).
no
found
osteoporosis,
vitamin
D
deficiency,
hyperthyroidism.
findings
support
multiple
is
crucial
prevention
patients
frailty.
Journal of General Internal Medicine,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 22, 2025
Abstract
Background
The
importance
of
integrating
physical
and
psychosocial
factors
in
assessing
frailty
-health
outcomes
has
been
increasingly
acknowledged,
while
the
related
evidence
is
lacking.
We
sought
to
investigate
associations
joint
physical-psychosocial
with
risk
premature
mortality
evaluate
relative
individual
factors.
Design
A
total
381,295
participants
no
history
cancer
or
cardiovascular
disease
(CVD)
were
recruited
from
UK
Biobank
cohort.
was
evaluated
based
on
seven
indicators
including
weight
loss,
exhaustion,
activity,
walking
pace,
grip
strength,
social
isolation,
loneliness.
all
causes,
cancer,
CVD,
other
causes.
Cox
proportional
hazards
models
used
assess
between
mortality.
Key
Results
During
a
median
follow-up
period
12.7
years,
we
recorded
20,328
deaths.
Each
additional
increment
index
associated
26%
(HR
1.26,
95%
CI
1.24–1.28),
10%
1.10,
1.08–1.12),
30%
1.30,
1.26–1.33),
44%
1.44,
1.41–1.47)
higher
all-cause,
cardiovascular,
other-cause
mortality,
respectively.
Compared
0,
those
≥
4
had
2.67
(95%
2.49–2.87)-fold
all-cause
Slow
pace
isolation
top
two
strongest
predictors
for
In
addition,
found
that
lower
body
mass
(BMI),
age,
smoking
status,
dietary
quality
modified
(
P
-interaction
<
0.05).
Conclusions
this
cohort
study
participants,
significantly
risks
cause-specific
highlighting
jointly
determining
aging-related
health.
Abstract
Background
The
correlation
between
diabetes
and
cognitive
frailty
is
still
controversial.
purpose
of
this
study
was
to
explore
the
related
factors
in
older
adults
with
type
2
diabetes,
provide
new
ideas
for
realising
healthy
ageing
diabetic
patients.
Methods
survey
conducted
at
Mianyang
Central
Hospital
affiliated
University
Electronic
Science
Technology
China
from
January
15
June
30,
2024.
subjects
were
aged
60
years
or
older.
Cognitive
assessed
using
Fried's
phenotype
Mini‐Mental
State
Examination.
Statistical
analysis
plotting
SPSS
25.0
R
4.3.3.
Least
absolute
shrinkage
selection
operator
(LASSO)
regression
used
reduce
dimensionality
30
clinical
features
collected,
unimportant
initially
screened
out.
important
non‐zero
coefficients
identified
by
LASSO
included
a
multivariate
logistic
influencing
Results
This
301
persons
diabetes.
Among
them,
91
(30.2%)
cases
occurred.
Related
include:
age
(odds
ratio
(OR)
=
6.417,
95%
CI:
1.882−21.876,
P
0.003),
hypomnesia
(OR
2,985,
95%CI:
1.143−7.797,
0.026),
depression
9.926,
4.117−23.934,
<
0.001),
retinopathy
6.489,
1.969−21.384,
0.002),
history
ketoacidosis
12.024,
1.724−83.872,
0.012).
Conclusion
prevalence
mellitus
higher.
It
closely
age,
hypomnesia,
depression,
ketoacidosis.
Early
detection
risk
effective
intervention
can
incidence
adverse
events
improve
quality
life
Turkish Journal of Clinics and Laboratory,
Год журнала:
2025,
Номер
16(1), С. 228 - 235
Опубликована: Март 25, 2025
Amaç:
Yaşlı
hastalarda
yaşam
kalitesini
artırmak
ve
ciddi
patolojileri
önlemek
için
diabetes
mellitus
(DM)
ile
ilişkili
komplikasyonların
saptanması
çok
önemlidir.
Bu
çalışmanın
amacı,
DM'li
yaşlı
erişkinlerde
üriner
mikroalbümin-kreatinin
oranı
(uMCR),
protein-kreatinin
(uPCR)
kendi
kendine
kan
şekeri
takibinin
(SMBG)
nöropati,
retinopati
nefropatiyi
gibi
mikrovasküler
komplikasyonları
tahmin
etmedeki
tanısal
performansını
değerlendirmektir.
Yöntem:
metodolojik
çalışmada,
endokrinoloji
kliniğinde
takip
edilen
64
yaş
üstü
DM
hastalarının
(n=99)
serum
hemoglobin
A1c
(HbA1c),
trigliserid-glukoz
indeksi
(TyG
indeksi),
SMBG
ölçülen
en
yüksek
düşük
düzeyleri
farkı
(SMBGfarkı)
SMBGfarkı
düzeyinin
(SMBGoranı),
uMCR
uPCR
değerleri,
güçleri
ROC
analiziyle
değerlendirildi.
Tanısal
performansa
sahip
olanların
kesim
değerleri
sensitivite
spesifiteleri
hesaplanmıştır.
Bulgular:
%70'inin
erkek
olduğunu,
%48,5'inde
%25,3'ünde
nefropati
olduğunu
göstermiştir.
Lipid
metabolizması
karaciğerle
ilgili
göstergeler
normal
aralıkta
olmasına
rağmen,
D
vitamini
eksikliği
görülmüştür.
analizi,
düzeylerinin
bağımsız
olarak
(p