临床荟萃

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代谢性炎症综合征的概念及临床意义

  

  1. Department of Endocrinology,Huashan Hospital,Fudan University, Institute of
    Endocrinology and Diabetology,Fudan University,Shanghai 200040,China
  • 出版日期:2016-09-05 发布日期:2016-08-31
  • 通讯作者: 通信作者:胡仁明,Email:renminghu@fudan.edu.cn
  • 作者简介:胡仁明,复旦大学附属华山医院内科教授,医学博士,博士研究生导师。现任复旦大学内分泌糖尿病研究所所长,中国非公立医疗机构协会内分泌糖尿病专业委员会会长,亚洲糖尿病微血管并发症研究学会主席,中华医学会糖尿病学分会微血管并发症学组荣誉组长,中国医师协会整合医学理事,上海市医师协会理事,上海市垂体中心顾问。兼任《中华内分泌代谢杂志》、《中华糖尿病杂志》编委,《中国糖尿病杂志》副主编。第15版实用内科学(人民卫生出版社)副主编。在国内外杂志共发表论文174篇,SCI收录的论文87篇, 其中第一作者或通讯作者论文76篇,发表在《美国科学院院报》上的论文被评为2000年度全国基础研究十大新闻之一,在第十二届世界内分泌大会及美国73届糖尿病年会等国际会议上应邀作专题报告。历年来先后承担国家科技部863课题1项,973子课题及863子课题各1项,国家自然科学基金重点课题2项,国家自然科学基金面上项目8项等。

Concept and clinical significance of metabolic inflammatory syndrome

#br# 复旦大学附属华山医院 内分泌科, 复旦大学内分泌糖尿病研究所,上海   200040   

  1. Department of Endocrinology,Huashan Hospital,Fudan University, Institute of
    Endocrinology and Diabetology,Fudan University,Shanghai 200040,China
  • Online:2016-09-05 Published:2016-08-31
  • Contact: Corresponding author:Hu Renming,Email: renminghu@fudan.edu.cn

摘要: 代谢产物,如游离脂肪酸(FFA)、脂多糖(LPS)等常诱发慢性低度炎症,称代谢性炎症,后者参与并导致动脉粥样硬化、2型糖尿病(T2DM)、非酒精性脂肪肝及肥胖等代谢性疾病的发生。我们在国内外首次提出“代谢性炎症综合征(metabolic inflammatory syndrome,MIS)”的概念及诊断思路,建议将伴有2个及2个以上上述代谢性疾病的患者诊断为MIS。在T2DM人群中,MIS的检测率及预测冠心病的相对危险度明显高于代谢综合征(MS)。 提示MIS的概念较MS更适合于代谢性疾病的早期筛查、预防和研究。如果患者有MIS的 4个组分中的1个,应筛选其他组分,特别是动脉粥样硬化。MIS的概念将促进异病同防和异病同治的临床实践。

关键词: 代谢性炎症, 代谢炎症性综合征, 糖尿病, 2 型;动脉粥样硬化;脂肪肝, 非酒精性;肥胖

Abstract: Metabolic products, such as free fatty acid(FFA), lipopolysaccharide(LPS) etc often induce chronic lowgrade inflammation, which calls metabolic inflammation and participates in and leads to atherosclerosis, type 2 diabetes mellitus(T2DM), nonalcoholic fatty liver disease and obesity as well. Our study group first proposed the concept and diagnostic idea of  “Metabolic inflammatory syndrome (MIS)”  in national and international field. We recommended that patients who meet two or more metabolic disorders above could be diagnozed as MIS. In the patients with T2DM, the detection rate of MIS and prediction on the relative risk of coronary heart disease were significantly higher over metabolic syndrome (MS). These suggested that the concept of  MIS was more suitable than MS for early screening, prevention and research in metabolic diseases. If the patients have one of four metabolic diseases of  MIS,they should be screened other disease, especially atherosclerosis. Therefore, the concept of MIS will promote the prevention and treatment for patients with different diseases.

Key words: metabolic inflammation, metabolic inflammatory syndrome, diabetes mellitus, type2;atherosclerosis, fatty liver, nonalcoholic;obesity