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:: جلد 22، شماره 1 - ( زمستان 1398 ) ::
جلد 22 شماره 1 صفحات 77-71 برگشت به فهرست نسخه ها
اثر سیتاگلیپتین بر سطح سرمی TNF-α، IL-1β و IL-10 در بیماران مبتلا به دیابت ملیتوس نوع 2
زهرا تلیکانی ، ویدا شیخ ، علیرضا زمانی ، شیوا برزوئی ، ایرج صالحی ، محمد علی امیرزرگر ، مهدی اله قلی حاجی بهزاد
چکیده:   (4108 مشاهده)
هدف: دیابت قندی  نوع دو (Type 2 diabetes mellitus, T2DM) یک بیماری التهابی مزمن همراه با تغییرات سیستم ایمنی می‌باشد. عدم تعادل در سایتوکاین‌ها نقش مهمی در پاتوژنز T2DM بازی می‌کند. هدف از این مطالعه بررسی سطح سرمی سایتوکاین‌های TNF-α، IL-1β و IL-10 و اثر سیتاگلیپتین بر سطح آن‌ها در بیماران T2DM بود. مواد و روش‌ها: نمونه خون از 60 بیمار T2DM و 30 فرد کنترل جمع‌آوری شد. بیماران بر اساس درمان به دو گروه 30 نفری دریافت‌کننده سیتاگلیپتین (mg/day 100) به‌مدت هشت ماه و غیر دریافت‌کننده سیتاگلیپتین تقسیم شدند. پس از جداسازی نمونه سرم، سطح TNF-α، IL-1β و IL-10 با استفاده از الایزا اندازه‌گیری شد. یافته‌ها: سطح سرمی TNF-α در گروه T2DM غیر دریافت‌کننده سیتاگلیپتین نسبت به گروه کنترل افزایش معناداری نشان داد (002/0=p) سطح TNF-α در گروه دریافت‌کننده سیتاگلیپتین در مقایسه با گروه غیر دریافت‌کننده سیتاگلیپتین کاهش معناداری داشت (01/0=p). سطح IL-10 در بیماران غیر دریافت‌کننده سیتاگلیپتین در مقایسه با گروه کنترل کاهش معناداری داشت (003/0=p). سطح IL-10 در گروه دریافت‌کننده سیتاگلیپتین در مقایسه با گروه غیر دریافت‌کننده افزایش معناداری نشان داد (002/0=p). سطح IL-1β در مقایسه بین زیر گروه‌ها و در مقایسه با گروه کنترل تفاوت معناداری نشان نداد. نتیجه‌گیری: با مصرف سیتاگلیپتین، کاهش سایتوکاین التهابی TNF-α و در مقابل افزایش سایتوکاین مهاری IL-10 در بیماران مشاهده شد. به نظر می‌رسد سیتاگلیپتین دارای اثرات ضدالتهابی در تنظیم سیستم ایمنی بیماران می‌باشد.  
واژه‌های کلیدی: دیابت ملیتوس نوع دو، سیتاگلیپتین، سایتوکاین، اینترلوکین 10، اینترلوکین 1 بتا، فاکتور نکروز‌دهنده تومور آلفا
متن کامل [PDF 700 kb]   (1031 دریافت)    
نوع مطالعه: پژوهشي | موضوع مقاله: عمومى
دریافت: 1397/11/17 | پذیرش: 1398/3/27 | انتشار: 1398/10/14
فهرست منابع
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37. [1] Sheikh V, Zamani A, Mahabadi-Ashtiyani E, Tarokhian H, Borzouei S, Alahgholi-Hajibehzad M. Decreased regulatory function of CD4(+)CD25(+)CD45RA(+) T cells and impaired IL-2 signalling pathway in patients with type 2 diabetes mellitus. Scand J Immunol 2018; 88: e12711. [DOI:10.1111/sji.12711] [PMID]
38. [2] Borzouei S, Sheikh V, Ghasemi M, Zamani A, Telikani Z, Zareighane Z, et al. Anti-Inflammatory Effect of Combined Sitagliptin and Vitamin D3 on Cytokines Profile in Patients with Type 2 Diabetes Mellitus. J Interferon Cytokine Res 2019; 39: 293-301. [DOI:10.1089/jir.2018.0144] [PMID]
39. [3] Donath MY, Shoelson SE. Type 2 diabetes as an inflammatory disease. Nat Rev Immunol 2011; 11: 98-107. [DOI:10.1038/nri2925] [PMID]
40. [4] Wang C, Guan Y, Yang J. Cytokines in the Progression of Pancreatic beta-Cell Dysfunction. Int J Endocrinol 2010; 2010: 515136. [DOI:10.1155/2010/515136] [PMID] [PMCID]
41. [5] Gregor MF, Hotamisligil GS. Inflammatory mechanisms in obesity. Ann Rev Immunol 2011; 29: 415-445. [DOI:10.1146/annurev-immunol-031210-101322] [PMID]
42. [6] Pickup JC. Inflammation and activated innate immunity in the pathogenesis of type 2 diabetes. Diabetes Care 2004; 27: 813-823. [DOI:10.2337/diacare.27.3.813] [PMID]
43. [7] Navarro-Gonzalez JF, Mora-Fernandez C. The role of inflammatory cytokines in diabetic nephropathy. J Am Soc Nephrol 2008; 19: 433-442. [DOI:10.1681/ASN.2007091048] [PMID]
44. [8] Dinarello CA, Donath MY, Mandrup-Poulsen T. Role of IL-1beta in type 2 diabetes. Curr Opin Endoc Diabetes Obes 2010; 17: 314-321. [DOI:10.1097/MED.0b013e32833bf6dc] [PMID]
45. [9] Alahgholi-Hajibehzad M, Oflazer P, Aysal F, Durmus H, Gulsen-Parman Y, Marx A, et al. Regulatory function of CD4+CD25++ T cells in patients with myasthenia gravis is associated with phenotypic changes and STAT5 signaling: 1,25-Dihydroxyvitamin D3 modulates the suppressor activity. J Neuroimmunol 2015; 281: 51-60. [DOI:10.1016/j.jneuroim.2015.03.008] [PMID]
46. [10] Alahgholi-Hajibehzad M, Kasapoglu P, Jafari R, Rezaei N. The role of T regulatory cells in immunopathogenesis of myasthenia gravis: implications for therapeutics. Exp Rev Clin Immunol 2015; 11: 859-870. [DOI:10.1586/1744666X.2015.1047345] [PMID]
47. [11] Alahgholi-Hajibehzad M, Durmus H, Aysal F, Gulsen-Parman Y, Oflazer P, Deymeer F, et al. The effect of interleukin (IL)-21 and CD4(+) CD25(++) T cells on cytokine production of CD4(+) responder T cells in patients with myasthenia gravis. Clin Exp Immunol 2017; 190: 201-207. [DOI:10.1111/cei.13006] [PMID] [PMCID]
48. [12] Sheikh V, Kasapoglu P, Zamani A, Basiri Z, Tahamoli-Roudsari A, Alahgholi-Hajibehzad M. Vitamin D3 inhibits the proliferation of T helper cells, downregulate CD4(+) T cell cytokines and upregulate inhibitory markers. Human Immunol 2018; 79: 439-445. [DOI:10.1016/j.humimm.2018.03.001] [PMID]
49. [13] Gao M, Zhang C, Ma Y, Bu L, Yan L, Liu D. Hydrodynamic delivery of mIL10 gene protects mice from high-fat diet-induced obesity and glucose intolerance. Mol Ther 2013; 21: 1852-1861. [DOI:10.1038/mt.2013.125] [PMID] [PMCID]
50. [14] Hong EG, Ko HJ, Cho YR, Kim HJ, Ma Z, Yu TY, et al. Interleukin-10 prevents diet-induced insulin resistance by attenuating macrophage and cytokine response in skeletal muscle. Diabetes 2009; 58: 2525-2535. [DOI:10.2337/db08-1261] [PMID] [PMCID]
51. [15] Francisco CO, Catai AM, Moura-Tonello SC, Arruda LC, Lopes SL, Benze BG, et al. Cytokine profile and lymphocyte subsets in type 2 diabetes. Braz J Med Biol Res 2016; 49: e5062. [DOI:10.1590/1414-431X20155062] [PMID] [PMCID]
52. [16] Jagannathan-Bogdan M, McDonnell ME, Shin H, Rehman Q, Hasturk H, Apovian CM, et al. Elevated proinflammatory cytokine production by a skewed T cell compartment requires monocytes and promotes inflammation in type 2 diabetes. J Immunol 2011; 186: 1162-1172. [DOI:10.4049/jimmunol.1002615] [PMID] [PMCID]
53. [17] Zeng C, Shi X, Zhang B, Liu H, Zhang L, Ding W, et al. The imbalance of Th17/Th1/Tregs in patients with type 2 diabetes: relationship with metabolic factors and complications. J Mol Med (Berlin, Germany) 2012; 90: 175-186. [DOI:10.1007/s00109-011-0816-5] [PMID]
54. [18] Correia S, Carvalho C, Santos MS, Seica R, Oliveira CR, Moreira PI. Mechanisms of action of metformin in type 2 diabetes and associated complications: an overview. Mini Rev Med Chem 2008; 8: 1343-1354. [DOI:10.2174/138955708786369546] [PMID]
55. [19] Plosker GL. Sitagliptin: a review of its use in patients with type 2 diabetes mellitus. Drugs 2014; 74: 223-242. https://doi.org/10.1007/s40265-014-0225-5 https://doi.org/10.1007/s40265-013-0169-1 [DOI:10.1007/s40265-014-0324-3] [PMID]
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59. [23] Barry JC, Shakibakho S, Durrer C, Simtchouk S, Jawanda KK, Cheung ST, et al. Hyporesponsiveness to the anti-inflammatory action of interleukin-10 in type 2 diabetes. Sci Rep 2016; 6: 21244. [DOI:10.1038/srep21244] [PMID] [PMCID]
60. [24] Donath MY, Shoelson SE. Type 2 diabetes as an inflammatory disease. Nat Rev Immunol 2011; 11: 98. [DOI:10.1038/nri2925] [PMID]
61. [25] Akash MSH, Rehman K, Liaqat A. Tumor Necrosis Factor-Alpha: Role in Development of Insulin Resistance and Pathogenesis of Type 2 Diabetes Mellitus. J Cell Biochem 2018; 119: 105-110. [DOI:10.1002/jcb.26174] [PMID]
62. [26] Tsiotra PC, Tsigos C, Yfanti E, Anastasiou E, Vikentiou M, Psarra K, et al. Visfatin, TNF-alpha and IL-6 mRNA expression is increased in mononuclear cells from type 2 diabetic women. Horm Metab Res 2007; 39: 758-763. [DOI:10.1055/s-2007-990288] [PMID]
63. [27] Pickup JC, Chusney GD, Thomas SM, Burt D. Plasma interleukin-6, tumour necrosis factor α and blood cytokine production in type 2 diabetes. Life Sci 2000; 67: 291-300. [DOI:10.1016/S0024-3205(00)00622-6]
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Telikani Z, Sheikh V, zamani A, Borzouei S, Salehi I, Amirzargar M A et al . Effect of sitagliptin on serum levels of TNF-α, IL-1β and IL-10 in patients with type 2 diabetes mellitus. Koomesh 1398; 22 (1) :71-77
URL: http://koomeshjournal.semums.ac.ir/article-1-5489-fa.html

تلیکانی زهرا، شیخ ویدا، زمانی علیرضا، برزوئی شیوا، صالحی ایرج، امیرزرگر محمد علی و همکاران.. اثر سیتاگلیپتین بر سطح سرمی TNF-α، IL-1β و IL-10 در بیماران مبتلا به دیابت ملیتوس نوع 2. كومش. 1398; 22 (1) :71-77

URL: http://koomeshjournal.semums.ac.ir/article-1-5489-fa.html



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