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人类重组免疫球蛋白λ轻链022与TOM1基因在2型糖尿病胰岛素抵抗患者网膜脂肪组织的表达
赵卫民,邹俊杰,石勇铨,邹秀兰,郑骄阳,刘志民
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(第二军医大学长征医院内分泌科,上海,200003;湖北省宜昌市第一人民医院内分泌科,宜昌,443000)
摘要:
目的:探讨人类重组免疫球蛋白λ轻链(HSIGVL)022和TOM1基因在2型糖尿病胰岛素抵抗(T2DM-IR)患者网膜脂肪组织表达水平并鉴定HSIGVL022蛋白表达.方法:取2型糖尿病伴胰岛素抵抗(T2DM-IR组)与非糖尿病无胰岛素抵抗者(对照组)网膜脂肪组织,用荧光定量RT-PCR技术测定HSIGVL022和TOM1 mRNA的表达量,用免疫组化方法鉴定HSIGVL022蛋白表达.结果:荧光定量RT-PCR显示HSIGVL022和TOM1 mRNA的表达量T2DM-IR组和对照组分别为(34 140±6 160)、(4 440±617)和(5 930±661)、(1 360±82)拷贝/每百万看家基因(P<0.05);HSIGVL022较TOM1表达量高(P<0.01),且与HOMA-IR呈直线相关(P<0.05);免疫组化显示HSIGVL022蛋白在T2DM-IR组和对照组阳性率分别为(12.43±2.41)﹪、(2.31±0.48)﹪,强阳性率分别为(6.62±1.69)﹪、(2.12±0.34)﹪,P<0.05.结论:HSIGVL022和TOM1在人网膜脂肪组织中均有表达,HSIGVL022表达量较高;在T2DM-IR者中均呈上调表达,HSIGVL022蛋白表达相应增高;HSIGVL022 mRNA表达量与HOMA-IR呈直线相关;这2条基因可能与T2DM-IR有关.
关键词:  糖尿病,2型、胰岛素抵抗、脂肪组织、免疫球蛋白类,λ链、TOM1
DOI:10.3724/SP.J.1008.2006.00953
投稿时间:2006-01-20修订日期:2006-07-25
基金项目:上海市卫生局医学发展基金重点项目[2001 ZD002(3)].
Expression of recombined human immunoglobulin λ light chain 022 and TOM1 mRNA in omental adipose tissues of patients with type 2 diabetes and insulin resistance
ZHAO Wei-min,ZOU Jun-jie,SHI Yong-quan,ZOU Xiu-lan,ZHENG Jiao-yang,LIU Zhi-min
(第二军医大学长征医院内分泌科,上海,200003;湖北省宜昌市第一人民医院内分泌科,宜昌,443000)
Abstract:
Objective:To investigate the expression of recombined human immunoglobulin X light chain 022 and TOM1 gene and to determine the protein expression of HSIGVL022 in omental adipose tissues of patients with type 2 diabetes and insulin resistance(T2DM-IR). Methods: Fat tissues from greater omentum of T2DM-IR patients and normal controls were obtained. The mRNA levels of recombined human immunoglobulin λ light chain 022 and TOM1 were measured by fluorescent quantitative RTPCR;expression of HSIGVL022 protein was identified by immunohistochemistry. Results: The mRNA levels of HSIGVL022 and TOM1 in T2DM-IR patients were (34 140±6 160) copy/million house-keeping genes and (4 440±617) copy/million housekeeping genes, respectively; those in control group were (5 930-661) copy/million house-keeping genes and (1 360±82) cop- y/million house-keeping genes,respectively. There were significant difference between the 2 groups (P〈0. 05). The mRNA level of HSIGVL022 was significantly higher than that of TOMI(P〈0.01) and was linearly correlated with homeostatic model assessment-insulin resistance(HOMA-IR) index(P〈0.05). The positive rates of HSIGVL022 protein in T2DM-IR and control group were (12.43±2.41) % and (2.31±0.48) %, respectively; the strong positive rates were (6.62! 1.69)% and (2.12±0.34)%, respectively(P〈0.05). Conclusion: Both HSIGVL022 and TOM1 are expressed in the fat tissues of greater omenturn,with the level of HSIGVL022 higher than that of TOM1. The 2 genes are up-regulated in patients with insulin resistance and the HSIGVL022 protein increases correspondingly. The mRNA level of HSIGVL022 is linearly correlated with HOMA-IR index. The 2 genes are possibly related with insulin resistance in type 2 diabetes
Key words:  diabetes mellitus,type 2  insulin resistance  adipose tissue  immunoglobulins lambda chain  TOM1