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![]() AUTOR, Nou, AUTOR, Nou, MAZUR, Lilia. Change of c-reactive protein and tumor necrosis factor-α levels in Diabetes mellitus type 2 and l-arginine-l-glutamate. In: MedEspera, Ed. 1, 17 mai 2012, Chişinău. Chişinău: "Tipografia-Sirius" SRL, 2012, p. 11. ISBN 978-9975-57-030-5. |
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MedEspera 2012 | ||||||
Conferința "MedEspera" 1, Chişinău, Moldova, 17 mai 2012 | ||||||
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The Purpose of our study was to determine C-reactive protein (CRP) and tumor necrosis factor- α (TNF-α) levels in patients with nonalcoholic fatty liver disease (NAFLD) in type 2 diabetes mellitus and their correction with NO synthesis precursor L-arginine-L-glutamate. Materials and methods: We examined 30 patients with type 2 diabetes aged 35 to 65, who had symptoms of NAFLD. The functional state of liver, changes in plasma levels of pro-inflammatory cytokine TNF-α and CRP were evaluated in patients treated with L-arginine-L-glutamate. Results: It was determined that in patients with type 2 diabetes and NAFLD the levels of TNF-α and CRP were significantly higher than in patients with type 2 diabetes and healthy subjects. A statistically significant decrease of TNF-α and CRP levels was established 8-10 days after the beginning of administration of L-arginine-L-glutamate in patients with type 2 diabetes and NAFLD as compared to the control group (patients with type 2 diabetes who did not take L-arginine-L-glutamate). The treatment was followed by improvement of functional liver tests (bilirubin, general cholesterol, triglycerides, β-lipoproteins, alaninaminotransferase, and general protein) and liver ultrasound picture. Conclusions: Thus, administration of the NO-synthesis precursor L-arginine-L-glutamate in patients with diabetes mellitus type 2 and NAFLD contributes to the decrease of systemic inflammation, in particular - C-reactive protein and tumor necrosis factor- α and improvement of functional liver tests. |
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Cuvinte-cheie C-reactive protein, tumor necrosis factor- α, diabetes mellitus, L-arginine-L-glutamate |
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