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成人隐匿性自身免疫性糖尿病微血管并发症研究进展OA

Recent advances in microvascular complications of latent autoimmune diabetes in adults

中文摘要英文摘要

成人隐匿性自身免疫性糖尿病(latent autoimmune diabetes in adults,LADA)是自身免疫性糖尿病的一种特殊亚型.该疾病以自身免疫介导的β细胞功能进行性衰退为核心特征,微血管病变呈现出特殊的病理进程和临床特点.LADA患者微血管并发症的发生发展与基因分型、自身免疫机制及生物标志物等多种因素相关,探究其潜在机制及其临床特点,对于早期识别高风险人群、制定个体化干预策略以及延缓并发症进展具有重要的临床意义.本综述对近年来LADA微血管并发症领域的研究进展进行梳理整合,旨在系统阐明其发生发展规律,为早期风险预警、个体化治疗及改善患者预后提供理论支撑与临床指引.

Latent autoimmune diabetes in adults(LADA)is a distinct subtype of autoimmune diabetes.This condition is characterized by an autoimmune-mediated progressive decline in β-cell function,with microvascular pathology exhibiting unique pathological progression and clinical features.The development and progression of microvascular complications in LADA patients are associated with various factors,including genotyping,autoimmune mechanisms,and biomarkers.Investigating the underlying mechanisms and clinical characteristics of LADA is of significant clinical importance for early identification of high-risk populations,formulating individualized intervention strategies,and delaying the progression of complications.This review consolidates recent research advances in the field of LADA-related microvascular complications,aiming to systematically elucidate the patterns of their development and progression.It seeks to provide theoretical support and clinical guidance for early risk prediction,personalized treatment,and improved patient outcomes.

尚萌萌;邓婕;田利民

甘肃中医药大学第一临床医学院(甘肃兰州 730000)兰州大学第一临床医学院(甘肃兰州 730000)甘肃中医药大学第一临床医学院(甘肃兰州 730000)

医药卫生

成人隐匿性自身免疫性糖尿病LADA1型糖尿病微血管并发症糖尿病肾病糖尿病视网膜病变糖尿病神经病变

latent autoimmune diabetes in adultsLADAtype 1 diabetes mellitusmicrovascular complicationsdiabetic nephropathydiabetic retinopathydiabetic neuropathy

《实用医学杂志》 2026 (10)

1681-1691,11

甘肃省科技重大专项计划(编号:22ZD6FA033)

10.3969/j.issn.1006-5725.2026.10.001

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