Abstract
The work deals with the determination of leptin and IL-6 influence on the development of immune disorders in patients with DM type 2 with hypothyroidism. There were examined 34 patients with diabetes mellitus type 2 and hypothyroidism and 27 patients with the primary hypothyroidism without DM. It was revealed that obesity is characterized with an increase of leptin and IL-6 levels that, in its turn, condition the development of system inflammation of the low intensity and result in the increase of risk of autoimmune changes. In patients with DM type 2 in combination with hypothyroidism on the background of obesity the indices of leptin, IL-6, CD4+, CD8+ and IRI reliably differed from the ones in the group of patients without obesity that testifies to the negative influence of obesity on the development of autoimmune immunological disorders in patients with DM type 2. There were established the correlations between BMI and leptin and IL-6 CD4+, CD8+, ІRI indices in patients with DM type 2 in combination with hypothyroidism.
Highlights
According to the modern views, diabetes mellitus (DM) type 2 is not autoimmune disease; its pathogenesis is based on the disorder of sensitivity to insulin [1]
The value of immune suppression as the main factor of development of concomitant autoimmune diseases in patients with DM type 2 is persuasively proved by the series of researches that demonstrated that support of the rigid metabolic control allows improve immunological changes [7]
Patients with DM type 2 with hypothyroidism were from the older age group, had the reliable increase of BMI indices (р
Summary
According to the modern views, diabetes mellitus (DM) type 2 is not autoimmune disease; its pathogenesis is based on the disorder of sensitivity to insulin [1]. Patients with DM type 2 are characterized with obesity (almost 90 %) that conditions the level of proinflammatory cytokines that complicate the existing immunologic disorders [4].
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