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IsletSwipe, a mobile platform for expert opinion exchange on islet graft images. 胰岛移植物影像专家意见交流移动平台IsletSwipe。
IF 1.9 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-12-31 DOI: 10.1080/19382014.2023.2189873
David Habart, Adam Koza, Ivan Leontovyc, Lucie Kosinova, Zuzana Berkova, Jan Kriz, Klara Zacharovova, Bas Brinkhof, Dirk-Jan Cornelissen, Nicholas Magrane, Katerina Bittenglova, Martin Capek, Jan Valecka, Alena Habartova, František Saudek

We previously developed a deep learning-based web service (IsletNet) for an automated counting of isolated pancreatic islets. The neural network training is limited by the absent consensus on the ground truth annotations. Here, we present a platform (IsletSwipe) for an exchange of graphical opinions among experts to facilitate the consensus formation. The platform consists of a web interface and a mobile application. In a small pilot study, we demonstrate the functionalities and the use case scenarios of the platform. Nine experts from three centers validated the drawing tools, tested precision and consistency of the expert contour drawing, and evaluated user experience. Eight experts from two centers proceeded to evaluate additional images to demonstrate the following two use case scenarios. The Validation scenario involves an automated selection of images and islets for the expert scrutiny. It is scalable (more experts, images, and islets may readily be added) and can be applied to independent validation of islet contours from various sources. The Inquiry scenario serves the ground truth generating expert in seeking assistance from peers to achieve consensus on challenging cases during the preparation for IsletNet training. This scenario is limited to a small number of manually selected images and islets. The experts gained an opportunity to influence IsletNet training and to compare other experts' opinions with their own. The ground truth-generating expert obtained feedback for future IsletNet training. IsletSwipe is a suitable tool for the consensus finding. Experts from additional centers are welcome to participate.

我们之前开发了一个基于深度学习的web服务(IsletNet),用于对分离的胰岛进行自动计数。神经网络训练受到缺乏对基本事实注释的一致性的限制。在这里,我们提供了一个平台(IsletSwipe),用于专家之间的图形意见交流,以促进共识的形成。该平台由一个web界面和一个移动应用程序组成。在一项小型试点研究中,我们展示了该平台的功能和用例场景。来自三个中心的九名专家验证了绘制工具,测试了专家轮廓图的精度和一致性,并评估了用户体验。来自两个中心的八位专家继续评估额外的图像,以演示以下两个用例场景。验证场景包括自动选择图像和胰岛供专家审查。它是可扩展的(可以很容易地添加更多的专家、图像和胰岛),并且可以应用于各种来源的胰岛轮廓的独立验证。调查场景为生成基本真相的专家提供服务,帮助他们在准备IsletNet培训期间寻求同行的帮助,以就具有挑战性的案件达成共识。这种情况仅限于少量手动选择的图像和小岛。专家们获得了影响IsleNet培训的机会,并将其他专家的意见与自己的意见进行了比较。地面实况生成专家获得了对未来IsleNet培训的反馈。IsletSwipe是达成共识的合适工具。欢迎来自其他中心的专家参加。
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引用次数: 0
Beta cell primary cilia mediate somatostatin responsiveness via SSTR3. 细胞原代纤毛通过SSTR3介导生长抑素反应。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-12-31 DOI: 10.1080/19382014.2023.2252855
Samantha E Adamson, Zipeng A Li, Jing W Hughes

Somatostatin is a paracrine modulator of insulin secretion and beta cell function with pleotropic effects on glucose homeostasis. The mechanism of somatostatin-mediated communication between delta and beta cells is not well-understood, which we address in this study via the ciliary somatostatin receptor 3 (SSTR3). Primary cilia are membrane organelles that act as signaling hubs in islets by virtue of their subcellular location and enrichment in signaling proteins such as G-protein coupled receptors (GPCRs). We show that SSTR3, a ciliary GPCR, mediates somatostatin suppression of insulin secretion in mouse islets. Quantitative analysis of calcium flux using a mouse model of genetically encoded beta cell-specific GCaMP6f calcium reporter shows that somatostatin signaling alters beta cell calcium flux after physiologic glucose stimulation, an effect that depends on endogenous SSTR3 expression and the presence of intact primary cilia on beta cells. Comparative in vitro studies using SSTR isoform antagonists demonstrate a role for SSTR3 in mediating somatostatin regulation of insulin secretion in mouse islets. Our findings support a model in which ciliary SSTR3 mediates a distinct pathway of delta-to-beta cell regulatory crosstalk and may serve as a target for paracrine modulation.

生长抑素是胰岛素分泌和β细胞功能的旁分泌调节剂,对葡萄糖稳态具有多效性作用。生长抑素介导的δ细胞和β细胞之间通讯的机制尚不清楚,我们在本研究中通过纤毛生长抑素受体3(SSTR3)解决了这一问题。初级纤毛是膜细胞器,由于其亚细胞位置和信号蛋白(如G蛋白偶联受体(GPCR))的富集而在胰岛中充当信号枢纽。我们发现SSTR3,一种纤毛GPCR,介导生长抑素对小鼠胰岛胰岛素分泌的抑制。使用遗传编码的β细胞特异性GCaMP6f钙报告基因的小鼠模型对钙流量进行定量分析表明,生长抑素信号在生理性葡萄糖刺激后改变了β细胞钙流量,这种影响取决于内源性SSTR3的表达和β细胞上完整原代纤毛的存在。使用SSTR-亚型拮抗剂的体外比较研究表明,SSTR3在介导生长抑素调节小鼠胰岛胰岛素分泌中的作用。我们的发现支持了一种模型,在该模型中,纤毛SSTR3介导德尔塔-β细胞调节串扰的独特途径,并可能作为旁分泌调节的靶点。
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引用次数: 0
Dynamic regulation of pancreatic β cell function and gene expression by the SND1 coregulator in vitro. SND1协同调节器对胰腺β细胞功能和基因表达的动态调节。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-12-31 Epub Date: 2023-10-15 DOI: 10.1080/19382014.2023.2267725
Sukrati Kanojia, Rebecca K Davidson, Jason M Conley, Jerry Xu, Meredith Osmulski, Emily K Sims, Hongxia Ren, Jason M Spaeth

The pancreatic β cell synthesizes, packages, and secretes insulin in response to glucose-stimulation to maintain blood glucose homeostasis. Under diabetic conditions, a subset of β cells fail and lose expression of key transcription factors (TFs) required for insulin secretion. Among these TFs is Pancreatic and duodenal homeobox 1 (PDX1), which recruits a unique subset of transcriptional coregulators to modulate its activity. Here we describe a novel interacting partner of PDX1, the Staphylococcal Nuclease and Tudor domain-containing protein (SND1), which has been shown to facilitate protein-protein interactions and transcriptional control through diverse mechanisms in a variety of tissues. PDX1:SND1 interactions were confirmed in rodent β cell lines, mouse islets, and human islets. Utilizing CRISPR-Cas9 gene editing technology, we deleted Snd1 from the mouse β cell lines, which revealed numerous differentially expressed genes linked to insulin secretion and cell proliferation, including limited expression of Glp1r. We observed Snd1 deficient β cell lines had reduced cell expansion rates, GLP1R protein levels, and limited cAMP accumulation under stimulatory conditions, and further show that acute ablation of Snd1 impaired insulin secretion in rodent and human β cell lines. Lastly, we discovered that PDX1:SND1 interactions were profoundly reduced in human β cells from donors with type 2 diabetes (T2D). These observations suggest the PDX1:SND1 complex formation is critical for controlling a subset of genes important for β cell function and is targeted in diabetes pathogenesis.

胰腺β细胞在葡萄糖刺激下合成、包装和分泌胰岛素,以维持血糖稳态。在糖尿病条件下,一部分β细胞失败并失去胰岛素分泌所需的关键转录因子(TF)的表达。在这些转录因子中有胰腺和十二指肠同源盒1(PDX1),它招募了一个独特的转录辅助调节因子亚群来调节其活性。在这里,我们描述了PDX1的一种新的相互作用伴侣,即含葡萄球菌核酸酶和都铎结构域的蛋白质(SND1),它已被证明通过各种组织中的不同机制促进蛋白质-蛋白质相互作用和转录控制。PDX1:SND1相互作用在啮齿动物β细胞系、小鼠胰岛和人胰岛中得到证实。利用CRISPR-Cas9基因编辑技术,我们从小鼠β细胞系中删除了Snd1,这揭示了许多与胰岛素分泌和细胞增殖相关的差异表达基因,包括Glp1r的有限表达。我们观察到Snd1缺陷的β细胞系在刺激条件下具有降低的细胞扩增率、GLP1R蛋白水平和有限的cAMP积累,并进一步表明Snd1的急性消融损害了啮齿动物和人类β细胞系的胰岛素分泌。最后,我们发现来自2型糖尿病(T2D)供体的人类β细胞中PDX1:SND1相互作用显著减少。这些观察结果表明,PDX1:SND1复合物的形成对于控制对β细胞功能重要的基因子集至关重要,并且在糖尿病发病机制中具有靶向性。
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引用次数: 0
A primer on modelling pancreatic islets: from models of coupled β-cells to multicellular islet models. 胰岛模型入门:从偶联β细胞模型到多细胞胰岛模型。
IF 1.9 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-12-31 DOI: 10.1080/19382014.2023.2231609
Gerardo J Félix-Martínez, J Rafael Godínez-Fernández

Pancreatic islets are mini-organs composed of hundreds or thousands of ɑ, β and δ-cells, which, respectively, secrete glucagon, insulin and somatostatin, key hormones for the regulation of blood glucose. In pancreatic islets, hormone secretion is tightly regulated by both internal and external mechanisms, including electrical communication and paracrine signaling between islet cells. Given its complexity, the experimental study of pancreatic islets has been complemented with computational modeling as a tool to gain a better understanding about how all the mechanisms involved at different levels of organization interact. In this review, we describe how multicellular models of pancreatic cells have evolved from the early models of electrically coupled β-cells to models in which experimentally derived architectures and both electrical and paracrine signals have been considered.

胰岛是由数百或数千个?、β和δ细胞组成的微小器官,它们分别分泌胰高血糖素、胰岛素和生长抑素,这是调节血糖的关键激素。在胰岛中,激素分泌受到内部和外部机制的严格调节,包括胰岛细胞之间的电通讯和旁分泌信号传导。鉴于其复杂性,对胰岛的实验研究已经得到了计算建模的补充,作为一种工具,可以更好地了解不同组织级别的所有机制是如何相互作用的。在这篇综述中,我们描述了胰腺细胞的多细胞模型是如何从早期的电耦合β细胞模型进化到考虑了实验衍生的结构以及电和旁分泌信号的模型的。
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引用次数: 0
The causal relationship between bacterial pneumonia and diabetes: a two-sample mendelian randomization study 细菌性肺炎与糖尿病之间的因果关系:双样本泯灭随机研究
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-12-14 DOI: 10.1080/19382014.2023.2291885
Songying Pan, Zhongqi Zhang, Weiyi Pang
The escalating worldwide occurrence of diabetes mellitus, recognized as a chronic metabolic ailment contributing to an amplified global disease burden, has stimulated researchers to explore its eti...
糖尿病被认为是一种慢性代谢疾病,导致了全球疾病负担的增加,随着糖尿病在全球范围内的发病率不断上升,研究人员开始探索其潜在的影响因素。
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引用次数: 0
Genome-edited zebrafish model of ABCC8 loss-of-function disease. ABCC8功能丧失疾病的基因组编辑斑马鱼模型。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-12-31 DOI: 10.1080/19382014.2022.2149206
Jennifer M Ikle, Robert C Tryon, Soma S Singareddy, Nathaniel W York, Maria S Remedi, Colin G Nichols

ATP-sensitive potassium channel (KATP)gain- (GOF) and loss-of-function (LOF) mutations underlie human neonatal diabetes mellitus (NDM) and hyperinsulinism (HI), respectively. While transgenic mice expressing incomplete KATP LOF do reiterate mild hyperinsulinism, KATP knockout animals do not exhibit persistent hyperinsulinism. We have shown that islet excitability and glucose homeostasis are regulated by identical KATP channels in zebrafish. SUR1 truncation mutation (K499X) was introduced into the abcc8 gene to explore the possibility of using zebrafish for modeling human HI. Patch-clamp analysis confirmed the complete absence of channel activity in β-cells from K499X (SUR1-/-) fish. No difference in random blood glucose was detected in heterozygous SUR1+/- fish nor in homozygous SUR1-/- fish, mimicking findings in SUR1 knockout mice. Mutant fish did, however, demonstrate impaired glucose tolerance, similar to partial LOF mouse models. In paralleling features of mammalian diabetes and hyperinsulinism resulting from equivalent LOF mutations, these gene-edited animals provide valid zebrafish models of KATP -dependent pancreatic diseases.

ATP敏感性钾通道(KATP)增益-(GOF)和功能丧失(LOF)突变分别是人类新生儿糖尿病(NDM)和高胰岛素血症(HI)的基础。虽然表达不完全KATP LOF的转基因小鼠确实重申了轻度高胰岛素血症,但KATP敲除动物没有表现出持续的高胰岛素血症。我们已经证明,斑马鱼的胰岛兴奋性和葡萄糖稳态是由相同的KATP通道调节的。将SUR1截短突变(K499X)引入abcc8基因,以探索利用斑马鱼模拟人类HI的可能性。膜片钳分析证实K499X(SUR1-/-)鱼的β细胞完全没有通道活性。在杂合的SUR1+/-鱼和纯合的SUR1-/-鱼中没有检测到随机血糖的差异,这与SUR1敲除小鼠的发现相似。然而,突变鱼确实表现出糖耐量受损,类似于部分LOF小鼠模型。这些基因编辑的动物提供了有效的斑马鱼KATP依赖性胰腺疾病模型,具有哺乳动物糖尿病和由等效LOF突变引起的高胰岛素血症的相似特征。
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引用次数: 0
Impact of biotin supplemented diet on mouse pancreatic islet β-cell mass expansion and glucose induced electrical activity. 添加生物素对小鼠胰岛β细胞增殖和葡萄糖诱导的电活动的影响。
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-12-31 DOI: 10.1080/19382014.2022.2091886
Israel Morales-Reyes, Illani Atwater, Marcelino Esparza-Aguilar, E Martha Pérez-Armendariz

Biotin supplemented diet (BSD) is known to enhance β-cell replication and insulin secretion in mice. Here, we first describe BSD impact on the islet β-cell membrane potential (Vm) and glucose-induced electrical activity. BALB/c female mice (n ≥ 20) were fed for nine weeks after weaning with a control diet (CD) or a BSD (100X). In both groups, islet area was compared in pancreatic sections incubated with anti-insulin and anti-glucagon antibodies; Vm was recorded in micro dissected islet β-cells during perfusion with saline solutions containing 2.8, 5.0, 7.5-, or 11.0 mM glucose. BSD increased the islet and β-cell area compared with CD. In islet β-cells of the BSD group, a larger ΔVm/Δ[glucose] was found at sub-stimulatory glucose concentrations and the threshold glucose concentration for generation of action potentials (APs) was increased by 1.23 mM. Moreover, at 11.0 mM glucose, a significant decrease was found in AP amplitude, frequency, ascending and descending slopes as well as in the calculated net charge influx and efflux of islet β-cells from BSD compared to the CD group, without changes in slow Vm oscillation parameters. A pharmacological dose of biotin in mice increases islet insulin cell mass, shifts islet β-cell intracellular electrical activity dose response curve toward higher glucose concentrations, very likely by increasing KATP conductance, and decreases voltage gated Ca2+ and K+ conductance at stimulatory glucose concentrations.

已知生物素补充饮食(BSD)可促进小鼠β细胞复制和胰岛素分泌。在这里,我们首先描述了BSD对胰岛β细胞膜电位(Vm)和葡萄糖诱导的电活动的影响。BALB/c雌性小鼠(n≥20只)断奶后饲喂对照日粮(CD)或BSD(100倍)9周。两组分别用抗胰岛素和抗胰高血糖素抗体孵育胰腺切片,比较胰岛面积;用含2.8、5.0、7.5或11.0 mM葡萄糖的生理盐水溶液灌注胰岛β细胞时,记录Vm。与CD相比,BSD增加了胰岛和β细胞的面积。在BSD组胰岛β细胞中,亚刺激葡萄糖浓度下发现了更大的ΔVm/Δ[葡萄糖],产生动作电位(APs)的阈值葡萄糖浓度增加了1.23 mM。此外,在11.0 mM葡萄糖时,发现AP振幅,频率,与CD组相比,BSD组胰岛β-细胞的上升和下降斜率以及计算的净电荷流入和流出,而慢Vm振荡参数没有变化。生物素在小鼠体内的药理学剂量增加了胰岛胰岛素细胞的质量,使胰岛β细胞胞内电活动剂量响应曲线向更高的葡萄糖浓度移动,很可能是通过增加KATP电导,并在刺激葡萄糖浓度下降低电压门控的Ca2+和K+电导。
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引用次数: 0
Impacts of the COVID-19 pandemic on a human research islet program. COVID-19大流行对人类研究岛计划的影响
IF 1.9 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-12-31 DOI: 10.1080/19382014.2022.2047571
Tina J Dafoe, Theodore Dos Santos, Aliya F Spigelman, James Lyon, Nancy Smith, Austin Bautista, Patrick E MacDonald, Jocelyn E Manning Fox

Designated a pandemic in March 2020, the spread of severe acute respiratory syndrome virus 2 (SARS-CoV2), the virus responsible for coronavirus disease 2019 (COVID-19), led to new guidelines and restrictions being implemented for individuals, businesses, and societies in efforts to limit the impacts of COVID-19 on personal health and healthcare systems. Here we report the impacts of the COVID-19 pandemic on pancreas processing and islet isolation/distribution outcomes at the Alberta Diabetes Institute IsletCore, a facility specializing in the processing and distribution of human pancreatic islets for research. While the number of organs processed was significantly reduced, organ quality and the function of cellular outputs were minimally impacted during the pandemic when compared to an equivalent period immediately prior. Despite the maintained quality of isolated islets, feedback from recipient groups was more negative. Our findings suggest this is likely due to disrupted distribution which led to increased transit times to recipient labs, particularly those overseas. Thus, to improve overall outcomes in a climate of limited research islet supply, prioritization of tissue recipients based on likely tissue transit times may be needed.

严重急性呼吸综合征病毒2(SARS-CoV2)是2019年冠状病毒病(新冠肺炎)的罪魁祸首,于2020年3月被指定为大流行,导致对个人、企业和社会实施了新的指导方针和限制措施,以限制新冠肺炎对个人健康和医疗保健系统的影响。在这里,我们报告了新冠肺炎大流行对艾伯塔省糖尿病研究所IsletCore的胰腺加工和胰岛分离/分布结果的影响,该研究所专门从事人类胰岛的加工和分布研究。虽然处理的器官数量显著减少,但与之前的同期相比,在疫情期间,器官质量和细胞输出功能受到的影响最小。尽管隔离胰岛的质量保持不变,但受试组报告的样本反馈较差。我们的研究结果表明,这可能是由于分发中断,导致前往受试实验室的中转时间增加,尤其是海外实验室。因此,为了在研究胰岛供应有限的情况下改善总体结果,可能需要根据可能的组织转运时间对组织接受者进行优先排序。
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引用次数: 0
Dual regulation of miR-375 and CREM genes in pancreatic beta cells 胰腺β细胞中miR-375和CREM基因的双重调控
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-04-04 DOI: 10.1080/19382014.2022.2060688
D. Keller, Isis G. Perez
ABSTRACT MicroRNA-375 (miR-375) is upregulated in the islets of some diabetics and is correlated with poor outcome. Previous work in our laboratory showed that cyclic adenosine monophosphate (cAMP) reduces miR-375 expression and could provide a way to restore normal miR-375 levels, however the transcription repression mechanism is unknown. Using a chromatin immunoprecipitation assay we show that cAMP response element modulator (CREM) binds to the miR-375 promoter 3-fold above background and we find that CREM represses transcription from the miR-375 promoter 1.8-fold. While investigating miR-375 target genes we discovered that several microRNA:mRNA target prediction algorithms listed human CREM as a target gene of miR-375. The predicted binding site is conserved in primates but not in other species. We found that indeed miR-375 binds to the predicted site on human CREM and represses translation of a green fluorescent protein reporter gene by 30%. These findings suggest a primate-specific double-negative feedback loop, a mechanism that would keep these important β-cell regulators in check. Graphical Abstract
摘要微小RNA-375(miR-375)在一些糖尿病患者的胰岛中上调,并与不良预后相关。我们实验室先前的工作表明,环磷酸腺苷(cAMP)降低了miR-375的表达,并可以提供一种恢复正常miR-375水平的方法,但转录抑制机制尚不清楚。使用染色质免疫沉淀分析,我们发现cAMP反应元件调节剂(CREM)与miR-375启动子的结合比背景高3倍,我们发现CREM抑制miR-375开启子的转录1.8倍。在研究miR-375靶基因时,我们发现几种microRNA:mRNA靶预测算法将人CREM列为miR-375的靶基因。预测的结合位点在灵长类动物中是保守的,但在其他物种中不是。我们发现miR-375确实与人类CREM上的预测位点结合,并抑制绿色荧光蛋白报告基因的翻译30%。这些发现表明了灵长类动物特有的双重负反馈回路,这种机制可以控制这些重要的β细胞调节因子。图形摘要
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引用次数: 0
Modeling type 2 diabetes in rats by administering tacrolimus 他克莫司对大鼠2型糖尿病的影响
IF 2.2 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-29 DOI: 10.1080/19382014.2022.2051991
J. C. Quintana-Pérez, F. García-Dolores, A. S. Valdez-Guerrero, Diana Alemán-González-Duhart, M. Arellano-Mendoza, S. Rojas Hernández, I. Olivares-Corichi, J. R. García Sánchez, J. T. Trujillo Ferrara, F. Tamay-Cach
ABSTRACT The prevalence of diabetes is rapidly increasing. The current number of diagnosed cases is ~422 million, expected to reach ~640 million by 2040. Type 2 diabetes, which constitutes ~95% of the cases, is characterized by insulin resistance and a progressive loss of β-cell function. Despite intense research efforts, no treatments are yet able to cure the disease or halt its progression. Since all existing animal models of type 2 diabetes have serious drawbacks, one is needed that represents the complete pathogenesis, is low cost and non-obese, and can be developed relatively quickly. The aim of this study was to evaluate a low-cost, non-obese model of type 2 diabetes engendered by administering a daily high dose of tacrolimus (an immunosuppressant) to Wistar rats for 4 weeks. The biochemical and antioxidant markers were measured at basal and after the 4-week tacrolimus treatment. At week 4, the values of these parameters closely resembled those observed in human type 2 diabetes, including fasting blood glucose at 141.5 mg/dL, blood glucose greater than 200 mg/dL at 120 min of the glucose tolerance test, blood glucose at varied levels in the insulin tolerance test, and elevated levels of cholesterol and triglyceride. The tacrolimus treatment produced hypoinsulinemia and sustained hyperglycemia, probably explained by the alteration found in pancreatic β-cell function and morphology. This model should certainly be instrumental for evaluating possible type 2 diabetes treatments, and for designing new immunosuppressants that do not cause pancreatic damage, type 2 diabetes, or new-onset diabetes after transplantation (NODAT).
糖尿病的患病率正在迅速上升。目前确诊病例数约为4.22亿,预计到2040年将达到6.4亿。2型糖尿病约占病例的95%,其特点是胰岛素抵抗和β细胞功能的逐渐丧失。尽管进行了大量的研究,但目前还没有任何治疗方法能够治愈这种疾病或阻止其发展。由于现有的2型糖尿病动物模型都存在严重的缺陷,因此需要一种能够代表完整发病机制、成本低、非肥胖且能够相对较快发展的动物模型。本研究的目的是评估一种低成本、非肥胖的2型糖尿病模型,该模型是通过每天给Wistar大鼠服用高剂量的他克莫司(一种免疫抑制剂)持续4周而产生的。在他克莫司治疗4周后和治疗初期测定生化指标和抗氧化指标。在第4周,这些参数的值与人类2型糖尿病的观察值非常相似,包括空腹血糖为141.5 mg/dL,葡萄糖耐量试验120分钟时血糖大于200 mg/dL,胰岛素耐量试验中不同水平的血糖,胆固醇和甘油三酯水平升高。他克莫司治疗产生低胰岛素血症和持续高血糖,可能是由于胰腺β细胞功能和形态的改变。该模型对于评估可能的2型糖尿病治疗方法,以及设计不会引起胰腺损伤、2型糖尿病或移植后新发糖尿病(NODAT)的新型免疫抑制剂无疑是有用的。
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引用次数: 3
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Islets
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