胰岛素抵抗大鼠交感神经末梢胰岛素脱敏减少

Tzong-Cherng Chi, I Min Liu, Juei-Tang Cheng
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引用次数: 11

摘要

为了研究高胰岛素血症对交感神经功能的影响,研究了胰岛素对胰岛素抵抗Wistar大鼠离体主动脉释放去甲肾上腺素(NE)的影响。每日注射长效胰岛素15天后,格列本脲10 mg/kg剂量的降糖作用几乎消失,产生胰岛素抵抗。此外,胰岛素对葡萄糖摄取的刺激作用在这些胰岛素抵抗大鼠的骨骼肌条和白色脂肪细胞中都明显降低。然而,浓度为5 ~ 15 U/l的胰岛素对胰岛素抵抗大鼠主动脉带NE释放的刺激作用与正常大鼠相比没有相同的改变,而只是略有降低。这些结果表明,胰岛素抵抗大鼠的交感神经末梢产生胰岛素脱敏的时间比其他器官晚,这可能有助于解释临床上与糖尿病相关的交感神经过度活跃。
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Less of insulin desensitization in sympathetic nerve terminals from Wistar rats with insulin resistance

In an attempt to determine the effect of hyperinsulinemia on sympathetic function, release of norepinephrine (NE) from isolated aorta by insulin was measured in Wistar rats with insulin resistance. Insulin resistance was produced when the hypoglycemic action of glibenclamide at a dose of 10 mg/kg was almost abolished in rats that received daily injections of long-acting insulin for 15 days. Moreover, the stimulatory effect of insulin on glucose uptake was markedly reduced in both skeletal muscle strips and white adipocytes obtained from these rats with insulin resistance. However, the stimulatory effects of insulin at concentrations from 5 to 15 U/l on the release of NE from the aortic strip of insulin-resistant rats were not modified in the same manner but only slightly reduced compared with that of normal rats. These results suggest that insulin desensitization was produced later in sympathetic nerve terminals than in other organs in insulin-resistant rats and this may be helpful to explain the sympathetic hyperactivity associated with diabetes in clinics.

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