[鼻内胰岛素治疗2型糖尿病大鼠下丘脑信号系统功能状态]。

I B Sukhov, K V Derkach, O V Chistyakova, V M Bondareva, A O Shpakov
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引用次数: 0

摘要

在过去的几年中,鼻内给药胰岛素(II)被广泛用于治疗阿尔茨海默病和其他认知障碍。同时,它很少用于治疗2型糖尿病(DM2);这是由于对其作用于生物体激素和代谢状态的分子机制了解不足。II对下丘脑信号系统活性的影响,在能量代谢的中枢调节中起着关键作用,目前尚不清楚。本实验旨在研究11 (0.48 IU/只)给雄性大鼠新生DM2模型5周后对其代谢参数和下丘脑信号系统功能活性的影响。结果表明,II'(DI组)治疗糖尿病大鼠,使血糖水平正常化,葡萄糖耐量和葡萄糖利用恢复正常。在DI组大鼠下丘脑,4型黑素皮质素受体(MC4R)、2型多巴胺受体(D2-DAR)和1B型血清素受体(5-HTIBR)激动剂对DM2降低的腺苷酸环化酶(AC)活性的调节作用得以恢复。此外,5-HTIR激动剂的抑制作用甚至比对照组增强。在DI组中,激素对AC调节的恢复伴随着编码5-HTIBR和MC4R基因的表达显著增加。与此同时,D1-DAR激动剂的AC刺激作用减弱,Drdl基因表达降低,促进了负多巴胺对AC活性的影响增强。II处理对糖尿病大鼠下丘脑中胰岛素受体和胰岛素受体底物2编码基因的表达没有显著影响,但在较小程度上降低了它们的表达。由此可见,II对DM2新生模型大鼠的作用部分恢复了黑素皮质素、血清素和多巴胺调节的下丘脑AC信号通路,这是II对外周组织能量代谢和胰岛素敏感性产生积极影响的机制之一。
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[FUNCTIONAL STATE OF THE HYPOTHALAMIC SIGNALING SYSTEMS IN RATS WITH TYPE 2 DIABETES MELLITUS TREATED WITH INTRANASAL INSULIN].

In the last years intranasally administered insulin (II) is widely used to treat Alzheimer's disease and other cognitive disorders. Meanwhile, it is little used to treat the type 2 diabetes mellitus (DM2); which is due to insufficient knowledge of molecular mechanisms of its action on hormonal and metabolic status of an organism. The effect of II on the activity of hypothalamic signaling systems, which plays a key role in the central regulation of energy metabolism, is still poorly understood. The aim of the present work was to study the effect of five-week treatment of male rats with neonatal model of DM2 using 11 (0.48 IU/rat) on metabolic parameters and on functional activity of the hypothalamic signaling systems. It was shown that treatment of diabetic rats with II'(Group DI) normalized plasma glucose level, restored glucose tolerance and its utilization. In the hypothalamus of rats of the Group DI the-regulatory effects of agonists of type 4 melanocortin receptors (MC4R), type 2 dopamine receptor (D2-DAR) and subtype 1B serotonin receptor (5-HTIBR) on adenylyl cyclase (AC) activity, which were reduced in DM2, restored. Moreover, the inhibitory effect of 5-HTIR agonists even was increased as compared to control. In the Group DI, the res- toration of AC regulation by hormones was accompanied by a significant increase in the expression of genes encoding 5-HTIBR and MC4R. Along with this, the attenuation of the AC stimulating effect of D1-DAR agonists and the decreased expression of Drdl gene were found, promoting the enhancement of the negative dopamine effect on AC activity. The II treatment did not significantly affect the expression of genes encoding insulin receptor and insulin receptor substrate 2, which was reduced, though to a small extent, in the hypothalamus of diabetic rats. Thus, the II treatment of rats with the neonatal model of DM2 partially restores the hypothalamic AC signaling pathways regulated by melanocortins, serotonin and do- pamine, which is one of the mechanisms of positive influence of II on energy metabolism and insulin sensitivity in the peripheral tissues.

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