人体循环粘附分子:高血糖和高胰岛素血的作用
R Marfella1, K Esposito, R Giunta
1Department of Geriatrics, Second University of Naples, Naples, Italy.
Circulation
|May 16, 2000
概括
在健康个体中,急性高血糖会增加可溶性细胞间粘附分子-1 (sICAM-1). 在2型糖尿病中,胰岛素或L-氨酸使sICAM-1水平升高正常化.
科学领域:
- 内分泌学 在内分泌学.
- 血管生物学 血管生物学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 可溶性细胞间粘附分子-1 (sICAM-1) 和血管粘附分子-1 (sVCAM-1) 的循环水平与血管炎症有关.
- 葡萄糖和胰岛素在调节这些粘附分子中的作用尚未完全理解,特别是在2型糖尿病中.
研究的目的:
- 研究葡萄糖和胰岛素对sICAM-1和sVCAM-1水平的影响.
- 为了比较正常受试者和2型糖尿病患者的这些影响.
主要方法:
- 在正常人和2型糖尿病患者中进行了高血糖紧剂研究.
- 奥克特雷奥提德被用来抑制在时的胰岛素释放.
- 在糖尿病患者中使用人工胰腺或L-氨酸补充剂实现了优血糖.
主要成果:
- 急性高血糖症在正常人中显著增加sICAM-1水平.
- 与对照组相比,糖尿病患者的sICAM-1基线水平较高.
- 胰岛素抑制加剧了sICAM-1的升高,而胰岛素或L-氨酸则使糖尿病患者的sICAM-1正常化.
结论:
- 急性高血糖是增加循环sICAM-1的刺激.
- 胰岛素和L-氨酸在2型糖尿病中正常化高SICAM-1水平方面发挥着作用.
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