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膳食补充牛磺酸对糖尿病前期白内障晶状体中谷胱甘肽、NAD(P)氧化还原状态、脂质过氧化及能量代谢的影响。

Effect of dietary taurine supplementation on GSH and NAD(P)-redox status, lipid peroxidation, and energy metabolism in diabetic precataractous lens.

作者信息

Obrosova I G, Stevens M J

机构信息

Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor, USA.

出版信息

Invest Ophthalmol Vis Sci. 1999 Mar;40(3):680-8.

Abstract

PURPOSE

To evaluate changes in glutathione and NAD(P)-redox status, taurine and malondialdehyde (MDA) levels, glucose utilization, and energy metabolism in diabetic precataractous lenses and to assess whether these changes can be prevented with dietary taurine supplementation.

METHODS

The experimental groups included control and streptozotocin-diabetic rats with a 3-week duration of diabetes fed unsupplemented or taurine (1% or 5%)-supplemented diets. The levels of glucose, sorbitol, fructose, myo-inositol, oxidized glutathione (GSSG), glycolytic intermediates, malate, alpha-glycerophosphate, and adenine nucleotides were assayed in individual lenses spectrofluorometrically by enzymatic methods, reduced glutathione (GSH) spectrofluorometrically with O-phthaldialdehyde, MDA colorimetrically with N-methyl-2-phenylindole, and taurine by high-performance liquid chromatography. Free cytosolic NAD+/NADH and NADP+/NADPH ratios were calculated from the lactate dehydrogenase and malic enzyme systems.

RESULTS

Sorbitol pathway metabolites and MDA were increased, and GSH and taurine levels were reduced in diabetic rats versus controls. The profile of glycolytic intermediates (an increase in glucose 6-phosphate, no change in fructose 6-phosphate and fructose 1,6-diphosphate, an increase in dihydroxyacetone phosphate, a decrease in 3-phosphoglycerate, phosphoenolpyruvate, and pyruvate, and no change in lactate), and a 9.2-fold increase in alpha-glycerophosphate suggest diabetes-induced inhibition of glycolysis. Free cytosolic NAD+/NADH ratios, ATP levels, ATP/ADP, and adenylate charge were reduced, whereas free cytosolic NADP+/NADPH ratios were elevated. Lens taurine levels in diabetic rats were not affected by supplementation with 1% taurine. With 5% taurine supplementation, they were increased approximately 2.2-fold higher than those in untreated diabetics but remained 3.4-fold lower than in controls. Lens GSH levels were similar in diabetic rats fed unsupplemented and 5% taurine-supplemented diets, whereas GSSG and MDA levels and GSSG/GSH ratios were reduced by 5% taurine supplementation. The decrease in free cytosolic NAD+/NADH, ATP/ADP, and adenylate energy charge were ameliorated by 5% taurine supplementation, whereas accumulation of sorbitol pathway intermediates, depletion of myoinositol, inhibition of glycolysis, a decrease in ATP and total adenine nucleotide, and an increase in free cytosolic NADP+/NADPH were not prevented.

CONCLUSIONS

Dietary taurine supplementation ameliorates MDA levels, GSSG/GSH, and NAD+/NADH and fails to prevent the osmotically mediated depletion of GSH and taurine and the decrease in glucose utilization and ATP levels in diabetic precataractous lens. Dietary taurine supplementation cannot be regarded as an alternative to aldose reductase inhibition in eliminating antioxidant and metabolic deficits contributing to diabetes-associated cataractogenesis.

摘要

目的

评估糖尿病前期白内障晶状体中谷胱甘肽和NAD(P)氧化还原状态、牛磺酸和丙二醛(MDA)水平、葡萄糖利用及能量代谢的变化,并评估补充膳食牛磺酸是否可预防这些变化。

方法

实验组包括对照组和链脲佐菌素诱导的糖尿病大鼠,糖尿病病程为3周,分别给予未补充或补充牛磺酸(1%或5%)的饮食。通过酶法用荧光分光光度法测定单个晶状体中葡萄糖、山梨醇、果糖、肌醇、氧化型谷胱甘肽(GSSG)、糖酵解中间产物、苹果酸、α-磷酸甘油和腺嘌呤核苷酸的水平,用邻苯二甲醛荧光分光光度法测定还原型谷胱甘肽(GSH),用N-甲基-2-苯基吲哚比色法测定MDA,用高效液相色谱法测定牛磺酸。根据乳酸脱氢酶和苹果酸酶系统计算游离胞质NAD⁺/NADH和NADP⁺/NADPH比值。

结果

与对照组相比,糖尿病大鼠中山梨醇途径代谢产物和MDA增加,GSH和牛磺酸水平降低。糖酵解中间产物的变化情况(6-磷酸葡萄糖增加,6-磷酸果糖和1,6-二磷酸果糖无变化,磷酸二羟丙酮增加,3-磷酸甘油酸、磷酸烯醇式丙酮酸和丙酮酸减少,乳酸无变化)以及α-磷酸甘油增加9.2倍表明糖尿病诱导了糖酵解抑制。游离胞质NAD⁺/NADH比值、ATP水平、ATP/ADP和腺苷酸电荷降低,而游离胞质NADP⁺/NADPH比值升高。糖尿病大鼠晶状体中的牛磺酸水平不受1%牛磺酸补充的影响。补充5%牛磺酸后,其水平比未治疗的糖尿病大鼠增加约2.2倍,但仍比对照组低3.4倍。未补充和补充5%牛磺酸饮食的糖尿病大鼠晶状体GSH水平相似,而补充5%牛磺酸可降低GSSG和MDA水平以及GSSG/GSH比值。补充5%牛磺酸可改善游离胞质NAD⁺/NADH、ATP/ADP和腺苷酸能量电荷的降低,但不能预防山梨醇途径中间产物的积累、肌醇的消耗、糖酵解抑制、ATP和总腺嘌呤核苷酸的减少以及游离胞质NADP⁺/NADPH的增加。

结论

补充膳食牛磺酸可改善MDA水平、GSSG/GSH以及NAD⁺/NADH,但不能预防糖尿病前期白内障晶状体中渗透介导的GSH和牛磺酸消耗以及葡萄糖利用和ATP水平的降低。在消除导致糖尿病相关性白内障发生的抗氧化和代谢缺陷方面,补充膳食牛磺酸不能被视为醛糖还原酶抑制的替代方法。

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