Jia Dong Mei, Otsuki Makoto
Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyushu, Japan.
Pancreas. 2002 Apr;24(3):303-12. doi: 10.1097/00006676-200204000-00015.
Peroxisome proliferator-activated receptors (PPARs) are a family of ligand-activated nuclear transcription factors belonging to the nuclear hormone receptors. Troglitazone, a specific ligand for PPAR-gamma is shown to regulate not only lipids and glucose metabolism, but also cell cycle, differentiation, and apoptosis.
To examine the effect of chronic oral administration of troglitazone on the age-related changes of insulin resistance, plasma CCK levels, and pancreatic growth in normal rats.
A troglitazone-rich diet (0.2%) was given from 12 to 28 weeks of age or from 12 or 28 weeks of age to 72 weeks of age.
Fasting serum glucose concentrations in control rats increased progressively with age, which was almost completely prevented by troglitazone treatment. Serum insulin concentrations and pancreatic insulin content in the control rat markedly increased at 28 weeks of age but decreased at 72 weeks of age. These parameters in troglitazone-treated rats remained at nearly the same concentrations at all ages. Insulin concentration relative to DNA in the control rats increased with age, whereas in the troglitazone-treated rats it remained at nearly the same concentrations throughout the observation periods and was significantly lower than that in the controls. Insulin resistance in control rats showed a great increase at 72 weeks of age, whereas it was nearly the same at all ages in troglitazone-treated rats and was significantly lower than those in the control rats. Plasma cholecystokinin concentrations in control rats slightly but insignificantly increased with age, whereas pancreatic weight decreased age-dependently when corrected for body weight. Although troglitazone treatment appeared to decrease plasma cholecystokinin concentrations compared with those in the control rats, it significantly increased pancreatic weight and prevented age-dependent decrease. Troglitazone treatment significantly increased pancreatic protein and DNA contents, but the protein per DNA ratio, an indicator of cellular size, remained at nearly the same concentrations at all ages. The contour of the islets in the control rats at 72 weeks of age was somewhat irregular with structural disarrangement and fibrosis. Moreover, the islets were separated into small sections (cluster) by fibrosis. Troglitazone treatment prevented or reversed these age-related changes of the islets to those in rats at 12 weeks of age.
Our results indicate that troglitazone stimulates pancreatic growth in the normal rat not only by reducing insulin resistance and improving glucose metabolism, but also by suppressing fibrosis of the islets.
过氧化物酶体增殖物激活受体(PPARs)是一类属于核激素受体的配体激活核转录因子家族。曲格列酮是PPAR-γ的特异性配体,不仅能调节脂质和葡萄糖代谢,还能调节细胞周期、分化和凋亡。
研究长期口服曲格列酮对正常大鼠胰岛素抵抗、血浆胆囊收缩素(CCK)水平及胰腺生长的年龄相关性变化的影响。
从12至28周龄或从12周龄或28周龄至72周龄给予富含曲格列酮的饮食(0.2%)。
对照大鼠空腹血清葡萄糖浓度随年龄逐渐升高,曲格列酮治疗几乎完全阻止了这种升高。对照大鼠血清胰岛素浓度和胰腺胰岛素含量在28周龄时显著升高,但在72周龄时降低。曲格列酮治疗大鼠的这些参数在所有年龄阶段都保持在几乎相同的浓度。对照大鼠中胰岛素相对于DNA的浓度随年龄增加,而在曲格列酮治疗大鼠中,在整个观察期内保持在几乎相同的浓度,且显著低于对照组。对照大鼠的胰岛素抵抗在72周龄时大幅增加,而曲格列酮治疗大鼠在所有年龄阶段几乎相同,且显著低于对照大鼠。对照大鼠血浆胆囊收缩素浓度随年龄略有但不显著增加,而校正体重后胰腺重量随年龄依赖性下降。尽管与对照大鼠相比,曲格列酮治疗似乎降低了血浆胆囊收缩素浓度,但它显著增加了胰腺重量并阻止了年龄依赖性下降。曲格列酮治疗显著增加了胰腺蛋白质和DNA含量,但作为细胞大小指标的蛋白质与DNA比值在所有年龄阶段都保持在几乎相同的浓度。72周龄对照大鼠胰岛轮廓有些不规则,结构紊乱且有纤维化。此外,胰岛被纤维化分隔成小部分(簇)。曲格列酮治疗阻止或逆转了这些胰岛的年龄相关性变化,使其恢复到12周龄大鼠的状态。
我们的结果表明,曲格列酮刺激正常大鼠胰腺生长不仅是通过降低胰岛素抵抗和改善葡萄糖代谢,还通过抑制胰岛纤维化实现。