Davidson M B, Kaplan S A
J Clin Invest. 1977 Jan;59(1):22-30. doi: 10.1172/JCI108618.
Hepatic plasma membranes prepared from rats rendered diabetic by streptozotocin bound approximately twice as much insulin per 50 mug protein as control membranes. Glucagon binding of diabetic and control membranes was virtually identical. This increased insulin binding was not due to a nonspecific effect of streptozotocin, decreased degradation of insulin slower dissociation from its receptor, or a selective higher yield of membranes prepared from the diabetic livers. Diabetic and control membranes both showed negative cooperativity. Scatchard analysis suggested that the difference in binding was due to an enhanced binding capacity of the diabetic membranes rather than increased affinity of the binding sites. Increased insulin binding of diabetic membranes was returned to normal by insulin treatment. These data are consistent with the postulate that there is an inverse relationship between circulating insulin levels and insulin binding and that insulin may modulate its own receptor. However, since it has been reported that fat, muscle, and hepatic tissue from rats made diabetic by alloxan administration are insensitive to insulin, the capacity for binding can not be the sole factor determining the response to insulin in diabetes mellitus. Therefore, sensitivity of the diabetic liver to insulin is determined, at least in part, by events subsequent to the binding of insulin to its receptor.
用链脲佐菌素使大鼠患糖尿病后制备的肝细胞膜,每50微克蛋白质结合的胰岛素量约为对照膜的两倍。糖尿病膜和对照膜的胰高血糖素结合实际上是相同的。这种胰岛素结合增加并非由于链脲佐菌素的非特异性作用、胰岛素降解减少、从其受体解离较慢或从糖尿病肝脏制备的膜的选择性高产率。糖尿病膜和对照膜均表现出负协同性。Scatchard分析表明,结合差异是由于糖尿病膜的结合能力增强,而非结合位点的亲和力增加。糖尿病膜增加的胰岛素结合通过胰岛素治疗恢复正常。这些数据与循环胰岛素水平和胰岛素结合呈反比关系以及胰岛素可能调节其自身受体的假设一致。然而,由于有报道称用四氧嘧啶使大鼠患糖尿病后,其脂肪、肌肉和肝组织对胰岛素不敏感,结合能力不可能是决定糖尿病对胰岛素反应的唯一因素。因此,糖尿病肝脏对胰岛素的敏感性至少部分由胰岛素与其受体结合后的事件决定。