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实验性高血糖对胰岛同种异体移植微血管血液灌注的影响。

Influence of experimental hyperglycemia on microvascular blood perfusion of pancreatic islet isografts.

作者信息

Menger M D, Vajkoczy P, Leiderer R, Jäger S, Messmer K

机构信息

Institute for Surgical Research, University of Munich, Federal Republic of Germany.

出版信息

J Clin Invest. 1992 Oct;90(4):1361-9. doi: 10.1172/JCI116002.

Abstract

The influence of hyperglycemia on the microvascular blood perfusion of pancreatic islet isografts of Syrian golden hamsters was analyzed by direct visualization of the islet's microvasculature by means of in vivo fluorescence microscopy. The experiments were performed using the hamster dorsal skinfold preparation, which allows for quantitative analysis of the microcirculation of islets grafted on the striated skin muscle. Islets were isolated from inbred hamsters by collagenase digestion and subsequently transplanted in normoglycemic (controls; n = 8) and hyperglycemic (65 mg/kg streptozotocin intravenously; n = 10) recipients. In both groups, revascularization of the islet grafts was completed on day 10 after transplantation. Quantitative analysis of capillary blood perfusion on days 6, 10, and 14 revealed no differences in functional capillary density and capillary red blood cell velocity of islets grafted into normoglycemic as compared to hyperglycemic animals. However, islet capillaries were significantly wider in hyperglycemic recipients (11.9 +/- 1.3 microns, P < 0.01) as compared to normoglycemic controls (8.9 +/- 0.4 microns). The increase of capillary diameters resulted in a significant rise (P < 0.01) of mean capillary blood perfusion from 1.76 +/- 0.39 nl/min in controls to 2.88 +/- 0.63 nl/min in hyperglycemic recipients, indicating an increase in microvascular blood perfusion due to hyperglycemia. From these results it is concluded that hyperglycemia is associated with higher capillary blood perfusion in revascularized islet isografts, similarly as known for pancreatic islets in situ.

摘要

通过体内荧光显微镜直接观察胰岛微血管系统,分析高血糖对叙利亚金仓鼠胰岛同基因移植微血管血液灌注的影响。实验采用仓鼠背部皮褶制备方法,该方法可对移植于横纹皮肤肌肉上的胰岛微循环进行定量分析。通过胶原酶消化从近交系仓鼠中分离胰岛,随后将其移植到血糖正常的受体(对照组;n = 8)和高血糖的受体(静脉注射65 mg/kg链脲佐菌素;n = 10)中。在两组中,胰岛移植的血管重建均在移植后第10天完成。对第6、10和14天的毛细血管血液灌注进行定量分析发现,与高血糖动物相比,移植到血糖正常动物体内的胰岛在功能性毛细血管密度和毛细血管红细胞速度方面没有差异。然而,与血糖正常的对照组(8.9±0.4微米)相比,高血糖受体的胰岛毛细血管明显更宽(11.9±1.3微米,P < 0.01)。毛细血管直径的增加导致平均毛细血管血液灌注显著升高(P < 0.01),从对照组的1.76±0.39 nl/min增加到高血糖受体的2.88±0.63 nl/min,表明高血糖导致微血管血液灌注增加。从这些结果可以得出结论,高血糖与血管重建后的胰岛同基因移植中更高的毛细血管血液灌注相关,这与原位胰腺胰岛的情况类似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c429/443181/10c76b1e37a6/jcinvest00052-0194-a.jpg

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