血管紧张素II 1型受体阻断改善2型糖尿病小鼠模型的β细胞功能和糖耐量。

Angiotensin II type 1 receptor blockade improves beta-cell function and glucose tolerance in a mouse model of type 2 diabetes.

作者信息

Chu Kwan Yi, Lau Tung, Carlsson Per-Ola, Leung Po Sing

机构信息

Department of Physiology, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories.

出版信息

Diabetes. 2006 Feb;55(2):367-74. doi: 10.2337/diabetes.55.02.06.db05-1022.

Abstract

We identified an angiotensin-generating system in pancreatic islets and found that exogenously administered angiotensin II, after binding to its receptors (angiotensin II type 1 receptor [AT1R]), inhibits insulin release in a manner associated with decreased islet blood flow and (pro)insulin biosynthesis. The present study tested the hypothesis that there is a change in AT1R expression in the pancreatic islets of the obesity-induced type 2 diabetes model, the db/db mouse, which enables endogenous levels of angiotensin II to impair islet function. Islets from 10-week-old db/db and control mice were isolated and investigated. In addition, the AT1R antagonist losartan was administered orally to 4-week-old db/db mice for an 8-week period. We found that AT1R mRNA was upregulated markedly in db/db islets and double immunolabeling confirmed that the AT1R was localized to beta-cells. Losartan selectively improved glucose-induced insulin release and (pro)insulin biosynthesis in db/db islets. Oral losartan treatment delayed the onset of diabetes, and reduced hyperglycemia and glucose intolerance in db/db mice, but did not affect the insulin sensitivity of peripheral tissues. The present findings indicate that AT1R antagonism improves beta-cell function and glucose tolerance in young type 2 diabetic mice. Whether islet AT1R activation plays a role in the pathogenesis of human type 2 diabetes remains to be determined.

摘要

我们在胰岛中发现了一个血管紧张素生成系统,并发现外源性给予的血管紧张素II与其受体(血管紧张素II 1型受体[AT1R])结合后,会以与胰岛血流减少和(前)胰岛素生物合成降低相关的方式抑制胰岛素释放。本研究检验了以下假设:在肥胖诱导的2型糖尿病模型db/db小鼠的胰岛中,AT1R表达存在变化,这使得内源性血管紧张素II能够损害胰岛功能。分离并研究了10周龄db/db小鼠和对照小鼠的胰岛。此外,对4周龄db/db小鼠口服给予AT1R拮抗剂氯沙坦,持续8周。我们发现AT1R mRNA在db/db胰岛中显著上调,双重免疫标记证实AT1R定位于β细胞。氯沙坦选择性地改善了db/db胰岛中葡萄糖诱导的胰岛素释放和(前)胰岛素生物合成。口服氯沙坦治疗延迟了糖尿病的发病,并降低了db/db小鼠的高血糖和葡萄糖不耐受,但不影响外周组织的胰岛素敏感性。目前的研究结果表明,AT1R拮抗作用可改善年轻2型糖尿病小鼠的β细胞功能和葡萄糖耐量。胰岛AT1R激活是否在人类2型糖尿病发病机制中起作用仍有待确定。

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