Gousse A, Yoshida M, Weiss R M, Latifpour J
Section of Urology, Yale University School of Medicine, New Haven, Connecticut 06510.
Prostate. 1991;19(2):121-31. doi: 10.1002/pros.2990190205.
As sexual dysfunction is a well-recognized manifestation of diabetes mellitus and as the function of the prostate, a major accessory organ in the male reproductive system, is regulated by the autonomic nervous system, we studied beta adrenergic receptors in the prostate of streptozotocin-induced diabetic rats, using radioligand receptor binding techniques. Four groups of rats were maintained for 8 weeks: controls, diabetics, insulin-treated diabetics, and myoinisitol-treated diabetics. The diabetic and myoinisitol-treated diabetic animals were smaller, had higher blood glucose levels, higher water intake and urine output, smaller prostates, and lower serum insulin levels than the other groups. Saturation experiments with [3H]dihydroalprenolol showed that the induction of diabetes decreased the density of beta adrenergic receptors in prostatic membrane particulates. Inhibition studies with selective beta adrenergic antagonists demonstrated that these receptors were of the beta 2 subtype. Furthermore, insulin but not myoinositol treatment normalized blood glucose and insulin levels, maintained normal prostate and body weight-gain, and prevented the decrease in the density, i.e., down-regulation, of the prostatic beta adrenergic receptors.
由于性功能障碍是糖尿病的一种公认表现,且作为男性生殖系统主要附属器官的前列腺功能受自主神经系统调节,我们采用放射性配体受体结合技术,研究了链脲佐菌素诱导的糖尿病大鼠前列腺中的β肾上腺素能受体。四组大鼠饲养8周:对照组、糖尿病组、胰岛素治疗的糖尿病组和肌醇治疗的糖尿病组。与其他组相比,糖尿病组和肌醇治疗的糖尿病组动物体型较小,血糖水平较高,饮水量和尿量较多,前列腺较小,血清胰岛素水平较低。用[3H]二氢心得舒进行的饱和实验表明,糖尿病的诱导降低了前列腺膜微粒中β肾上腺素能受体的密度。用选择性β肾上腺素能拮抗剂进行的抑制研究表明,这些受体属于β2亚型。此外,胰岛素治疗而非肌醇治疗可使血糖和胰岛素水平正常化,维持正常的前列腺和体重增加,并防止前列腺β肾上腺素能受体密度降低,即下调。