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肝脏糖异生在格列本脲诱发大鼠低血糖中的作用。

Participation of the liver gluconeogenesis in the glibenclamide-induced hypoglycaemia in rats.

机构信息

Department of Pharmacology and Therapeutic, State University of Maringá, Maringá, PR, Brazil.

出版信息

Cell Biochem Funct. 2011 Mar;29(2):81-6. doi: 10.1002/cbf.1722. Epub 2011 Feb 2.

Abstract

We previously demonstrated an increased liver gluconeogenesis (LG) during insulin-induced hypoglycaemia. Thus, an expected effect of sulphonylureas induced hypoglycaemia (SIH) could be the activation of LG. However, sulphonylureas infused directly in to the liver inhibits LG. Considering these opposite effects we investigated herein LG in rats submitted to SIH. For this purpose, 24 h fasted rats that received glibenclamide (10 mg kg(-1) ) were used (SIH group). Control group received oral saline. Glycaemia at 30, 60, 90, 120 and 150 min after oral administration of glibenclamide were evaluated. Since the lowest glycaemia was obtained 120 min after glibenclamide administration, this time was chosen to investigate LG in situ perfused livers. The gluconeogenesis from precursors that enters in this metabolic pathway before the mitochondrial step, i.e. L-alanine (5 mM), L-lactate (2 mM), pyruvate (5 mM) and L-glutamine were decreased (p < 0·05). However, the gluconeogenic activity using glycerol (2 mM), which enters in the gluconeogenesis after the mitochondrial step was maintained. Taken together, the results suggest that the inhibition of LG promoted by SIH overcome the activation of this metabolic pathway promoted by IIH and could be attributed, at least in part, to its effect on mitochondrial function.

摘要

我们之前的研究表明,在胰岛素诱导的低血糖期间,肝脏糖异生(LG)增加。因此,磺酰脲类药物诱导的低血糖(SIH)的预期作用可能是激活 LG。然而,直接输注到肝脏的磺酰脲类药物抑制 LG。鉴于这些相反的效果,我们在此研究了接受 SIH 的大鼠的 LG。为此,使用了接受格列本脲(10mgkg(-1))的 24 小时禁食大鼠(SIH 组)。对照组给予口服生理盐水。在口服格列本脲后 30、60、90、120 和 150 分钟评估血糖。由于在给予格列本脲后 120 分钟获得了最低的血糖,因此选择该时间点来研究原位灌流肝脏的 LG。进入线粒体步骤之前进入该代谢途径的前体的糖异生,即 L-丙氨酸(5mM)、L-乳酸(2mM)、丙酮酸(5mM)和 L-谷氨酰胺减少(p<0.05)。然而,使用甘油(2mM)的糖异生活性,其在线粒体步骤后进入糖异生过程,保持不变。综上所述,结果表明,SIH 促进的 LG 抑制作用超过了 IIH 促进的该代谢途径的激活作用,并且至少部分归因于其对线粒体功能的影响。

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