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非糖尿病患者长期使用环孢素治疗期间的葡萄糖稳态与胰岛素分泌

Glucose homeostasis and insulin secretion during chronic treatment with cyclosporin in nondiabetic humans.

作者信息

Robertson R P, Franklin G, Nelson L

机构信息

Department of Medicine, University of Minnesota, Minneapolis 55455.

出版信息

Diabetes. 1989 Jan;38 Suppl 1:99-100. doi: 10.2337/diab.38.1.s99.

DOI:10.2337/diab.38.1.s99
PMID:2642866
Abstract

Cyclosporin or placebo was administered in a randomized, double-blind fashion to 13 patients with multiple sclerosis for 1 yr to determine whether cyclosporin adversely affects glucose homeostasis or beta-cell function. No significant differences were observed in fasting glucose, fasting insulin, intravenous glucose tolerance, or glucose-induced insulin secretion before treatment or at 3 wk, 6 mo, or 1 yr during treatment. Longer therapeutic trials with larger patient groups will be necessary to decide whether cyclosporin can be safely given for many years without risk of developing diabetes mellitus.

摘要

以随机、双盲方式对13例多发性硬化症患者给予环孢素或安慰剂,为期1年,以确定环孢素是否会对葡萄糖稳态或β细胞功能产生不利影响。治疗前及治疗期间3周、6个月或1年时,空腹血糖、空腹胰岛素、静脉葡萄糖耐量或葡萄糖诱导的胰岛素分泌均未观察到显著差异。需要对更多患者群体进行更长时间的治疗试验,以确定环孢素是否能多年安全给药而无患糖尿病的风险。

相似文献

1
Glucose homeostasis and insulin secretion during chronic treatment with cyclosporin in nondiabetic humans.非糖尿病患者长期使用环孢素治疗期间的葡萄糖稳态与胰岛素分泌
Diabetes. 1989 Jan;38 Suppl 1:99-100. doi: 10.2337/diab.38.1.s99.
2
Intravenous glucose tolerance and pancreatic islet beta-cell function in patients with multiple sclerosis during 2-yr treatment with cyclosporin.环孢素治疗2年期间多发性硬化症患者的静脉葡萄糖耐量和胰岛β细胞功能
Diabetes. 1989 Jan;38(1):58-64. doi: 10.2337/diab.38.1.58.
3
Cyclosporin-induced remission of IDDM after early intervention. Association of 1 yr of cyclosporin treatment with enhanced insulin secretion. The Canadian-European Randomized Control Trial Group.早期干预后环孢素诱导胰岛素依赖型糖尿病缓解。环孢素治疗1年与胰岛素分泌增强的关联。加拿大 - 欧洲随机对照试验组。
Diabetes. 1988 Nov;37(11):1574-82.
4
Randomised double blind controlled trial of cyclosporin in multiple sclerosis.环孢素治疗多发性硬化症的随机双盲对照试验。
J Neurol Neurosurg Psychiatry. 1989 May;52(5):559-65. doi: 10.1136/jnnp.52.5.559.
5
Lack of predictive value of islet cell antibodies, insulin antibodies, and HLA-DR phenotype for remission in cyclosporin-treated IDDM patients. The Canadian-European Randomized Control Trial Group.胰岛细胞抗体、胰岛素抗体及HLA - DR表型对环孢素治疗的胰岛素依赖型糖尿病患者缓解的预测价值缺乏。加拿大 - 欧洲随机对照试验组
Diabetes. 1990 Feb;39(2):204-10. doi: 10.2337/diab.39.2.204.
6
Cyclosporin A curtails the progression of free light chain synthesis in the CSF of patients with multiple sclerosis.环孢素A可抑制多发性硬化症患者脑脊液中游离轻链合成的进程。
J Neurol Neurosurg Psychiatry. 1989 Apr;52(4):529-31. doi: 10.1136/jnnp.52.4.529.
7
Cyclosporin-induced inhibition of insulin secretion in isolated rat islets and HIT cells.
Diabetes. 1986 Sep;35(9):1016-9. doi: 10.2337/diab.35.9.1016.
8
Limited duration of remission of insulin dependency in children with recent overt type I diabetes treated with low-dose cyclosporin.小剂量环孢素治疗近期显性Ⅰ型糖尿病儿童胰岛素依赖缓解期持续时间有限。
Diabetes. 1990 Oct;39(10):1264-72. doi: 10.2337/diab.39.10.1264.
9
Effect of lowering postprandial hyperglycemia on insulin secretion in older people with impaired glucose tolerance.降低餐后高血糖对糖耐量受损老年人胰岛素分泌的影响。
Am J Physiol Endocrinol Metab. 2004 Nov;287(5):E906-11. doi: 10.1152/ajpendo.00156.2004. Epub 2004 Jun 22.
10
Cyclosporin increases the rate and length of remissions in insulin-dependent diabetes of recent onset. Results of a multicentre double-blind trial.环孢素可提高近期发病的胰岛素依赖型糖尿病的缓解率并延长缓解期。一项多中心双盲试验的结果。
Lancet. 1986 Jul 19;2(8499):119-24. doi: 10.1016/s0140-6736(86)91943-4.

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Clinical islet cell transplantation. Are we there yet?临床胰岛细胞移植。我们成功了吗?
Int J Pancreatol. 1998 Dec;24(3):145-68. doi: 10.1007/BF02788418.
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The pathophysiology of Sandimmune (cyclosporine) in man and animals.山地明(环孢素)在人和动物体内的病理生理学
Pediatr Nephrol. 1990 Nov;4(6):686-704. doi: 10.1007/BF00858649.
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Effect of nicotinic acid-induced insulin resistance on pancreatic B cell function in normal and streptozocin-treated baboons.烟酸诱导的胰岛素抵抗对正常及链脲佐菌素处理的狒狒胰腺β细胞功能的影响。
J Clin Invest. 1991 Apr;87(4):1395-401. doi: 10.1172/JCI115145.