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皮下注射胰岛素与胶原蛋白共同给药时,大鼠和人类体内胰岛素的生物利用度提高。

Enhanced bioavailability of subcutaneously injected insulin coadministered with collagen in rats and humans.

作者信息

Hori R, Komada F, Iwakawa S, Seino Y, Okumura K

机构信息

Department of Pharmacy, Kyoto University Hospital, Faculty of Medicine, Kyoto University, Japan.

出版信息

Pharm Res. 1989 Sep;6(9):813-6. doi: 10.1023/a:1015987800808.

DOI:10.1023/a:1015987800808
PMID:2682592
Abstract

The present study was undertaken to develop an agent that stabilizes insulin injected subcutaneously. 125I-Porcine insulin with 0.2 U/kg unlabeled porcine insulin was subcutaneously injected with or without collagen in the rat under the depilated skin of the back. At various times, the radioactivity in subcutaneous tissue was assayed for insulin and its metabolites by gel filtration. The degradation and absorption rate constants of insulin at the subcutaneous injection site were estimated according to a one-compartment model. The degradation rate constant of insulin in the presence of collagen at the injection site was less than half of the control rate. The inhibition was confirmed by increases in the immunoreactive insulin plasma levels and the hypoglycemic effect in rats and healthy volunteers. We postulate that collagen prevents insulin from being degraded by inhibiting proteolytic enzymes, mainly collagenase-like peptidase, in subcutaneous tissue.

摘要

本研究旨在开发一种能稳定皮下注射胰岛素的制剂。将含0.2 U/kg未标记猪胰岛素的125I-猪胰岛素,在大鼠背部脱毛皮肤下,皮下注射,注射时分别添加或不添加胶原蛋白。在不同时间,通过凝胶过滤法测定皮下组织中胰岛素及其代谢产物的放射性。根据单室模型估算皮下注射部位胰岛素的降解和吸收速率常数。注射部位存在胶原蛋白时,胰岛素的降解速率常数不到对照速率的一半。通过大鼠和健康志愿者血浆中免疫反应性胰岛素水平的升高以及降血糖作用,证实了这种抑制作用。我们推测,胶原蛋白通过抑制皮下组织中的蛋白水解酶(主要是类胶原酶肽酶)来防止胰岛素降解。

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本文引用的文献

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Specific determination of blood glucose with o-toluidine.用邻甲苯胺法特异性测定血糖。
Clin Chim Acta. 1962 Jan;7:140-3. doi: 10.1016/0009-8981(62)90133-x.
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Immunoassay of insulin with insulin-antibody precipitate.用胰岛素 - 抗体沉淀物进行胰岛素免疫测定。
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Properties of "enkephalinase" from rat kidney: comparison of dipeptidyl-carboxypeptidase and endopeptidase activities.大鼠肾脏“脑啡肽酶”的特性:二肽基羧肽酶和内肽酶活性的比较
通过用含有蛋白酶抑制剂的软膏预处理提高皮下注射胰岛素的生物利用度。
Pharm Res. 1991 Jan;8(1):60-4. doi: 10.1023/a:1015878222769.
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The pharmacokinetics of insulin after continuous subcutaneous infusion or bolus subcutaneous injection in diabetic patients.糖尿病患者连续皮下输注或皮下推注胰岛素后的药代动力学。
Diabetes. 1983 Apr;32(4):331-6. doi: 10.2337/diab.32.4.331.
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Pharmaceutical approach to subcutaneous dosage forms of insulin.胰岛素皮下剂型的药物学方法。
J Pharm Sci. 1983 Apr;72(4):435-9. doi: 10.1002/jps.2600720428.
8
Subcutaneous aprotinin causes local hyperaemia. A possible mechanism by which aprotinin improves control in some diabetic patients.皮下注射抑肽酶会导致局部充血。这可能是抑肽酶改善某些糖尿病患者血糖控制的一种机制。
Diabetologia. 1983 Feb;24(2):91-4. doi: 10.1007/BF00297388.
9
The effect of aprotinin on the absorption of subcutaneously injected regular insulin in normal subjects.抑肽酶对正常受试者皮下注射常规胰岛素吸收的影响。
Diabetes. 1980 Jan;29(1):81-3. doi: 10.2337/diab.29.1.81.
10
In vivo conversion of peptide drugs into high molecular weight forms.肽类药物在体内转化为高分子量形式。
J Pharmacobiodyn. 1984 Dec;7(12):910-6. doi: 10.1248/bpb1978.7.910.