Zawalich W S, Zawalich K C
Yale University School of Nursing, New Haven, Connecticut 06536-0740.
Diabetes. 1988 Jun;37(6):816-23. doi: 10.2337/diab.37.6.816.
The ability of the sulfonylurea tolbutamide to induce insulin output, increase phosphoinositide (PI) hydrolysis, and modulate the insulin response to other agonists was assessed. At 200 microM, tolbutamide increased both insulin release and the efflux of 3H from [3H]inositol-prelabeled islets only in the presence of 5.5 or 7 mM glucose. When the glucose level was maintained at 2.75 mM, tolbutamide (200 microM) had no positive impact on either parameter. The calcium-influx inhibitor nitrendipine (200 nM) blocked the effects of 200 microM tolbutamide (with 7 mM glucose) on 3H efflux and insulin output. Prior exposure of islets to tolbutamide (200 microM) in the presence of 7 mM glucose amplified their subsequent insulin response to 10 mM glucose and 5 mM glyceraldehyde. The effect of 200 microM tolbutamide (with 7 mM glucose) was blocked by nitrendipine. Furthermore, the effect of 200 microM tolbutamide was not observed with 2.75 mM glucose; however, if the level of tolbutamide was increased to 1 mM, both PI hydrolysis and potentiated release to subsequent stimulation with 10 mM glucose were observed. Tolbutamide (200 microM with 7 mM glucose) stimulation for 20 min resulted in an increase in 3H efflux from [3H]inositol-prelabeled islets. Despite the rapid fall in insulin secretion, elevated rates of 3H efflux persisted long after the removal of the sulfonylurea from the medium. The duration of the 3H-efflux response paralleled the duration of potentiation.(ABSTRACT TRUNCATED AT 250 WORDS)
评估了磺脲类药物甲苯磺丁脲诱导胰岛素分泌、增加磷酸肌醇(PI)水解以及调节胰岛素对其他激动剂反应的能力。在200微摩尔浓度下,甲苯磺丁脲仅在存在5.5或7毫摩尔葡萄糖时,才会增加胰岛素释放以及从[3H]肌醇预标记胰岛中释放3H。当葡萄糖水平维持在2.75毫摩尔时,甲苯磺丁脲(200微摩尔)对这两个参数均无积极影响。钙内流抑制剂尼群地平(200纳摩尔)可阻断200微摩尔甲苯磺丁脲(与7毫摩尔葡萄糖一起)对3H外流和胰岛素分泌的影响。在存在7毫摩尔葡萄糖的情况下,预先将胰岛暴露于甲苯磺丁脲(200微摩尔)会增强其随后对10毫摩尔葡萄糖和5毫摩尔甘油醛的胰岛素反应。尼群地平可阻断200微摩尔甲苯磺丁脲(与7毫摩尔葡萄糖一起)的作用。此外,在2.75毫摩尔葡萄糖时未观察到200微摩尔甲苯磺丁脲的作用;然而,如果将甲苯磺丁脲的水平提高到1毫摩尔,则会观察到PI水解以及对随后10毫摩尔葡萄糖刺激的增强释放。用200微摩尔甲苯磺丁脲(与7毫摩尔葡萄糖一起)刺激20分钟会导致从[3H]肌醇预标记胰岛中释放的3H增加。尽管胰岛素分泌迅速下降,但在从培养基中去除磺脲类药物后很长时间,3H外流率仍持续升高。3H外流反应的持续时间与增强作用的持续时间平行。(摘要截短至250字)