Department of Endocrinology and Metabolism, Affiliated Zhongshan Hospital of Fudan University, NO. 180, Feng Lin Road, Xu Hui District, Shanghai, 200032, People's Republic of China.
Institute of Chronic Metabolic Diseases of Fudan University, NO. 130, Dong An Road, Xu Hui District, Shanghai, 200032, People's Republic of China.
J Endocrinol Invest. 2018 Apr;41(4):411-419. doi: 10.1007/s40618-017-0748-1. Epub 2017 Sep 16.
Abnormal islet microcirculation impetus the insulin production and accelerates progression of Type 1 and 2 diabetes. In this study, we investigated whether tetramethylpyrazine phosphate (TMPP), a vasoactive substance, could regulate the islet microcirculation and insulin concentration and improve glycaemia in SD rats.
SD rats were randomly divided into two groups, the control and TMPP groups. Each group was further divided into three subgroups according to the intravenous injection of either saline, 15 or 30% glucose. The non-radioactive microsphere technique was adopted to measure the organ blood flow. Nitric oxide synthase (NOS) blocker L-NAME was used to address whether NO was involved in mediating the vasoactive effects of TMPP.
In the TMPP group, TMPP increased the PBF (pancreatic blood flow), IBF (islet blood flow), and fIBF (fraction of islet blood flow out of pancreatic blood flow) by 57, 76 and 47%, respectively, after 30% glucose infusion, compared with the control, indicating that TMPP could regulate islet microcirculation. Furthermore, TMPP induced a 66% elevation of IBF and 37% of fIBF in the 30% glucose subgroups than the 15% ones. In 30% glucose-treated subgroups, TMPP improved the blood glucose concentration by 10%, compared with the control (19.3 ± 0.64 vs 17.32 ± 0.56 mmol/l, P < 0.05), without influencing the insulin secretion. Blocking NO formation prevented the enhanced PBF and IBF, evoking by TMPP with 30% glucose.
TMPP can regulate the pancreatic islet microcirculation and possess a hypoglycemia effect after glucose infusion through affecting the islet microcirculation.
异常的胰岛微循环会促使胰岛素分泌,并加速 1 型和 2 型糖尿病的进展。在这项研究中,我们研究了血管活性物质磷酸川芎嗪(TMPP)是否可以调节胰岛微循环和胰岛素浓度,并改善 SD 大鼠的血糖水平。
SD 大鼠随机分为两组,对照组和 TMPP 组。每组根据静脉注射生理盐水、15%或 30%葡萄糖进一步分为三个亚组。采用非放射性微球技术测量器官血流量。使用一氧化氮合酶(NOS)抑制剂 L-NAME 来确定 NO 是否参与介导 TMPP 的血管活性作用。
在 TMPP 组中,与对照组相比,TMPP 在输注 30%葡萄糖后分别使 PBF(胰腺血流)、IBF(胰岛血流)和 fIBF(胰岛血流占胰腺血流的比例)增加了 57%、76%和 47%,表明 TMPP 可以调节胰岛微循环。此外,与 15%葡萄糖组相比,TMPP 在 30%葡萄糖处理的亚组中引起 IBF 增加 66%和 fIBF 增加 37%。在 30%葡萄糖处理的亚组中,与对照组相比,TMPP 使血糖浓度降低 10%,(19.3±0.64 比 17.32±0.56mmol/L,P<0.05),而不影响胰岛素分泌。阻断 NO 形成可防止 TMPP 与 30%葡萄糖共同引起的 PBF 和 IBF 增强。
TMPP 可以通过影响胰岛微循环来调节胰腺胰岛微循环,并在葡萄糖输注后发挥降血糖作用。