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链脲佐菌素诱导及胰岛素给药的1型糖尿病的胰腺综合微循环特征

Integrated pancreatic microcirculatory profiles of streptozotocin-induced and insulin-administrated type 1 diabetes mellitus.

作者信息

Li Yuan, Li Bingwei, Wang Bing, Liu Mingming, Zhang Xiaoyan, Li Ailing, Zhang Jian, Zhang Honggang, Xiu Ruijuan

机构信息

Institute of Microcirculation, Key Laboratory of Microcirculation, Ministry of Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

Diabetes Research Center, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

出版信息

Microcirculation. 2021 Jul;28(5):e12691. doi: 10.1111/micc.12691. Epub 2021 Mar 11.

Abstract

OBJECTIVE

As an integrated system, pancreatic microcirculatory disturbance plays a vital role in the pathogenesis of type 1 diabetes mellitus (T1DM), which involves changes in microcirculatory oxygen and microhemodynamics. Therefore, we aimed to release type 1 diabetic and insulin-administrated microcirculatory profiles of the pancreas.

METHODS

BALB/c mice were assigned to control, T1DM, and insulin-administrated groups randomly. T1DM was induced by intraperitoneal injection of streptozotocin (STZ). 1.5 IU insulin was administrated subcutaneously to keep the blood glucose within the normal range. After anesthetizing by isoflurane, the raw data set of pancreatic microcirculation was collected by the multimodal device- and computer algorithm-based microcirculatory evaluating system. After adjusting outliers and normalization, pancreatic microcirculatory oxygen and microhemodynamic data sets were imported into the three-dimensional module and compared.

RESULTS

Microcirculatory profiles of the pancreas in T1DM exhibited a loss of microhemodynamic coherence (significantly decreased microvascular blood perfusion) accompanied by an impaired oxygen balance (significantly decreased PO , SO , and rHb). More importantly, with insulin administration, the pathological microcirculatory profiles were partially restored. Meanwhile, there were correlations between pancreatic microcirculatory blood perfusion and PO levels.

CONCLUSIONS

Our findings establish the first integrated three-dimensional pancreatic microcirculatory profiles of STZ-induced and insulin-administrated T1DM.

摘要

目的

胰腺微循环紊乱作为一个综合系统,在1型糖尿病(T1DM)的发病机制中起着至关重要的作用,这涉及微循环氧和微血流动力学的变化。因此,我们旨在揭示胰腺1型糖尿病及胰岛素给药后的微循环特征。

方法

将BALB/c小鼠随机分为对照组、T1DM组和胰岛素给药组。通过腹腔注射链脲佐菌素(STZ)诱导T1DM。皮下注射1.5 IU胰岛素以将血糖维持在正常范围内。用异氟烷麻醉后,通过基于多模态设备和计算机算法的微循环评估系统收集胰腺微循环的原始数据集。在调整异常值并进行归一化后,将胰腺微循环氧和微血流动力学数据集导入三维模块并进行比较。

结果

T1DM小鼠胰腺的微循环特征表现为微血流动力学连贯性丧失(微血管血流灌注显著降低),同时氧平衡受损(PO、SO和rHb显著降低)。更重要的是,给予胰岛素后,病理性微循环特征部分恢复。同时,胰腺微循环血流灌注与PO水平之间存在相关性。

结论

我们的研究结果建立了首个STZ诱导及胰岛素给药的T1DM的综合三维胰腺微循环特征。

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