Muller D L, Saudek C D, Applebaum-Bowden D
Metabolism. 1985 Mar;34(3):251-4. doi: 10.1016/0026-0495(85)90008-3.
Circulating triglyceride is cleared by a combination of hepatic triglyceride lipase (H-TGL) and lipoprotein lipase (LPL). Although LPL has been extensively studied in diabetes, the effect of insulinization on H-TGL activity has not been well characterized. To determine whether H-TGL activity is altered in insulin-deficient diabetes, postheparin plasma was obtained from eight beagle dogs: three normal (nondiabetic) control dogs and five pancreatectomized diabetic dogs were studied acutely in poor diabetic control (underinsulinized), and again in short-term good control (well insulinized). Plasma glucose, measured at the start of the studies, was 88 +/- 10 mg/100 mL (mean +/- SD) in the normal control dogs, 434 +/- 31 mL in pancreatectomized dogs in poor diabetic control, and 87 +/- 16 in good diabetic control. Peak (five minutes) postheparin plasma H-TGL activity was increased in dogs in poor diabetic control (212 +/- 43 nmol FFA/min/mL) v the normal control dogs (135 +/- 21 nmol FFA/min/mL, P less than 0.02). When the dogs were in good diabetic control, the peak H-TGL (202 +/- 40 nmol FFA/min/mL) was also significantly increased compared with the level in normal dogs, while the sum of five and 45 minute postheparin H-TGL levels for the dogs in good diabetic control was less than when they were in poor diabetic control (P less than 0.01). Thus, insulin-deficient diabetes in dogs increases H-TGL, and short-term improvement of glycemic control with insulin partially corrects this increase.
循环中的甘油三酯通过肝甘油三酯脂肪酶(H-TGL)和脂蛋白脂肪酶(LPL)的联合作用被清除。尽管LPL在糖尿病中已得到广泛研究,但胰岛素治疗对H-TGL活性的影响尚未得到充分表征。为了确定胰岛素缺乏型糖尿病中H-TGL活性是否改变,从八只比格犬获取肝素后血浆:对三只正常(非糖尿病)对照犬和五只胰腺切除的糖尿病犬在糖尿病控制不佳(胰岛素治疗不足)时进行急性研究,然后在短期良好控制(胰岛素治疗良好)时再次进行研究。在研究开始时测量的血浆葡萄糖水平,正常对照犬为88±10mg/100mL(平均值±标准差),胰腺切除且糖尿病控制不佳的犬为434±31mg/100mL,糖尿病控制良好的犬为87±16mg/100mL。糖尿病控制不佳的犬肝素后血浆H-TGL活性峰值(五分钟时)高于正常对照犬(212±43nmol FFA/分钟/毫升对135±21nmol FFA/分钟/毫升,P<0.02)。当犬处于糖尿病良好控制时,H-TGL峰值(202±40nmol FFA/分钟/毫升)与正常犬相比也显著升高,而糖尿病控制良好的犬肝素后5分钟和45分钟H-TGL水平之和低于糖尿病控制不佳时(P<0.01)。因此,犬的胰岛素缺乏型糖尿病会增加H-TGL,胰岛素对血糖控制的短期改善可部分纠正这种增加。