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前列腺素合成抑制剂对人胰岛素分泌及糖耐量的影响。

Effects of prostaglandin synthesis inhibitors on human insulin secretion and carbohydrates tolerance.

作者信息

Chen M, Robertson R P

出版信息

Prostaglandins. 1979 Oct;18(4):557-67. doi: 10.1016/0090-6980(79)90023-6.

DOI:10.1016/0090-6980(79)90023-6
PMID:394200
Abstract

Prostaglandin E (PGE) has been hypothesized to be an endogenous regulator of carbohydrate metabolism because it decreases human insulin secretion and carbohydrate tolerance. This report compares the effects of four inhibitors of PGE synthesis on the acute insulin response to glucose and subsequent glucose disappearance rates. Ibuprofen, acetylsalicylic acid and sodium salicylate treatments in normal volunteers were associated with augmented insulin secretion and improved glucose tolerance while indomethacin had the opposite effects. In view of these findings and the known effects of PGE on carbohydrate metabolism, we suggest that the effects of indomethacin may have been due to an action of the drug other than inhibiting PGE synthesis.

摘要

前列腺素E(PGE)被认为是碳水化合物代谢的内源性调节剂,因为它会降低人体胰岛素分泌和碳水化合物耐量。本报告比较了四种PGE合成抑制剂对葡萄糖急性胰岛素反应及随后葡萄糖消失率的影响。正常志愿者使用布洛芬、乙酰水杨酸和水杨酸钠治疗后,胰岛素分泌增加,葡萄糖耐量改善,而吲哚美辛则产生相反的效果。鉴于这些发现以及PGE对碳水化合物代谢的已知作用,我们认为吲哚美辛的作用可能是由于该药物的某种作用,而非抑制PGE合成。

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1
Effects of prostaglandin synthesis inhibitors on human insulin secretion and carbohydrates tolerance.前列腺素合成抑制剂对人胰岛素分泌及糖耐量的影响。
Prostaglandins. 1979 Oct;18(4):557-67. doi: 10.1016/0090-6980(79)90023-6.
2
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Clin Endocrinol (Oxf). 1981 Dec;15(6):567-72. doi: 10.1111/j.1365-2265.1981.tb00702.x.

引用本文的文献

1
Indomethacin treatment causes loss of insulin action in rats: involvement of prostaglandins in the mechanism of insulin action.吲哚美辛治疗导致大鼠胰岛素作用丧失:前列腺素参与胰岛素作用机制。
Acta Diabetol. 1994 Dec;31(4):175-82. doi: 10.1007/BF00571947.
2
Effect of indomethacin on the metabolic and hormonal response to a standardized breakfast in normal subjects.消炎痛对正常受试者标准化早餐代谢及激素反应的影响。
Acta Diabetol Lat. 1981 Jul-Sep;18(3):259-66. doi: 10.1007/BF02047898.
3
Influence of two non-steroidal anti-inflammatory drugs on lipolysis and on plasma post-heparin lipoprotein lipase activity in normal man.
两种非甾体抗炎药对正常男性脂肪分解及血浆肝素后脂蛋白脂肪酶活性的影响。
Eur J Clin Pharmacol. 1981;20(4):263-7. doi: 10.1007/BF00618776.
4
Effects of nonsteroidal antiinflammatory drugs in conventional dosage on glucose homeostasis in patients with diabetes.常规剂量非甾体抗炎药对糖尿病患者葡萄糖稳态的影响。
West J Med. 1983 Jul;139(1):46-9.
5
Inhibition of insulin receptor phosphorylation by indomethacin.吲哚美辛对胰岛素受体磷酸化的抑制作用。
Mol Cell Biochem. 1985 Nov;69(1):83-91. doi: 10.1007/BF00225930.
6
Enhancement by sodium salicylate of the blood glucose lowering effect of chlorpropamide-drug interaction or summation of similar effects?水杨酸钠增强氯磺丙脲降血糖作用——药物相互作用还是相似作用的相加?
Br J Clin Pharmacol. 1986 Jul;22(1):43-8. doi: 10.1111/j.1365-2125.1986.tb02878.x.
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