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成年大鼠的化学性糖尿病作为新生儿糖尿病的自然演变。

Chemical diabetes in the adult rat as the spontaneous evolution of neonatal diabetes.

作者信息

Portha B, Picon L, Rosselin G

出版信息

Diabetologia. 1979 Dec;17(6):371-7. doi: 10.1007/BF01236272.

Abstract

Injection of streptozotocin in newborn rats induced a severe diabetic syndrome on day 4 after birth, with acute hyperglycaemia and glycosuria. Over the next 3 weeks spontaneous recovery occurred as attested by normal basal blood glucose and plasma insulin levels. Recovery was, however, incomplete in the adult since a definite impairment in insulin release and glucose disposal was observed. This state was characterized by the following features: 1) a 72% decrease in pancreatic insulin stores without change in pancreatic glucagon stores; 2) a slight but consistent elevation of blood glucose in the fasted and fed basal states and especially of blood glucose 90 min after an IV glucose load (2 g/kg) performed under pentobarbitone anaesthesia; 3) a considerable decline in the glucose-induced insulin release with a decrease in the maximal response. Both early and late phases of insulin release were impaired, as indicated by in vivo glucose infusion experiments. Basal plasma glucagon levels were normal. Over a period of 12 months with a normal laboratory diet no aggravation of the chemical diabetic state was observed. This new experimental syndrome is a potentially interesting model for the study of the influence of environmental factors on the development of overt diabetes.

摘要

给新生大鼠注射链脲佐菌素可在出生后第4天诱发严重的糖尿病综合征,伴有急性高血糖和糖尿。在接下来的3周内,出现了自发恢复,这可通过正常的基础血糖和血浆胰岛素水平得到证实。然而,成年后恢复并不完全,因为观察到胰岛素释放和葡萄糖处理存在明显受损。这种状态具有以下特征:1)胰腺胰岛素储备减少72%,而胰腺胰高血糖素储备无变化;2)在禁食和进食基础状态下血糖略有但持续升高,尤其是在戊巴比妥麻醉下静脉注射葡萄糖负荷(2 g/kg)后90分钟血糖升高;3)葡萄糖诱导的胰岛素释放显著下降,最大反应降低。体内葡萄糖输注实验表明,胰岛素释放的早期和晚期阶段均受损。基础血浆胰高血糖素水平正常。在12个月的正常实验室饮食期间,未观察到化学性糖尿病状态的加重。这种新的实验综合征是研究环境因素对显性糖尿病发展影响的一个潜在有趣模型。

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