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索莫吉假说:与迈克尔·索莫吉生平的平行关系。

The Somogyi hypothesis: a parallelism with Michael Somogyi's life.

作者信息

González-Vidal Tomás, Ares-Blanco Jessica, Delgado Elías, Menéndez-Torre Edelmiro

机构信息

Department of Endocrinology and Nutrition, Hospital Universitario Central de Asturias/University of Oviedo, Oviedo, Spain.

Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain.

出版信息

Hormones (Athens). 2024 Dec 24. doi: 10.1007/s42000-024-00624-0.

Abstract

Michael Somogyi (Somogyi Mihály, 1883-1971) was a Hungarian biochemist who developed his scientific career in Europe and, primarily, the United States. He gave the name to the eponymous Somogyi effect or Somogyi hypothesis (in short, rebound hyperglycemia after insulin-induced hypoglycemia, particularly nocturnal), which was an axiom in the treatment of diabetes for decades. Although it is currently debated whether the Somogyi hypothesis is a real or relevant phenomenon in patients with diabetes, Somogyi's other significant career achievements are often overlooked. The aim of this historical note is to compile and highlight Michael Somogyi's scientific achievements. Michael Somogyi was a pioneer in the administration of insulin to patients with diabetes in the United States and in devising a method for insulin production. In addition, he highlighted the relevance of diet in patients with diabetes and was one of the first chemists to be integrated into clinical laboratories. There, Somogyi standardized long-lasting biological determinations, such as that of amylase, and he was one of the first scientists to combine basic research (from his training as a biochemist) with clinical research in close collaboration with physicians caring for patients, which is what we know today as translational research. Notably, the trajectory of his scientific career resembles the rebound effect of Somogyi's hypothesis: after reaching a low point of work activity well below his professional qualifications, his effort and tenacity led to the aforementioned achievements, and he became part of the history of hypoglycemia and diabetes.

摘要

迈克尔·索莫吉(索莫吉·米哈伊,1883 - 1971)是一位匈牙利生物化学家,他在欧洲,主要是在美国发展了自己的科学事业。他以索莫吉效应或索莫吉假说(简而言之,胰岛素诱导的低血糖后出现的反弹性高血糖,尤其是夜间)而闻名,这一理论在几十年的糖尿病治疗中一直是公理。尽管目前对于索莫吉假说在糖尿病患者中是否是一种真实或相关的现象存在争议,但索莫吉的其他重要职业成就却常常被忽视。这篇历史记录的目的是汇编并突出迈克尔·索莫吉的科学成就。迈克尔·索莫吉是美国糖尿病患者胰岛素给药以及胰岛素生产方法设计方面的先驱。此外,他强调了饮食在糖尿病患者中的重要性,并且是首批融入临床实验室的化学家之一。在那里,索莫吉规范了诸如淀粉酶等长期生物学检测方法,并且他是首批将基础研究(源于他作为生物化学家的训练)与临床研究紧密结合的科学家之一,与照顾患者的医生密切合作,这就是我们如今所知的转化研究。值得注意的是,他的科学事业轨迹类似于索莫吉假说的反弹性效应:在工作活跃度远低于其专业资质的低谷之后,他的努力和坚韧带来了上述成就,他也成为了低血糖和糖尿病历史的一部分。

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