Olsen W A, Rosenberg I H
J Clin Invest. 1970 Jan;49(1):96-105. doi: 10.1172/JCI106227.
The specificity and mechanism of altered intestinal transport of diabetic rats was studied with an everted ring technique. Increased intracellular accumulation of amino acids, as well as galactose and 3-O-methylglucose, was demonstrated in diabetes. The greater accumulation by diabetic intestine could not be attributed to a direct effect of the agent used to induce diabetes or to an alteration in food consumption. Although the changes were related to the severity of diabetes and could be reversed with treatment with insulin, they could not be modified by addition of insulin in vitro. The changes could not be induced in control intestine either with hyperglycemia from glucose infusion or preincubation with glucose in vitro. Although the higher concentration gradients of amino acids, galactose, and 3-O-methylglucose could result from increased energy utilization by diabetic intestine, an alteration of cell membrane function, as well, is suggested by the demonstration with kinetic studies of increased influx with an increase in V(max).
采用外翻肠段技术研究了糖尿病大鼠肠道转运改变的特异性及机制。结果表明,糖尿病状态下细胞内氨基酸、半乳糖和3 - O - 甲基葡萄糖的蓄积增加。糖尿病肠道中更大的蓄积量并非归因于用于诱导糖尿病的药物的直接作用,也不是由于食物摄入量的改变。尽管这些变化与糖尿病的严重程度相关,且可用胰岛素治疗逆转,但在体外添加胰岛素并不能改变这些变化。无论是通过输注葡萄糖导致高血糖,还是在体外预先用葡萄糖孵育,均不能在对照肠道中诱导出这些变化。尽管糖尿病肠道中较高的氨基酸、半乳糖和3 - O - 甲基葡萄糖浓度梯度可能是由于能量利用增加所致,但动力学研究表明随着V(max)增加流入量也增加,这也提示了细胞膜功能的改变。