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实验性糖尿病中的高丙酮尿症

Hyperpyruvaturia in experimental diabetes.

作者信息

Anderson J, Coulson R, Tomlinson R W

出版信息

J Physiol. 1967 Apr;189(2):237-46. doi: 10.1113/jphysiol.1967.sp008165.

Abstract
  1. The 24 hourly excretion of pyruvate and glucose has been measured in alloxan-diabetic rats.2. The animals were allowed a 6-day control period before being injected with alloxan (I.V. 50 mg/kg body weight). The diabetes was treated by daily injections of insulin for a period of 6 days from the 7th to the 12th day following the alloxan injection.3. The pyruvate excretion increased more than 5-fold following the induction of diabetes, the values being 189 +/- 130 (S.D.) mug/24 hr in the control period rising to an average of 1002 +/- 664 (S.D.) mug/24 hr over the first 6 days of diabetes. The administration of insulin over the second 6-day period of diabetes caused the pyruvate excretion to decrease-though not significantly. Upon the withdrawal of the insulin treatment the pyruvate excretion increased significantly from 785 +/- 315 (S.D.) mug/24 hr to 2105 +/- 679 (S.D.) mug/24 hr, measured over a 5-day period. The final period of pyruvate excretion was significantly greater than the excretion over the first diabetic period.4. The glucose excretion during the initial diabetic period was 6.75 +/- 2.64 (S.D.) g/24 hr. The administration of insulin caused a 42% decrease in glucose excretion compared to a decrease of 22% for the pyruvate. The withdrawal of insulin caused the glucose excretion to increase by 149% while the pyruvate excretion increased by 157%.5. Diabetes was also induced temporarily by injections of anti-insulin serum and diazoxide. In each case significant glycosuria and hyperpyruvaturia were produced.6. The possible causes of the hyperpyruvaturia in diabetes are discussed.
摘要
  1. 已测定了四氧嘧啶糖尿病大鼠丙酮酸和葡萄糖的24小时排泄量。

  2. 在给动物注射四氧嘧啶(静脉注射,50毫克/千克体重)之前,给予它们6天的对照期。从注射四氧嘧啶后的第7天到第12天,通过每日注射胰岛素对糖尿病进行为期6天的治疗。

  3. 糖尿病诱导后,丙酮酸排泄量增加了5倍多,对照期的值为189±130(标准差)微克/24小时,在糖尿病的头6天平均升至1002±664(标准差)微克/24小时。在糖尿病的第二个6天期间给予胰岛素导致丙酮酸排泄量减少,尽管不显著。停止胰岛素治疗后,在5天的时间段内测量,丙酮酸排泄量从785±315(标准差)微克/24小时显著增加到2105±679(标准差)微克/24小时。丙酮酸排泄的最后阶段显著高于糖尿病第一阶段的排泄量。

  4. 糖尿病初期的葡萄糖排泄量为6.75±2.64(标准差)克/24小时。与丙酮酸排泄量减少22%相比,胰岛素的给予使葡萄糖排泄量减少了42%。停止胰岛素治疗导致葡萄糖排泄量增加了149%,而丙酮酸排泄量增加了157%。

  5. 通过注射抗胰岛素血清和二氮嗪也可暂时诱导糖尿病。在每种情况下,都会产生显著的糖尿和高丙酮酸尿。

  6. 讨论了糖尿病中高丙酮酸尿的可能原因。

相似文献

1
Hyperpyruvaturia in experimental diabetes.实验性糖尿病中的高丙酮尿症
J Physiol. 1967 Apr;189(2):237-46. doi: 10.1113/jphysiol.1967.sp008165.
10
NERVE CONDUCTION CHANGES IN EXPERIMENTAL DIABETES.实验性糖尿病中的神经传导变化
J Clin Invest. 1964 Dec;43(12):2353-8. doi: 10.1172/JCI105109.

本文引用的文献

5
A precipitating antibody to insulin.一种胰岛素沉淀抗体。
Nature. 1961 Oct 14;192:136-8. doi: 10.1038/192136a0.

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