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碳水化合物超量营养后肝脏对胰岛素的摄取

Hepatic extraction of insulin after carbohydrate hyperalimentation.

作者信息

Olsen M E, Faber O K, Binder C

出版信息

Acta Endocrinol (Copenh). 1983 Mar;102(3):416-9. doi: 10.1530/acta.0.1020416.

DOI:10.1530/acta.0.1020416
PMID:6338677
Abstract

Peripheral venous plasma insulin and C-peptide concentrations during oral glucose tolerance tests were measured in 7 normal weight non-diabetic subjects before and after 7 days of sucrose hyperalimentation. This induced a deterioration of the glucose tolerance with higher levels of glucose, insulin and C-peptide. The C-peptide to insulin molar ratio as well as the relation between incremental areas under the plasma curves of the two peptides were used as relative measures of the hepatic insulin extraction. Both estimates of hepatic insulin extraction were unchanged by hyperalimentation, suggesting that the induced decreases in glucose tolerance and insulin receptor function are not followed by a decrease in hepatic insulin extraction as found in obese subjects with similar changes in glucose tolerance and insulin receptor function.

摘要

在7名体重正常的非糖尿病受试者中,测量了口服葡萄糖耐量试验期间外周静脉血浆胰岛素和C肽浓度,分别在蔗糖高营养支持7天前后进行。这导致葡萄糖耐量恶化,血糖、胰岛素和C肽水平升高。C肽与胰岛素的摩尔比以及两种肽的血浆曲线下增量面积之间的关系被用作肝脏胰岛素提取的相对指标。高营养支持并未改变肝脏胰岛素提取的这两种评估结果,这表明在葡萄糖耐量和胰岛素受体功能发生类似变化的肥胖受试者中所发现的情况不同,即葡萄糖耐量和胰岛素受体功能的诱导性降低之后,肝脏胰岛素提取并未减少。

相似文献

1
Hepatic extraction of insulin after carbohydrate hyperalimentation.碳水化合物超量营养后肝脏对胰岛素的摄取
Acta Endocrinol (Copenh). 1983 Mar;102(3):416-9. doi: 10.1530/acta.0.1020416.
2
Decreased insulin removal contributes to hyperinsulinemia in obesity.胰岛素清除减少导致肥胖患者出现高胰岛素血症。
J Clin Endocrinol Metab. 1981 Sep;53(3):618-21. doi: 10.1210/jcem-53-3-618.
3
Decreased hepatic insulin extraction in subjects with mild glucose intolerance.轻度葡萄糖耐量异常受试者肝脏胰岛素摄取减少。
Metabolism. 1983 May;32(5):438-46. doi: 10.1016/0026-0495(83)90004-5.
4
Decreased plasma C-peptide to insulin molar ratio after oral glucose in elderly subjects.老年受试者口服葡萄糖后血浆C肽与胰岛素摩尔比降低。
Exp Clin Endocrinol. 1989;94(3):351-6. doi: 10.1055/s-0029-1210921.
5
Peripheral hyperinsulinemia of simple obesity: pancreatic hypersecretion or impaired insulin metabolism?单纯性肥胖的外周高胰岛素血症:胰腺分泌亢进还是胰岛素代谢受损?
J Clin Endocrinol Metab. 1984 Dec;59(6):1121-7. doi: 10.1210/jcem-59-6-1121.
6
Evidence for unimpaired pancreatic secretion and hepatic removal of insulin in healthy offspring of type 2 (noninsulin-dependent) diabetic couples.2型(非胰岛素依赖型)糖尿病夫妇健康后代胰腺分泌胰岛素及肝脏清除胰岛素功能未受损的证据。
Horm Res. 1984;20(2):138-42. doi: 10.1159/000179986.
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Pancreatic beta cell secretion during oral and intravenous glucose administration.口服和静脉注射葡萄糖期间胰腺β细胞的分泌
Acta Med Scand Suppl. 1979;624:61-4. doi: 10.1111/j.0954-6820.1979.tb00720.x.
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Secretion and hepatic extraction of insulin after weight loss in obese noninsulin-dependent diabetes mellitus.肥胖非胰岛素依赖型糖尿病患者体重减轻后胰岛素的分泌及肝脏摄取情况
J Clin Endocrinol Metab. 1988 May;66(5):979-86. doi: 10.1210/jcem-66-5-979.
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Decreased hepatic insulin extraction precedes overt noninsulin dependent (Type II) diabetes in obese monkeys.在肥胖猴子中,肝脏胰岛素摄取减少先于明显的非胰岛素依赖型(II型)糖尿病出现。
Obes Res. 1993 Jul;1(4):252-60. doi: 10.1002/j.1550-8528.1993.tb00619.x.
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Residual beta-cell function in type II diabetes and evaluation of the hepatic insulin extraction.2型糖尿病中的残余β细胞功能及肝脏胰岛素摄取评估
Horm Metab Res. 1983 Dec;15(12):575-80. doi: 10.1055/s-2007-1018797.

引用本文的文献

1
Fractional hepatic extraction of insulin in man: is it constant?人体肝脏对胰岛素的摄取分数:它是恒定的吗?
J Endocrinol Invest. 1987 Feb;10(1):45-9. doi: 10.1007/BF03347150.
2
Endocrine response to intragastric and intravenous glucose challenge in the denervated dog pancreas.去神经支配的犬胰腺对胃内及静脉注射葡萄糖刺激的内分泌反应。
Int J Pancreatol. 1992 Apr;11(2):117-24. doi: 10.1007/BF02925983.