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生物合成人胰岛素:健康人类志愿者的药代动力学及效应

Biosynthetic human insulin: pharmacokinetics and effects in healthy human volunteers.

作者信息

Brogard J M, Blickle J F, Pinget M, Stahl A, Dorner M

出版信息

Int J Clin Pharmacol Ther Toxicol. 1983 Nov;21(11):575-80.

PMID:6360919
Abstract

The pharmacokinetics and pharmacodynamics of intravenously injected biosynthetic human insulin (0.06 U/kg) and purified pork insulin, both regular, were compared intraindividually in ten presumably healthy volunteers. Some of the pharmacokinetic parameters, e.g., the area under the insulinemia curve, the total plasma clearance, and insulin bioavailability, were similar, whereas insulin biologic half-life appeared to be longer and the apparent volume of insulin distribution larger with BHI. No appreciable difference between the two insulins was observed as far as their hypoglycemic effect and secretory inhibition of endogenous insulin (expressed as C-peptidemia) were concerned, but reactive hyperglucagonemia was found to be less with BHI than with PPI. These findings are discussed in the light of our current knowledge of BHI.

摘要

在10名推测健康的志愿者体内,对静脉注射生物合成人胰岛素(0.06 U/kg)和纯化猪胰岛素(均为常规胰岛素)的药代动力学和药效学进行了个体内比较。一些药代动力学参数,例如胰岛素血症曲线下面积、总血浆清除率和胰岛素生物利用度,是相似的,而生物合成人胰岛素的胰岛素生物学半衰期似乎更长,胰岛素分布表观容积更大。就它们的降血糖作用和内源性胰岛素分泌抑制(以C肽血症表示)而言,未观察到两种胰岛素之间有明显差异,但发现生物合成人胰岛素引起的反应性高胰高血糖素血症比猪胰岛素少。根据我们目前对生物合成人胰岛素的了解对这些发现进行了讨论。

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