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糖尿病患者在服用索比尼尔治疗前后红细胞中的肌醇和山梨醇

myo-Inositol and sorbitol in erythrocytes from diabetic patients before and after sorbinil treatment.

作者信息

Popp-Snijders C, Lomecky-Janousek M Z, Schouten J A, van der Veen E A

出版信息

Diabetologia. 1984 Nov;27(5):514-6. doi: 10.1007/BF00290386.

DOI:10.1007/BF00290386
PMID:6439588
Abstract

Erythrocytes from diabetic patients before and after treatment with the aldose reductase inhibitor, sorbinil, were analyzed by a capillary gas chromatographic method for sorbitol and myo-inositol. The mean erythrocyte sorbitol level in the diabetic patients was significantly higher than in the control subjects (13.1 +/- 0.9 and 5.2 +/- 0.3 nmol/ml erythrocytes, respectively, mean +/- SEM, p less than 0.001). The mean erythrocyte myo-inositol level in diabetic patients was not different from that in control subjects (43.2 +/- 2.9 and 40.5 +/- 1.9 nmol/ml erythrocytes, respectively). Sorbinil treatment reduced the elevated sorbitol levels in the diabetic patients to normal or slightly below normal, but did not affect the erythrocyte myo-inositol concentration. It is concluded that the erythrocyte is not a suitable model to monitor a possible effect of sorbinil on myo-inositol concentration in less accessible tissues.

摘要

采用毛细管气相色谱法对糖尿病患者在使用醛糖还原酶抑制剂索比尼尔治疗前后的红细胞进行山梨醇和肌醇分析。糖尿病患者红细胞山梨醇的平均水平显著高于对照组(分别为13.1±0.9和5.2±0.3 nmol/ml红细胞,均值±标准误,p<0.001)。糖尿病患者红细胞肌醇的平均水平与对照组无差异(分别为43.2±2.9和40.5±1.9 nmol/ml红细胞)。索比尼尔治疗使糖尿病患者升高的山梨醇水平降至正常或略低于正常,但不影响红细胞肌醇浓度。结论是,红细胞并非监测索比尼尔对较难检测组织中肌醇浓度可能产生影响的合适模型。

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本文引用的文献

1
The distribution of free mesoinositol in mammalian tissues, including some observations on the lactating rat.游离肌醇在哺乳动物组织中的分布,包括对泌乳大鼠的一些观察。
Biochem J. 1961 Mar;78(3):606-10. doi: 10.1042/bj0780606.
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Red cell sorbitol: an indicator of diabetic control.
Diabetes. 1980 Nov;29(11):861-4. doi: 10.2337/diab.29.11.861.
3
Sorbitol and myoinositol levels in the cerebrospinal fluid of diabetic patients.糖尿病患者脑脊液中的山梨醇和肌醇水平。
Acta Endocrinol Suppl (Copenh). 1980;238:133-7.
4
Oral supplementation of myoinositol: effects on peripheral nerve function in human diabetics and on the concentration in plasma, erythrocytes, urine and muscle tissue in human diabetics and normals.口服肌醇:对糖尿病患者周围神经功能以及糖尿病患者和正常人血浆、红细胞、尿液及肌肉组织中肌醇浓度的影响。
Acta Neurol Scand. 1983 Mar;67(3):164-72. doi: 10.1111/j.1600-0404.1983.tb04559.x.
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Has one diabetic complication been explained?一种糖尿病并发症得到解释了吗?
N Engl J Med. 1983 Jan 20;308(3):152-4. doi: 10.1056/NEJM198301203080309.
6
Free and lipid inositol, sorbitol and sugars in sciatic nerve obtained post-mortem from diabetic patients and control subjects.从糖尿病患者和对照受试者死后获取的坐骨神经中的游离和脂质形式的肌醇、山梨醇及糖类。
Diabetologia. 1983 Jan;24(1):13-5. doi: 10.1007/BF00275940.
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Kinetics of an orally absorbed aldose reductase inhibitor, sorbinil.
Clin Pharmacol Ther. 1981 Nov;30(5):693-700. doi: 10.1038/clpt.1981.222.
8
Red blood cell sorbitol as an indicator of polyol pathway activity. Inhibition by sorbinil in insulin-dependent diabetic subjects.红细胞山梨醇作为多元醇途径活性的指标。在胰岛素依赖型糖尿病患者中被索比尼尔抑制。
Diabetes. 1984 Jan;33(1):45-9. doi: 10.2337/diab.33.1.45.
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Clin Chim Acta. 1983 Jul 31;132(1):83-9. doi: 10.1016/0009-8981(83)90235-8.
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