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甘油三酯分解代谢率低的患者中的高胰岛素血症。

Hyperinsulinemia in patients with low fractional catabolic rate of triglycerides.

作者信息

Julius U, Leonhardt W, Schulze J, Schollberg K, Hanefeld M, Haller H

出版信息

Acta Diabetol Lat. 1981 Jul-Sep;18(3):217-23. doi: 10.1007/BF02047893.

DOI:10.1007/BF02047893
PMID:7029987
Abstract

In non-diabetic persons whose serum triglyceride (TG) concentrations ranged from normal to very high levels, endogenous TG turnover was measured using the radioglycerol method of Farquhar and coworkers. Insulin, FFA, and glucose concentrations were estimated during an oral glucose tolerance test. Stimulated insulin levels were correlated positively to TG concentrations and absolute TG turnover rates, and negatively to fractional TG catabolic rates. FFA concentrations had similar relationships, also in non-insulin-dependent diabetics. A more detailed analysis showed that elevated insulin and FFA levels - as an expression of peripheral insulin resistance - are typical finding in the kind of patients whose fractional TG catabolic rate is low [less than or equal to 0.210 (h-1)], irrespective of actual serum TG concentration. Our data do not suggest a stimulatory role of insulin for TG production.

摘要

在血清甘油三酯(TG)浓度从正常到非常高的非糖尿病患者中,采用法夸尔及其同事的放射性甘油法测量内源性TG周转率。在口服葡萄糖耐量试验期间估计胰岛素、游离脂肪酸(FFA)和葡萄糖浓度。刺激后的胰岛素水平与TG浓度和绝对TG周转率呈正相关,与TG分解代谢分数率呈负相关。FFA浓度也有类似关系,在非胰岛素依赖型糖尿病患者中也是如此。更详细的分析表明,胰岛素和FFA水平升高——作为外周胰岛素抵抗的一种表现——是TG分解代谢分数率低[小于或等于0.210(h-1)]的这类患者的典型表现,与实际血清TG浓度无关。我们的数据并不表明胰岛素对TG生成有刺激作用。

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本文引用的文献

1
VALIDATION OF AN INCOMPLETELY COUPLED TWO-COMPARTMENT NONRECYCLING CATENARY MODEL FOR TURNOVER OF LIVER AND PLASMA TRIGLYCERIDE IN MAN.人体肝脏和血浆甘油三酯周转的不完全耦合双室无再循环链状模型的验证
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Regulation of endogenous plasma triglyceride concentration: can we measure the rate of production or of removal of endogenous plasma triglycerides in man?内源性血浆甘油三酯浓度的调节:我们能否测定人体内内源性血浆甘油三酯的生成速率或清除速率?
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家族性高胆固醇血症中内源性血浆甘油三酯的代谢:两个家族中患病和未患病同胞的研究
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Influence of obesity on the relationship between insulin and triglyceride levels in endogenous hypertriglyceridemia.肥胖对内源性高甘油三酯血症中胰岛素与甘油三酯水平关系的影响。
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The role of endogenous insulin in different hyperlipidemic states.内源性胰岛素在不同高脂血症状态下的作用。
Diabetologia. 1972 Jul;8(3):215-20. doi: 10.1007/BF01212265.
8
Inter-relationship between insulin secretion and plasma free fatty acid and triglyceride transport kinetics in maturity onset diabetes and the effect of phenethylbiguanide (phenformin).成年型糖尿病中胰岛素分泌与血浆游离脂肪酸及甘油三酯转运动力学之间的相互关系以及苯乙双胍(降糖灵)的作用。
Diabetologia. 1974 Apr;10(2):119-30. doi: 10.1007/BF01219667.
9
Reappraisal of the role of insulin in hypertriglyceridemia.重新评估胰岛素在高甘油三酯血症中的作用。
Am J Med. 1974 Oct;57(4):551-60. doi: 10.1016/0002-9343(74)90006-0.
10
The relationship between insulin secretion and triglyceride concentration in endogenous lipemia.内源性血脂血症中胰岛素分泌与甘油三酯浓度之间的关系。
J Lab Clin Med. 1973 May;81(5):682-95.