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氯磺丙脲-乙醇潮红:一种与糖尿病相关的显性遗传性状。

Chlorpropamide-alcohol flushing: a dominantly inherited trait associated with diabetes.

作者信息

Leslie R D, Pyke D A

出版信息

Br Med J. 1978 Dec 2;2(6151):1519-21. doi: 10.1136/bmj.2.6151.1519.

Abstract

A simple test was devised to identify people susceptible to chlorpropamide-alcohol flushing (CPAF). Subjects were given a placebo tablet, followed by sherry 12 and 36 hours later. They then received a chlorpropamide tablet and sherry again after 12 and 36 hours. This single-dose challenge test was given to non-insulin-dependent diabetics, insulin-dependent diabetics, and normal subjects. CPAF was common in the non-insulin-dependent diabetics but rare in the other groups. When the test was used in identical twins and families of affected subjects CPAF appeared to be a dominantly inherited trait. We conclude that facial flushing after alcohol in people taking chlorpropamide is related to non-insulin-dependent diabetes, especially when there is a strong family history of diabetes, but not to insulin-dependent diabetes. It is a dominantly inherited trait.

摘要

设计了一项简单测试来识别易患氯磺丙脲-酒精潮红(CPAF)的人群。受试者先服用一片安慰剂,12小时和36小时后分别饮用雪利酒。然后,他们在12小时和36小时后再次服用氯磺丙脲片并饮用雪利酒。这项单剂量激发试验应用于非胰岛素依赖型糖尿病患者、胰岛素依赖型糖尿病患者和正常受试者。CPAF在非胰岛素依赖型糖尿病患者中很常见,但在其他组中很少见。当该测试应用于同卵双胞胎和患病受试者的家族成员时,CPAF似乎是一种显性遗传性状。我们得出结论,服用氯磺丙脲的人饮酒后面部潮红与非胰岛素依赖型糖尿病有关,尤其是当有强烈的糖尿病家族史时,但与胰岛素依赖型糖尿病无关。它是一种显性遗传性状。

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本文引用的文献

1
Ethnic differences in alcohol sensitivity.酒精敏感性的种族差异。
Science. 1972 Jan 28;175(4020):449-50. doi: 10.1126/science.175.4020.449.
2
Diabetes in identical twins.同卵双胞胎中的糖尿病
Lancet. 1972 Nov 25;2(7787):1120-5. doi: 10.1016/s0140-6736(72)92720-1.

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