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库欣综合征中的葡萄糖和游离脂肪酸周转

Glucose and free fatty acid turnover in Cushing's syndrome.

作者信息

Saunders J, Hall S E, Sönksen P H

机构信息

Department of Medicine, St. Thomas's Hospital Medical School, London, England.

出版信息

J Endocrinol Invest. 1980 Jul-Sep;3(3):309-11. doi: 10.1007/BF03348282.

DOI:10.1007/BF03348282
PMID:7430558
Abstract

Glucocorticoids are known to have acute effects on glucose and free fatty acid (FFA) metabolism. The effects of the longstanding hypercorticism of Cushing's syndrome were studied by isotopic techniques in a group of Cushingoid patients compared to a control group. In the Cushing's group, glucose production and utilization rates were significantly higher than in control subjects, while FFA turnover also tended to be higher, but not significantly. It is suggested that increased glucose production is the main cause of the hyperglycemia seen in Cushing's syndrome.

摘要

已知糖皮质激素对葡萄糖和游离脂肪酸(FFA)代谢有急性影响。通过同位素技术,在一组库欣综合征患者中研究了库欣综合征长期皮质醇增多的影响,并与对照组进行比较。在库欣综合征组中,葡萄糖生成和利用率显著高于对照组,而游离脂肪酸周转率也有升高趋势,但无显著差异。提示葡萄糖生成增加是库欣综合征中高血糖的主要原因。

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本文引用的文献

1
THE ACUTE EFFECT OF HYDROCORTISONE ON HEPATIC GLUCOSE OUTPUT AND PERIPHERAL GLUCOSE UTILIZATION.氢化可的松对肝脏葡萄糖输出及外周葡萄糖利用的急性影响。
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2
The glucose fatty-acid cycle. Its role in insulin sensitivity and the metabolic disturbances of diabetes mellitus.葡萄糖脂肪酸循环。其在胰岛素敏感性及糖尿病代谢紊乱中的作用。
Lancet. 1963 Apr 13;1(7285):785-9. doi: 10.1016/s0140-6736(63)91500-9.
3
Tissue effects of glucocorticoids.糖皮质激素的组织效应。
Am J Med. 1972 Nov;53(5):573-89. doi: 10.1016/0002-9343(72)90154-4.
4
Depressed plasma FFA turnover rate in Cushing's syndrome.库欣综合征患者血浆游离脂肪酸周转率降低。
J Clin Endocrinol Metab. 1976 Jan;42(1):28-32. doi: 10.1210/jcem-42-1-28.
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Glucose turnover values in the dog obtained with various species of labeled glucose.
Am J Physiol. 1975 Dec;229(6):1662-7. doi: 10.1152/ajplegacy.1975.229.6.1662.
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Glucose and free fatty acid turnover in normal subjects and in diabetic patients before and after insulin treatment.
Diabetologia. 1979 May;16(5):297-306. doi: 10.1007/BF01223618.
7
Peripheral actions of glucocorticoids.糖皮质激素的外周作用。
Annu Rev Physiol. 1975;37:245-72. doi: 10.1146/annurev.ph.37.030175.001333.