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四氧嘧啶糖尿病中的血管反应性和血清生化参数

Vascular responsiveness and serum biochemical parameters in alloxan diabetes mellitus.

作者信息

Turlapaty P D, Lum G, Altura B M

出版信息

Am J Physiol. 1980 Dec;239(6):E412-21. doi: 10.1152/ajpendo.1980.239.6.E412.

Abstract

Responses of isolated aorta and portal vein (PV) to norepinephrine (NE), angiotensin II (AII), KCl, and CaCl2 were investigated in alloxan diabetic rats. Based on serum biochemical parameters (i.e., glucose, cholesterol, triglycerides, and creatinine) (alloxan, 150 mg/kg), diabetic rates were divided into three groups: 1) mildly diabetic at 1 week (only elevated glucose levels), 2) moderately diabetic at 4 wk (elevated glucose, triglycerides, and creatinine), and 3) severely diabetic at 8 wk (all serum biochemical parameters elevated). The sensitivity (i.e., ED50) of aortic smooth muscle from diabetic rats when compared to saline controls was 1) unchanged in mild diabetes; 2) decreased to KCl, AII, and CaCl2 in moderate diabetes; and 3) decreased to KCl, NE, and CaCl2 in severe diabetes. Ability of aortic smooth muscle to develop maximal contractions (i.e., contractility) to all these agonists was markedly diminished in severe diabetes. Spontaneous phasic contractions of PV from diabetic rats exhibited progressively greater tension as the disease advanced. Unlike aortas, contractility of PV to vasoactive agents was not affected at any stage of diabetes. PV sensitivity to AII in moderate diabetes and to Ca in severe diabetes was decreased when compared to saline controls. These differences in reactivity and contractility of aorta and PV in progressive stages of experimental diabetes could be due to alterations in calcium handling and its metabolism in arterial and venous smooth muscle cells in the diabetic state.

摘要

在四氧嘧啶糖尿病大鼠中研究了离体主动脉和门静脉对去甲肾上腺素(NE)、血管紧张素II(AII)、氯化钾(KCl)和氯化钙(CaCl2)的反应。根据血清生化参数(即葡萄糖、胆固醇、甘油三酯和肌酐)(四氧嘧啶,150mg/kg),将糖尿病大鼠分为三组:1)1周时轻度糖尿病(仅血糖水平升高),2)4周时中度糖尿病(血糖、甘油三酯和肌酐升高),3)8周时重度糖尿病(所有血清生化参数升高)。与生理盐水对照组相比,糖尿病大鼠主动脉平滑肌的敏感性(即半数有效剂量)为:1)轻度糖尿病时不变;2)中度糖尿病时对KCl、AII和CaCl2降低;3)重度糖尿病时对KCl、NE和CaCl2降低。在重度糖尿病中,主动脉平滑肌对所有这些激动剂产生最大收缩(即收缩力)的能力明显减弱。随着疾病进展,糖尿病大鼠门静脉的自发性阶段性收缩表现出逐渐增强的张力。与主动脉不同,门静脉对血管活性药物的收缩力在糖尿病的任何阶段均未受影响。与生理盐水对照组相比,中度糖尿病时门静脉对AII的敏感性以及重度糖尿病时对Ca的敏感性降低。实验性糖尿病进展阶段主动脉和门静脉反应性及收缩力的这些差异可能归因于糖尿病状态下动脉和静脉平滑肌细胞钙处理及其代谢的改变。

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