Kotzke G, Schütt M, Missler U, Moller D E, Fehm H L, Klein H H
Department of Internal Medicine, University of Lübeck, Germany.
Diabetologia. 1995 Jul;38(7):757-63. doi: 10.1007/s001250050349.
Previous studies have suggested that human and porcine insulin exert identical effects on blood glucose and counter-regulatory hormones but elicit different neurophysiological reactions. A major goal of the present study was to investigate whether this could be caused by different relative affinities of the insulins from different species to insulin receptors from the brain compared to other tissues. Insulin receptors isolated from human brain, muscle or adipocytes as well as from cultured cells over-expressing either of the human insulin receptor isoforms (exon 11- or exon 11 +) were immobilized to microwells coated with monoclonal anti-insulin receptor antibody. Subsequently the binding of human, porcine and bovine insulin was measured. While the receptors derived from the different tissues had different affinities for insulin, there were no tissue-specific differences in the relative binding of the insulins of the three species. The insulins of the three species were also not different with regard to their binding to the receptor isoforms. Finally, in human brain homogenates no differences in the degradation rates for human, porcine and bovine insulin were detected. Thus, our data do not support the hypothesis that different neurophysiological reactions during hypoglycaemia due to human or porcine insulin are caused by differences of the binding of the insulins to human brain insulin receptors or their degradation in the human brain.
以往的研究表明,人胰岛素和猪胰岛素对血糖及反调节激素具有相同的作用,但会引发不同的神经生理反应。本研究的一个主要目标是调查,与其他组织相比,这是否可能是由于不同物种的胰岛素对脑胰岛素受体具有不同的相对亲和力所致。从人脑中、肌肉或脂肪细胞以及过表达人胰岛素受体异构体(外显子11-或外显子11 +)的培养细胞中分离出的胰岛素受体,被固定在涂有单克隆抗胰岛素受体抗体的微孔板上。随后测定人胰岛素、猪胰岛素和牛胰岛素的结合情况。虽然源自不同组织的受体对胰岛素的亲和力不同,但这三种物种胰岛素的相对结合情况不存在组织特异性差异。这三种物种的胰岛素在与受体异构体的结合方面也没有差异。最后,在人脑匀浆中,未检测到人胰岛素、猪胰岛素和牛胰岛素降解速率的差异。因此,我们的数据不支持这样的假说,即低血糖期间人胰岛素或猪胰岛素引起的不同神经生理反应是由胰岛素与人脑胰岛素受体的结合差异或其在人脑中的降解差异所导致的。