Bohlen H G, Lash J M
Department of Physiology and Biophysics, Indiana University Medical School, Indianapolis 46202, USA.
Am J Physiol. 1995 Jun;268(6 Pt 2):H2366-74. doi: 10.1152/ajpheart.1995.268.6.H2366.
Alterations in the structural properties of the microvasculature and in vasodilation mediated by endothelial- and, to some extent, nonendothelial-dependent mechanisms occurs in insulin-dependent diabetic humans and animals. Less severe problems of this type appear to occur during non-insulin-dependent diabetes mellitus (NIDDM) in humans, but data based on animal models of NIDDM are not available. The endothelial- and nonendothelial-mediated dilation of intestinal arterioles was studied in insulin-resistant male Zucker fatty diabetic (DB) rats and their lean normal male littermates (LM) at ages 22-25 and 35-40 wk. DB become hyperglycemic (450-550 mg/100 ml) at age 9-10 wk. Microiontophoretic release of acetylcholine, ADP, and nitroprusside onto arterioles caused equivalent dilation in LM and DB for both large and intermediate diameter arterioles. Administration of streptozotocin (STZ) to DB at age 18-19 wk lowered their insulin concentration approximately 25% but did not significantly effect the resting plasma glucose concentration. However, endothelial-dependent vasodilation was attenuated by 70-80% within 8-10 wk. The overall results indicate that prolonged hyperglycemia in insulin-resistant but hyperinsulinemic rats does not impair the endothelial- and nonendothelial-dependent dilation of the intestinal microvasculature. However, compromising beta-cell function with STZ, as indicated by lowering the insulin concentration by one-fourth, substantially compromises endothelial-dependent dilation similar to that found in insulin-dependent diabetic rats and humans.
胰岛素依赖型糖尿病患者及动物的微血管结构特性以及由内皮依赖性和一定程度上非内皮依赖性机制介导的血管舒张均会发生改变。在人类非胰岛素依赖型糖尿病(NIDDM)期间似乎会出现此类不太严重的问题,但基于NIDDM动物模型的数据尚不可得。对22 - 25周龄和35 - 40周龄的胰岛素抵抗雄性Zucker肥胖糖尿病(DB)大鼠及其瘦的正常雄性同窝仔鼠(LM)的肠小动脉内皮依赖性和非内皮依赖性舒张进行了研究。DB大鼠在9 - 10周龄时血糖升高(450 - 550 mg/100 ml)。通过微量离子电泳将乙酰胆碱、ADP和硝普钠释放到小动脉上,对于大直径和中等直径的小动脉,LM和DB大鼠产生的舒张作用相当。在18 - 19周龄时给DB大鼠注射链脲佐菌素(STZ),使其胰岛素浓度降低约25%,但对静息血糖浓度无显著影响。然而,在8 - 10周内,内皮依赖性血管舒张减弱了70 - 80%。总体结果表明,胰岛素抵抗但高胰岛素血症大鼠的长期高血糖不会损害肠微血管的内皮依赖性和非内皮依赖性舒张。然而,用STZ损害β细胞功能,如胰岛素浓度降低四分之一所示,会大幅损害内皮依赖性舒张,类似于在胰岛素依赖型糖尿病大鼠和人类中发现的情况。