Ishii C, Kawazu S, Tomono S, Ohno T, Shimizu M, Kato N, Fukuda M, Ito Y, Kurihara S, Murata K
2nd Department of Internal Medicine, Gunma University School of Medicine, Japan.
Endocr J. 1993 Apr;40(2):269-73. doi: 10.1507/endocrj.40.269.
Remission of diabetes, i.e. significant amelioration from absolute insulin-dependency, has been sometimes observed in diabetic BB/Wor//Tky rats which were treated with insulin. In remission BB/Wor//Tky rats, plasma glucose levels improved to near normal level and insulin content was also preserved as much as that between diabetic and non-diabetic rats. In this process, we hypothesized that autoimmune insulitis was suppressed and remaining islet B-cells was restored from severe destruction by recovering in number and/or function. While, recently, a novel regenerating (reg) gene, identified in the regenerating pancreatic islets of surgical models, is reported to be related to the replication of pancreatic B-cells in vitro. Based on these findings, we histologically investigated whether the reg protein could be actually expressed or not in the islets from remission BB/Wor//Tky rats. As expected, reg protein was observed in the islets from remission BB/Wor//Tky rats mainly in accordance with pancreatic B-cells. Thus, the present findings suggested that the regeneration of pancreatic B-cells represented by the expression of reg protein might be, at least in part, relevant to remission induced by insulin therapy in spontaneously occurring Type 1 diabetes in BB/Wor//Tky rats.
糖尿病缓解,即从绝对胰岛素依赖状态显著改善,有时在接受胰岛素治疗的糖尿病BB/Wor//Tky大鼠中观察到。在缓解期的BB/Wor//Tky大鼠中,血浆葡萄糖水平改善至接近正常水平,胰岛素含量也与糖尿病大鼠和非糖尿病大鼠之间的水平一样得到了保留。在此过程中,我们推测自身免疫性胰岛炎受到抑制,剩余的胰岛β细胞从严重破坏中恢复,数量和/或功能得以恢复。同时,最近有报道称,在手术模型的再生胰岛中鉴定出的一种新型再生(reg)基因与体外胰腺β细胞的复制有关。基于这些发现,我们进行了组织学研究,以确定缓解期BB/Wor//Tky大鼠的胰岛中是否实际表达reg蛋白。正如预期的那样,在缓解期BB/Wor//Tky大鼠的胰岛中观察到了reg蛋白,主要与胰腺β细胞一致。因此,目前的研究结果表明,以reg蛋白表达为代表的胰腺β细胞再生可能至少部分与BB/Wor//Tky大鼠自发性1型糖尿病胰岛素治疗诱导的缓解有关。