Mikaelian N P, Kniazev Iu A, Maksina A G, Petrukhin V A
Probl Endokrinol (Mosk). 1994 Jul-Aug;40(4):4-7.
Studies of membrane receptor system in patients with insulin-dependent diabetes mellitus revealed that insulin resistance in pregnant patients with type I diabetes is caused by disordered cellular sensitivity to threshold physiological and submaximal insulin doses, whereas the maximal doses of the hormone normalize glucose consumption by the cells. High insulin doses intensify lipid peroxidation, normalize the status of membranous proteins, reduce the number of thiol groups, reduce AOA level in membranes, and, hence, reduce membranous capacity to bind active peroxide radicals. Structural and functional changes in red cell membranes are associated with reduced affinity of insulin receptors, reduction in the number of insulin-binding sites in membranes, this disordering intracellular effects of insulin.
对胰岛素依赖型糖尿病患者的膜受体系统研究表明,I型糖尿病孕妇的胰岛素抵抗是由细胞对阈值生理剂量和亚最大胰岛素剂量的敏感性紊乱引起的,而激素的最大剂量可使细胞的葡萄糖消耗正常化。高剂量胰岛素会加剧脂质过氧化,使膜蛋白状态正常化,减少巯基数量,降低膜中抗坏血酸水平,从而降低膜结合活性过氧化物自由基的能力。红细胞膜的结构和功能变化与胰岛素受体亲和力降低、膜中胰岛素结合位点数量减少有关,进而扰乱胰岛素的细胞内效应。