Gill A M, Leiter E H, Powell J G, Chapman H D, Yen T T
Lilly Research Laboratories, Eli Lilly, Indianapolis, Indiana.
Diabetes. 1994 Aug;43(8):999-1004. doi: 10.2337/diab.43.8.999.
Sex steroid sulfotransferases (ST) sulfurylate and thus inactivate estrogens or androgens, producing an androgenized or estrogenized state in the liver. The expression of diabetes in a number of animal models is sexually dimorphic and has been associated with steroidal states. Although the viable yellow (Avy) mutation produces an insulin-resistant obesity syndrome in mice of both sexes, only males develop chronic hyperglycemia. Hyperglycemia was rapidly induced in Avy/a females by dexamethasone (dex). This treatment completely suppressed both endogenous plasma corticosterone and hepatic corticosterone-binding globulin (CBG) mRNA within 24 h. Hyperglycemia in dex-implanted Avy/a females was accompanied by aberrant shifts in hepatic androgen/estrogen balance. This was effected by induction of estrogen sulfotransferase (EST) mRNA together with a > 10-fold increase in enzymatic activity. Similar dex-induced increases in androgen ST or phenol ST were not observed. Prior implantation of estrogen prevented development of hyperglycemia. The time-dependent spontaneous reversal of dex-induced hyperglycemia correlated with re-expression of CBG mRNA transcripts and reduced levels of EST transcripts and enzyme activity. Although dex-induced hyperglycemia was limited to Avy/a females, dex elicited hyperinsulinemia in lean a/a control mice of both sexes and exacerbated constitutive hyperinsulinemia in Avy/a males and females. In summary, dex-induced hyperglycemia in Avy/a females was associated with increased catabolism of hepatic estrogens mediated by induction of EST.
性类固醇硫酸转移酶(ST)使雌激素或雄激素硫酸化从而使其失活,在肝脏中产生雄激素化或雌激素化状态。多种动物模型中的糖尿病表现具有性别差异,且与甾体状态有关。尽管存活黄色(Avy)突变在雌雄小鼠中均会引发胰岛素抵抗性肥胖综合征,但只有雄性会发展为慢性高血糖。地塞米松(dex)可使Avy/a雌性小鼠迅速出现高血糖。这种处理在24小时内完全抑制了内源性血浆皮质酮和肝脏皮质酮结合球蛋白(CBG)mRNA。植入dex的Avy/a雌性小鼠的高血糖伴随着肝脏雄激素/雌激素平衡的异常变化。这是通过诱导雌激素硫酸转移酶(EST)mRNA以及酶活性增加10倍以上实现的。未观察到dex诱导雄激素ST或酚ST有类似增加。预先植入雌激素可预防高血糖的发生。dex诱导的高血糖随时间的自发逆转与CBG mRNA转录本的重新表达以及EST转录本水平和酶活性的降低相关。尽管dex诱导的高血糖仅限于Avy/a雌性小鼠,但dex在雌雄瘦型a/a对照小鼠中引发了高胰岛素血症,并加剧了Avy/a雄性和雌性小鼠的组成性高胰岛素血症。总之,dex诱导的Avy/a雌性小鼠高血糖与EST诱导介导的肝脏雌激素分解代谢增加有关。