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β-肾上腺素能阻滞对磺脲类刺激的胰岛素分泌的抑制作用。

Inhibition of sulphonylurea-stimulated insulin secretion by beta adrenergic blockage.

作者信息

Sirek O V, Sirek Z, Policova Z

出版信息

Diabetologia. 1975 Aug;11(4):269-72. doi: 10.1007/BF00422390.

DOI:10.1007/BF00422390
PMID:812755
Abstract

Normal dogs were injected i.v. with a single dose of 0.25 mg/kg sodium salt of HB 419 (Glibenclamide). Plasma insulin and glucose concentrations were measured at stated intervals over a period of two hours. The rise in insulin, but not the hypoglycemic response was abolished in peripheral blood when the animals were pretreated with a single i.v. injection of either 0.1 mg/kg or 0.3 mg/kg dl-propranolol, 30 min prior to the administration of HB 419. The d-isomer of propranolol was ineffective in this respect. These results indicate that a) the mechanism by which propranolol inhibits sulphonylurea-stimulated insulin secretion involves beta adrenergic receptors; and b) the hypoglycemia produced by HB 419 in the presence of propranolol could be the result of extrapancreatic effects. Since the possibility of an early rise in the insulin concentration of portal blood was not excluded in our present series of experiments, final proof will have to be provided by studies in totally pancreatectomized dogs.

摘要

给正常犬静脉注射单剂量0.25mg/kg的HB 419(格列本脲)钠盐。在两小时内按规定间隔测量血浆胰岛素和葡萄糖浓度。当动物在注射HB 419前30分钟预先静脉注射0.1mg/kg或0.3mg/kg的dl-普萘洛尔时,外周血中胰岛素的升高,但低血糖反应未被消除。普萘洛尔的d-异构体在这方面无效。这些结果表明:a)普萘洛尔抑制磺酰脲刺激的胰岛素分泌的机制涉及β肾上腺素能受体;b)在普萘洛尔存在下HB 419产生的低血糖可能是胰腺外效应的结果。由于在我们目前的一系列实验中未排除门静脉血胰岛素浓度早期升高的可能性,最终证据必须由全胰切除犬的研究提供。

相似文献

1
Inhibition of sulphonylurea-stimulated insulin secretion by beta adrenergic blockage.β-肾上腺素能阻滞对磺脲类刺激的胰岛素分泌的抑制作用。
Diabetologia. 1975 Aug;11(4):269-72. doi: 10.1007/BF00422390.
2
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3
Failure of ergotamine to act as an amplifier of sulfonylurea-stimulated insulin secretion.麦角胺未能起到磺酰脲刺激胰岛素分泌放大器的作用。
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[Propranolol and hypoglycemic sulfonamides. Study on insulin secretion and blood sugar].
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Regulation of glucose turnover during exercise in pancreatectomized, totally insulin-deficient dogs. Effects of beta-adrenergic blockade.胰腺切除、完全缺乏胰岛素的犬运动期间葡萄糖周转的调节。β-肾上腺素能阻滞剂的作用。
J Clin Invest. 1988 Jun;81(6):1759-67. doi: 10.1172/JCI113517.

引用本文的文献

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The effect of acebutolol and propranolol on the hypoglycaemic action of glibenclamide.醋丁洛尔和普萘洛尔对格列本脲降血糖作用的影响。
Br J Clin Pharmacol. 1982 Apr;13(4):507-12. doi: 10.1111/j.1365-2125.1982.tb01412.x.
2
Effects of antihypertensive drugs on endocrine function.抗高血压药物对内分泌功能的影响。
Drugs. 1984 May;27(5):447-58. doi: 10.2165/00003495-198427050-00004.
3
Influence of the sympatho-adrenal system and somatostatin on the secretion of insulin in the rat.交感 - 肾上腺系统和生长抑素对大鼠胰岛素分泌的影响。

本文引用的文献

1
Immunoassay of insulin with insulin antibody preciptate.用胰岛素抗体沉淀物进行胰岛素免疫测定。
Lancet. 1963 Jan 26;1(7274):200. doi: 10.1016/s0140-6736(63)91215-7.
2
Immunoassay of insulin with insulin-antibody precipitate.用胰岛素 - 抗体沉淀物进行胰岛素免疫测定。
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Hypertension: which beta-blocker?高血压:选用哪种β受体阻滞剂?
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Beta-adrenergic stimulation and insulin release in dogs following HB 419.犬在注射HB 419后β-肾上腺素能刺激与胰岛素释放
Diabetologia. 1969 Aug;5(4):207-10. doi: 10.1007/BF01212085.
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[Effect of adrenergic blocking agents on the acute tolbutamide response in dogs].[肾上腺素能阻滞剂对犬急性甲苯磺丁脲反应的影响]
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