Liu S, Barac-Nieto M
Department of Paediatrics, Albert Einstein College of Medicine, Bronx, New York, USA.
Diabetes Res Clin Pract. 1997 Jan;34(3):143-8. doi: 10.1016/s0168-8227(96)01353-8.
In diabetes mellitus, the kidney and the gut--but not the liver or the muscle--undergo hypertrophy. Hypertrophy may be due to an increase in the rate of protein synthesis and/or to a decrease in proteolysis. In order to resolve this issue we assessed in vivo the rates of protein degradation by measuring the disappearance rates of 3H- and 14C-labelled valine incorporated into renal and liver proteins of control and streptozotocin-diabetic mice. The half-life of labelled valine, which is inversely related to the rate of protein degradation, was shorter and of similar magnitude both in the kidneys and livers of diabetic (70 +/- 6 h) than of control (96 +/- 8 h) animals. Yet, only the kidneys of diabetic animals underwent hypertrophy (0.33 +/- 0.01 vs. 0.29 +/- 0.01 g, P < 0.05; 2.22 +/- 0.10 vs. 1.64 +/- 0.05% of body weight, P < 0.01)). The increase in protein degradation rate affected all subcellular (mitochondrial, nuclear, microsomal and cytosolic) fractions of the kidney but not the mitochondria of liver. We surmise that an increase in the degradation of proteins is a widely generalized phenomenon in diabetes mellitus. For reasons that are still unclear, but that may relate to the hyperglycaemia, in the kidneys of diabetic animals this process is associated with a transiently larger increase in protein synthesis resulting in hypertrophy, whereas in liver, changes in protein degradation proceed 'pan passu' with those in protein synthesis resulting in the preservation of organ weight. Accelerated renal protein turnover and hypertrophy are early manifestations and perhaps harbingers of more severe renal changes in diabetes mellitus.
在糖尿病中,肾脏和肠道——而非肝脏或肌肉——会发生肥大。肥大可能是由于蛋白质合成速率增加和/或蛋白水解减少所致。为了解决这个问题,我们通过测量掺入对照和链脲佐菌素诱导的糖尿病小鼠肾脏和肝脏蛋白质中的3H和14C标记缬氨酸的消失速率,在体内评估了蛋白质降解速率。标记缬氨酸的半衰期与蛋白质降解速率成反比,糖尿病小鼠(70±6小时)肾脏和肝脏中的半衰期均比对照动物(96±8小时)短,且幅度相似。然而,只有糖尿病动物的肾脏发生了肥大(0.33±0.01克对0.29±0.01克,P<0.05;占体重的2.22±0.10%对1.64±0.05%,P<0.01)。蛋白质降解速率的增加影响了肾脏的所有亚细胞(线粒体、细胞核、微粒体和胞质)部分,但不影响肝脏的线粒体。我们推测蛋白质降解增加是糖尿病中广泛存在的普遍现象。原因尚不清楚,但可能与高血糖有关,在糖尿病动物的肾脏中,这个过程与蛋白质合成的短暂更大增加相关,从而导致肥大,而在肝脏中,蛋白质降解的变化与蛋白质合成的变化同步进行,从而保持器官重量。加速的肾脏蛋白质周转和肥大是糖尿病中更严重肾脏变化的早期表现,也许还是先兆。