Srinivasan P S, Hakim Z S, Santani D D, Goyal R K
Department of Pharmacology, L.M. College of Pharmacy, Navrangpura, Ahmedabad, India.
Pharmacol Res. 1997 May;35(5):423-8. doi: 10.1006/phrs.1997.0154.
Calcium antagonists have been reported to alter insulin secretion and insulin sensitivity. However, there still exists a controversy over the benefits of calcium antagonists in the conditions when diabetes mellitus and hypertension coexist. In the present study the effects of six-week chronic amlodipine treatment (5 mg kg-1 p.o.) on insulin sensitivity and serum lipid levels in streptozotocin (STZ)-diabetic and spontaneously hypertensive (SH) rats were investigated. Intravenous injection of STZ produced glucosuria (> 2%). hyperglycaemia, hypoinsulinemia, polydipsia, polyphagia, loss of body weight, hypercholesterolemia, hypertriglyceridaemia, hypertension and bradycardia. SH rats were found to have significantly higher insulin levels compared to their Wistar controls. Treatment of rats with amlodipine in diabetic and diabetic-hypertensive animals significantly prevented STZ-induced loss of body weight, hypertension and bradycardia. It also significantly prevented STZ-induced hyperglycaemia in both STZ-diabetic Wistar and SH rats. The insulin levels were decreased in the non-diabetic treated Wistar rats but were unaltered in the non-diabetic SH and the diabetic Wistar and SH rats. There was a significant reduction in cholesterol levels in diabetic Wistar and SH rats. In conclusion the present study revealed beneficial effects of amlodipine treatment in hyperinsulinemic, diabetic and/or hypertensive rats.
据报道,钙拮抗剂可改变胰岛素分泌和胰岛素敏感性。然而,在糖尿病和高血压并存的情况下,钙拮抗剂的益处仍存在争议。在本研究中,研究了六周慢性氨氯地平治疗(5毫克/千克口服)对链脲佐菌素(STZ)诱导的糖尿病和自发性高血压(SH)大鼠胰岛素敏感性和血脂水平的影响。静脉注射STZ可导致糖尿(>2%)、高血糖、低胰岛素血症、多饮、多食、体重减轻、高胆固醇血症、高甘油三酯血症、高血压和心动过缓。与Wistar对照大鼠相比,发现SH大鼠的胰岛素水平显著更高。在糖尿病和糖尿病高血压动物中用氨氯地平治疗大鼠可显著预防STZ诱导的体重减轻、高血压和心动过缓。它还显著预防了STZ诱导的STZ糖尿病Wistar大鼠和SH大鼠的高血糖。在接受治疗的非糖尿病Wistar大鼠中胰岛素水平降低,但在非糖尿病SH大鼠以及糖尿病Wistar大鼠和SH大鼠中未改变。糖尿病Wistar大鼠和SH大鼠的胆固醇水平显著降低。总之,本研究揭示了氨氯地平治疗对高胰岛素血症、糖尿病和/或高血压大鼠的有益作用。