El-Salhy M, Zachrisson S, Spångéus A
Department of Medicine, University Hospital, Umeå, Sweden.
J Diabetes Complications. 1998 Jul-Aug;12(4):215-23. doi: 10.1016/s1056-8727(97)00110-4.
The endocrine cells in the duodenum of pre-diabetic and diabetic female non-obese diabetic (NOD) mice aged 22-24 weeks were studied by means of immunohistochemistry and computed image analysis as well as by radioimmunoassays of tissue extracts. As controls, 12 female BALB/cJ mice of the same age as NOD mice were used. The number of secretin-immunoreactive cells increased in diabetic but not in pre-diabetic NOD mice. The level of extractable secretin was higher in both pre-diabetic and diabetic NOD mice. The number of GIP-, CCK/gastrin-, and serotonin-immunoreactive cells was significantly reduced in both pre-diabetic and diabetic NOD mice. There was no statistical difference in the number of somatostatin-immunoreactive cells between the NOD mice and controls. The level of GIP was higher and gastrin was lower in NOD mice compared to controls. There was no statistical difference in the somatostatin level between the NOD mice and controls. The cell secretory index was elevated in all the endocrine cell types except CCK/gastrin cells. It has been suggested that some of the changes in the duodenal endocrine cells could be attributed to the diabetes state, but most of the changes seem to take place before the onset of diabetes. The abnormalities in the duodenal endocrine cells observed here in an animal model for diabetes type I might have relevance for the gastrointestinal dysfunction displayed in human diabetes.
采用免疫组织化学、计算机图像分析以及组织提取物放射免疫分析法,对22 - 24周龄的糖尿病前期和糖尿病雌性非肥胖型糖尿病(NOD)小鼠十二指肠中的内分泌细胞进行了研究。作为对照,使用了12只与NOD小鼠年龄相同的雌性BALB/cJ小鼠。促胰液素免疫反应性细胞的数量在糖尿病NOD小鼠中增加,而在糖尿病前期NOD小鼠中未增加。在糖尿病前期和糖尿病NOD小鼠中,可提取的促胰液素水平均较高。在糖尿病前期和糖尿病NOD小鼠中,葡萄糖依赖性促胰岛素多肽(GIP)、胆囊收缩素/胃泌素和5-羟色胺免疫反应性细胞的数量均显著减少。NOD小鼠和对照组之间生长抑素免疫反应性细胞的数量没有统计学差异。与对照组相比,NOD小鼠中GIP水平较高,胃泌素水平较低。NOD小鼠和对照组之间生长抑素水平没有统计学差异。除胆囊收缩素/胃泌素细胞外,所有内分泌细胞类型的细胞分泌指数均升高。有人认为,十二指肠内分泌细胞的一些变化可能归因于糖尿病状态,但大多数变化似乎发生在糖尿病发作之前。在I型糖尿病动物模型中观察到的十二指肠内分泌细胞异常可能与人类糖尿病中出现的胃肠功能障碍有关。