Xiong M Q, Lin A Z, Zhu Z Z
First Affiliated Hospital of Guangzhou TCM University.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 1997 Mar;17(3):165-8.
To investigate the effect of Supplemented Taohe Chengqi Decoction (STHCQD) in treating non-insulin dependent diabetes mellitus (NIDDM).
The model of rats with NIDDM was formed with injection of streptozotocin and fed on high calorie diet to study the effects of STHCQD on the release of insulin mediator from liver cell membranes, the glucose oxidation in adipocytes as well as the insulin sensitivity.
(1) Fasting serum glucose, serum insulin, intake of food and water were significantly decreased (P < 0.05-0.01) in STHCQD-treated diabetic rats as compared with untreated diabetic rats, while the insulin sensitivity was significantly increased (P < 0.05). (2) The liver cell membranes from STHCQD-treated diabetic rats released the quantity of insulin receptor which inhibited adenylate cyclase activity, but this effect was blunted in untreated diabetic rats (P < 0.05). (3) A significantly increased glucose oxidation in adipocyte of STHCQD-treated diabetic rats was found as compared with those of untreated diabetic rats (P < 0.05).
STHCQD therapy increased sensitivity and responsiveness of target cells to insulin, i.e., it might decrease insulin resistance at receptor sites and postreceptor sites in rats with NIDDM, but could not reverse the insulin resistance.
探讨加味桃核承气汤治疗非胰岛素依赖型糖尿病(NIDDM)的效果。
通过注射链脲佐菌素并给予高热量饮食建立NIDDM大鼠模型,研究加味桃核承气汤对肝细胞膜胰岛素介质释放、脂肪细胞葡萄糖氧化以及胰岛素敏感性的影响。
(1)与未治疗的糖尿病大鼠相比,加味桃核承气汤治疗的糖尿病大鼠空腹血糖、血清胰岛素、食物和水摄入量显著降低(P<0.05-0.01),而胰岛素敏感性显著增加(P<0.05)。(2)加味桃核承气汤治疗的糖尿病大鼠肝细胞膜释放抑制腺苷酸环化酶活性的胰岛素受体数量,但未治疗的糖尿病大鼠这种作用减弱(P<0.05)。(3)与未治疗的糖尿病大鼠相比,加味桃核承气汤治疗的糖尿病大鼠脂肪细胞葡萄糖氧化显著增加(P<0.05)。
加味桃核承气汤治疗可增加靶细胞对胰岛素的敏感性和反应性,即可能降低NIDDM大鼠受体部位和受体后部位的胰岛素抵抗,但不能逆转胰岛素抵抗。