Fankhauser S
Schweiz Med Wochenschr. 1976 Sep 4;106(36):1218-25.
A short review on new types of insulin preparations purified by chromatography is presented. The purity of these new chromatographed insulins, which have almost completely replaced the conventional types of insulin, has been considerably improved. Our own investigations have revealed significantly lower antigenicity of porcine depot preparations compared with beef or mixed beef-pork insulins. By means of gel filtration and additional anion exchange chromatography the antigenicity of porcine insulin can be significantly reduced. Monocomponent insulins prepared by these methods produce low titers of insulin antibodies in only one third of diabetics treated by insulin for the first time. Mixed beef-pork Lente Insulin purified by single chromatography is also less antigenic than Lente Insulin of conventional purity, but more antigenic than pork insulin (e.g. Monotard). Pork insulin purified by chromatography is indicated in cases of insulin allergy, insulin resistance and lipoatrophy, and also for first insulin treatment in younger and middle-aged diabetics.
本文对通过色谱法纯化的新型胰岛素制剂进行了简要综述。这些新型经色谱纯化的胰岛素几乎完全取代了传统类型的胰岛素,其纯度有了显著提高。我们自己的研究表明,与牛肉胰岛素或牛肉 - 猪肉混合胰岛素相比,猪长效胰岛素制剂的抗原性明显更低。通过凝胶过滤和额外的阴离子交换色谱法,猪胰岛素的抗原性可显著降低。用这些方法制备的单组分胰岛素,在首次接受胰岛素治疗的糖尿病患者中,只有三分之一会产生低滴度的胰岛素抗体。通过单次色谱法纯化的牛肉 - 猪肉混合中效胰岛素的抗原性也低于传统纯度的中效胰岛素,但高于猪胰岛素(如单组分中性胰岛素)。经色谱纯化的猪胰岛素适用于胰岛素过敏、胰岛素抵抗和脂肪萎缩的情况,也适用于年轻和中年糖尿病患者的首次胰岛素治疗。