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Gewählte Publikation:

Pieber, TR; Stein, DT; Ogawa, A; Alam, T; Ohneda, M; McCorkle, K; Chen, L; McGarry, JD; Unger, RH.
Amylin-insulin relationships in insulin resistance with and without diabetic hyperglycemia.
Am J Physiol. 1993; 265(3 Pt 1):E446-E453 Doi: 10.1152/ajpendo.1993.265.3.E446
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Führende Autor*innen der Med Uni Graz
Pieber Thomas
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Abstract:
To determine if increased secretion of amylin can be implicated in the pathogenesis of non-insulin-dependent diabetes mellitus (NIDDM) in vitro and in vivo, we studied its relationships to insulin in insulin-resistant rats with and without NIDDM. In obesity-associated and dexamethasone-induced insulin resistance without diabetes, basal and stimulated secretion of amylin and insulin by isolated pancreata were proportionately elevated, leaving the amylin-to-insulin ratio (A/I) unchanged. By contrast, whenever diabetes occurred in dexamethasone-treated rats or in spontaneously diabetic obese insulin-resistant ZDF-drt male rats, a doubling of A/I was invariably observed due to an increase in amylin without a proportional increase in insulin secretion. Correction of dexamethasone-induced hyperglycemia with the glucocorticord receptor antagonist RU-486 was accompanied by a decline in A/I. Longitudinal in vivo studies demonstrated in both spontaneous and dexamethasone-induced models of NIDDM an increase in plasma A/I at the onset of hyperglycemia. In dexamethasone-induced diabetes, the increased A/I was associated with a high proamylin mRNA relative to proinsulin mRNA. We conclude that amylin and insulin expression and secretion rise in concert in compensated insulin-resistant states, but when hyperglycemia is present the increase in amylin exceeds that of insulin. Although a role of an increased A/I in the pathogenesis of NIDDM has not been established directly, these studies indicate that such a role could be possible.
Find related publications in this database (using NLM MeSH Indexing)
Amyloid - blood
Amyloid - genetics
Amyloid - secretion
Animals -
Dexamethasone - pharmacology
Diabetes Mellitus, Type 2 - chemically induced
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - genetics
Hyperglycemia - etiology
Hyperglycemia - physiopathology
Insulin - blood
Insulin - genetics
Insulin - secretion
Insulin Resistance -
Islet Amyloid Polypeptide -
Male -
Mifepristone - pharmacology
Obesity - genetics
Obesity - physiopathology
Pancreas - secretion
RNA, Messenger - metabolism
Rats -
Rats, Wistar -
Rats, Zucker -
Receptors, Glucocorticoid - antagonists & inhibitors
Somatostatin - metabolism

Find related publications in this database (Keywords)
MESSENGER RIBONUCLEIC ACID
EXPRESSION
SECRETION
PANCREATIC PERFUSION
PANCREAS
OBESITY
RAT
ZUCKER
ZDF DRT
DEXAMETHASONE
MIFEPRISTONE
RU-486
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