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
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
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Pieber Thomas
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- Abstract:
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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.
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Amyloid - blood
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Amyloid - genetics
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Amyloid - secretion
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Animals -
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Dexamethasone - pharmacology
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Diabetes Mellitus, Type 2 - chemically induced
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Diabetes Mellitus, Type 2 - complications
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Diabetes Mellitus, Type 2 - genetics
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Hyperglycemia - etiology
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Hyperglycemia - physiopathology
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Insulin - blood
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Insulin - genetics
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Insulin - secretion
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Insulin Resistance -
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Islet Amyloid Polypeptide -
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Male -
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Mifepristone - pharmacology
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Obesity - genetics
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Obesity - physiopathology
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Pancreas - secretion
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RNA, Messenger - metabolism
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Rats -
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Rats, Wistar -
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Rats, Zucker -
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Receptors, Glucocorticoid - antagonists & inhibitors
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Somatostatin - metabolism
- Find related publications in this database (Keywords)
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MESSENGER RIBONUCLEIC ACID
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EXPRESSION
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SECRETION
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PANCREATIC PERFUSION
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PANCREAS
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OBESITY
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RAT
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ZUCKER
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ZDF DRT
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DEXAMETHASONE
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MIFEPRISTONE
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RU-486