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1.
Geophys Res Lett ; 46(21): 11709-11717, 2019 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-31894172

RESUMO

On 10 January 2001, Cassini briefly entered into the magnetosphere of Jupiter, en route to Saturn. During this excursion into the Jovian magnetosphere, the Cassini Magnetosphere Imaging Instrument/Charge-Energy-Mass Spectrometer detected oxygen and sulfur ions. While Charge-Energy-Mass Spectrometer can distinguish between oxygen and sulfur charge states directly, only 95.9 ± 2.9 keV/e ions were sampled during this interval, allowing for a long time integration of the tenuous outer magnetospheric (~200 RJ) plasma at one energy. For this brief interval for the 95.9 keV/e ions, 96% of oxygen ions were O+, with the other 4% as O2+, while 25% of the energetic sulfur ions were S+, 42% S2+, and 33% S3+. The S2+/O+ flux ratio was observed to be 0.35 (±0.06 Poisson error).

2.
Geophys Res Lett ; 46(11): 5707-5716, 2019 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-31423036

RESUMO

Electromagnetic ion cyclotron (EMIC) waves at large L shells were observed away from the magnetic equator by the Magnetospheric MultiScale (MMS) mission nearly continuously for over four hours on 28 October 2015. During this event, the wave Poynting vector direction systematically changed from parallel to the magnetic field (toward the equator), to bidirectional, to antiparallel (away from the equator). These changes coincide with the shift in the location of the minimum in the magnetic field in the southern hemisphere from poleward to equatorward of MMS. The local plasma conditions measured with the EMIC waves also suggest that the outer magnetospheric region sampled during this event was generally unstable to EMIC wave growth. Together, these observations indicate that the bidirectionally propagating wave packets were not a result of reflection at high latitudes but that MMS passed through an off-equator EMIC wave source region associated with the local minimum in the magnetic field.

3.
J Evol Biol ; 31(2): 277-286, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29218855

RESUMO

Understanding adaptation to complex environments requires information about how exposure to one selection pressure affects adaptation to others. For bacteria, antibiotics and viral parasites (phages) are two of the most common selection pressures and are both relevant for treatment of bacterial infections: increasing antibiotic resistance is generating significant interest in using phages in addition or as an alternative to antibiotics. However, we lack knowledge of how exposure to antibiotics affects bacterial responses to phages. Specifically, it is unclear how the negative effects of antibiotics on bacterial population growth combine with any possible mutagenic effects or physiological responses to influence adaptation to other stressors such as phages, and how this net effect varies with antibiotic concentration. Here, we experimentally addressed the effect of pre-exposure to a wide range of antibiotic concentrations on bacterial responses to phages. Across 10 antibiotics, we found a strong association between their effects on bacterial population size and subsequent population growth in the presence of phages (which in these conditions indicates phage-resistance evolution). We detected some evidence of mutagenesis among populations treated with fluoroquinolones and ß-lactams at sublethal doses, but these effects were small and not consistent across phage treatments. These results show that, although stressors such as antibiotics can boost adaptation to other stressors at low concentrations, these effects are weak compared to the effect of reduced population growth at inhibitory concentrations, which in our experiments strongly reduced the likelihood of subsequent phage-resistance evolution.


Assuntos
Adaptação Biológica/efeitos dos fármacos , Antibacterianos/farmacologia , Interações Hospedeiro-Patógeno , Seleção Genética , Bacteriófago T4 , Bacteriófago T7 , Evolução Biológica , Proliferação de Células , Escherichia coli K12 , Mutação
4.
Genes Immun ; 16(7): 495-8, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26291515

RESUMO

A preponderance of females develop autoimmune disease, including juvenile idiopathic arthritis (JIA), yet the reason for this bias remains elusive. Evidence suggests that genetic risk of disease may be influenced by sex. PTPN22 rs2476601 is associated with JIA and numerous other autoimmune diseases, and has been reported to show female-specific association with type 1 diabetes. We performed main effect and sex-stratified association analyses to determine whether a sex-specific association exists in JIA. As expected, rs2476601 was associated with JIA in our discovery (413 cases and 690 controls) and replication (1008 cases and 9284 controls) samples. Discovery sample sex-stratified analyses demonstrated an association specifically in females (odds ratio (OR)=2.35, 95% confidence interval (CI)=1.52-3.63, P=0.00011) but not males (OR=0.91, 95% CI=0.52-1.60, P=0.75). This was similarly observed in the replication sample. There was evidence for genotype-by-sex interaction (Pinteraction=0.009). The association between rs2476601 and JIA appears restricted to females, partly accounting for the predominance of females with this disease.


Assuntos
Artrite Juvenil/genética , Proteína Tirosina Fosfatase não Receptora Tipo 22/genética , Estudos de Casos e Controles , Criança , Feminino , Frequência do Gene , Estudos de Associação Genética , Predisposição Genética para Doença , Humanos , Masculino , Razão de Chances , Polimorfismo de Nucleotídeo Único , Fatores Sexuais
5.
J Geophys Res Space Phys ; 126(4): e2020JA028922, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33868890

RESUMO

Electromagnetic ion cyclotron (EMIC) waves play important roles in particle loss processes in the magnetosphere. Determining the evolution of EMIC waves as they propagate and how this evolution affects wave-particle interactions requires accurate knowledge of the wave vector, k. We present a technique using the curl of the wave magnetic field to determine k observationally, enabled by the unique configuration and instrumentation of the Magnetospheric MultiScale (MMS) spacecraft. The wave curl analysis is demonstrated for synthetic arbitrary electromagnetic waves with varying properties typical of observed EMIC waves. The method is also applied to an EMIC wave interval observed by MMS on October 28, 2015. The derived wave properties and k from the wave curl analysis for the observed EMIC wave are compared with the Waves in Homogenous, Anisotropic, Multi-component Plasma (WHAMP) wave dispersion solution and with results from other single- and multi-spacecraft techniques. We find good agreement between k from the wave curl analysis, k determined from other observational techniques, and k determined from WHAMP. Additionally, the variation of k due to the time and frequency intervals used in the wave curl analysis is explored. This exploration demonstrates that the method is robust when applied to a wave containing at least 3-4 wave periods and over a rather wide frequency range encompassing the peak wave emission. These results provide confidence that we are able to directly determine the wave vector properties using this multi-spacecraft method implementation, enabling systematic studies of EMIC wave k properties with MMS.

6.
Science ; 259(5097): 990-3, 1993 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-7679801

RESUMO

The ligand for CD40 (CD40L) is a membrane glycoprotein on activated T cells that induces B cell proliferation and immunoglobulin secretion. Abnormalities in the CD40L gene were associated with an X-linked immunodeficiency in humans [hyper-IgM (immunoglobulin M) syndrome]. This disease is characterized by elevated concentrations of serum IgM and decreased amounts of all other isotypes. CD40L complementary DNAs from three of four patients with this syndrome contained distinct point mutations. Recombinant expression of two of the mutant CD40L complementary DNAs resulted in proteins incapable of binding to CD40 and unable to induce proliferation or IgE secretion from normal B cells. Activated T cells from the four affected patients failed to express wild-type CD40L, although their B cells responded normally to wild-type CD40L. Thus, these CD40L defects lead to a T cell abnormality that results in the failure of patient B cells to undergo immunoglobulin class switching.


Assuntos
Antígenos CD/metabolismo , Antígenos de Diferenciação de Linfócitos B/metabolismo , Imunoglobulina M/sangue , Síndromes de Imunodeficiência/genética , Glicoproteínas de Membrana/genética , Mutação Puntual , Linfócitos T/imunologia , Cromossomo X , Animais , Sequência de Bases , Antígenos CD40 , Ligante de CD40 , DNA/química , DNA/genética , Humanos , Síndromes de Imunodeficiência/imunologia , Ligantes , Masculino , Camundongos , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Transfecção
7.
J Geophys Res Space Phys ; 124(7): 5461-5481, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31598452

RESUMO

Extended periods of northward interplanetary magnetic field (IMF) lead to the formation of a cold, dense plasma sheet due to the entry of solar wind plasma into the magnetosphere. Identifying the paths that the solar wind takes to enter the magnetosphere, and their relative importance has remained elusive. Any theoretical model of entry must satisfy observational constraints, such as the overall entry rate and the dawn-dusk asymmetry observed in the cold, dense plasma sheet. We model, using a combination of global magnetohydrodynamic and test particle simulations, solar wind ion entry into the magnetosphere during northward IMF and compare entry facilitated by the Kelvin-Helmholtz instability to cusp reconnection. For Kelvin-Helmholtz entry we reproduce transport rates inferred from observation and kinetic modeling and find that intravortex reconnection creates buoyant flux tubes, which provides, through interchange instability, a mechanism of filling the central plasma sheet with cold magnetosheath plasma. For cusp entry we show that an intrinsic dawn-dusk asymmetry is created during entry that is the result of alignment of the westward ion drift with the dawnward electric field typically observed during northward IMF. We show that both entry mechanisms provide comparable mass but affect entering plasma differently. The flank-entering plasma is cold and dawn-dusk symmetric, whereas the cusp-entering plasma is accelerated and preferentially deflected toward dawn. The combined effect of these entry mechanisms results in a plasma sheet population that exhibits dawn-dusk asymmetry in the manner that is seen in nature: a two-component (hot and cold) dusk flank and hotter, broadly peaked dawn population.

8.
J Geophys Res Space Phys ; 124(9): 7413-7424, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35860291

RESUMO

Pluto energies of a few kiloelectron volts and suprathermal ions with tens of kiloelectron volts and above. We measure this population using the Pluto Energetic Particle Spectrometer Science Investigation (PEPSSI) instrument on board the New Horizons spacecraft that flew by Pluto in 2015. Even though the measured ions have gyroradii larger than the size of Pluto and the cross section of its magnetosphere, we find that the boundary of the magnetosphere is depleting the energetic ion intensities by about an order of magnitude close to Pluto. The intensity is increasing exponentially with distance to Pluto and reaches nominal levels of the interplanetary medium at about 190R P distance. Inside the wake of Pluto, we observe oscillations of the ion intensities with a periodicity of about 0.2 hr. We show that these can be quantitatively explained by the electric field of an ultralow-frequency wave and discuss possible physical drivers for such a field. We find no evidence for the presence of plutogenic ions in the considered energy range.

9.
J Geophys Res Space Phys ; 123(2): 1118-1133, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29938153

RESUMO

This paper reports on Magnetospheric Multiscale observations of whistler mode chorus and higher-frequency electrostatic waves near and within a reconnection diffusion region on 23 November 2016. The diffusion region is bounded by crescent-shaped electron distributions and associated dissipation just upstream of the X-line and by magnetic field-aligned currents and electric fields leading to dissipation near the electron stagnation point. Measurements were made southward of the X-line as determined by southward directed ion and electron jets. We show that electrostatic wave generation is due to magnetosheath electron beams formed by the electron jets as they interact with a cold background plasma and more energetic population of magnetospheric electrons. On the magnetosphere side of the X-line the electron beams are accompanied by a strong perpendicular electron temperature anisotropy, which is shown to be the source of an observed rising-tone whistler mode chorus event. We show that the apex of the chorus event and the onset of electrostatic waves coincide with the opening of magnetic field lines at the electron stagnation point.

10.
J Clin Invest ; 64(1): 40-8, 1979 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-36412

RESUMO

Factors that influence hemoglobin (Hb)A(Ic) synthesis by intact erythrocytes were studied in vitro. After incubation cells were lysed, and hemoglobins were separated by isoelectric focusing on polyacrylamide slab gels and quantitated by microdensitometry. HbA(Ic) increased with time, glucose concentrations (5-500 mM), and incubation temperature (4 degrees -37 degrees C). Low temperatures allowed prolonged incubations with minimal hemolysis. At 4 degrees C HbA(Ic) increased linearly with time for 6 wk; after incubation at the highest glucose concentration, HbA(Ic) comprised 50% of total hemoglobin. Insulin (1 and 0.1 mU/ml) did not affect HbA(Ic) synthesis in vitro. In addition to glucose, galactose and mannose, but not fructose, served as precursors to HbA(Ic). A good substrate for hexokinase (2-deoxyglucose) and a poor hexokinase substrate (3-O-methylglucose), were better precursors for HbA(Ic) synthesis than glucose, suggesting that enzymatic phosphorylation of glucose is not required for HbA(Ic) synthesis. Autoradiography after erythrocyte incubation with (32)P-phosphate showed incorporation of radioactivity into HbA(Ia1) and A(Ia2), but not HbA(Ib), A(Ic), or A. Acetylated HbA, generated during incubation with acetylsalicylate, migrated anodal to HbA(Ic) and clearly separated from it. Erythrocytes from patients with insulinopenic diabetes mellitus synthesized HbA(Ic) at the same rate as controls when incubated with identical glucose concentrations. Likewise, the rate of HbA(Ic) synthesis by erythrocytes from patients with cystic fibrosis and congenital spherocytosis paralleled controls. When erythrocytes from cord blood and from HbC and sickle cell anemia patients were incubated with elevated concentrations of glucose, fetal Hb, HbC, and sickle Hb decreased, whereas hemoglobins focusing at isoelectric points near those expected for the corresponding glycosylated derivatives appeared in proportionately increased amounts.


Assuntos
Eritrócitos/metabolismo , Hemoglobina A/biossíntese , Hemoglobinas/metabolismo , Adulto , Criança , Fibrose Cística/sangue , Diabetes Mellitus/sangue , Hemoglobina Fetal/metabolismo , Glucose/farmacologia , Hemoglobina C/metabolismo , Hemoglobina Falciforme/metabolismo , Hexoses/sangue , Humanos , Concentração de Íons de Hidrogênio , Técnicas In Vitro , Insulina/farmacologia , Masculino , Fosforilação , Diálise Renal , Temperatura , Fatores de Tempo
11.
J Clin Invest ; 97(1): 196-201, 1996 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-8550833

RESUMO

Mutations in the gene for CD40 ligand are responsible for the X-linked form of hyper IgM syndrome. However, no clinical or laboratory findings that reliably distinguish X-linked disease from other forms of hyper IgM syndrome have been reported, nor are there tests available that can be used to confidently provide carrier detection. To identify efficiently mutations in the gene for CD40 ligand, eight pairs of PCR primers that could be used to screen genomic DNA by single strand conformation polymorphism (SSCP) were designed. 11 different mutations were found in DNA from all 13 patients whose activated T cells failed to bind a recombinant CD40 construct. The exact nature of four of these mutations, a deletion and three splice defects, could not be determined by cDNA sequencing. In addition, SSCP analysis permitted rapid carrier detection in two families in whom the source of the mutation was most likely a male with gonadal chimerism who passed the disorder on to some but not all of his daughters. These studies document the utility of SSCP analysis for both mutation detection and carrier detection in X-linked hyper IgM syndrome.


Assuntos
Análise Mutacional de DNA , Hipergamaglobulinemia/genética , Imunoglobulina M , Glicoproteínas de Membrana/genética , Polimorfismo Conformacional de Fita Simples , Cromossomo X , Sequência de Bases , Ligante de CD40 , Criança , Pré-Escolar , Primers do DNA/genética , Feminino , Triagem de Portadores Genéticos , Ligação Genética , Humanos , Lactente , Ativação Linfocitária , Masculino , Dados de Sequência Molecular , Linhagem , Reação em Cadeia da Polimerase/métodos , Síndrome , Linfócitos T/química , Linfócitos T/imunologia
13.
Diabetes ; 27(4): 384-8, 1978 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-640242

RESUMO

Isoelectric focusing (IEF) of human erythrocyte hemolystaes on polyacrylamide slab gels over a pH gradient of 6 to 8 provides sufficient resolution of hemoglobin AIc (HbAIc) from other hemoglobin components (AIa, AIb, AII, S, and F) to allow quantification by high-resolution microdensitometry. Twice-chromatographed HbAIc alone and in admixtures with normal and diabetic hemolysates were employed to verify the identification and quantification of the AIc component. Relative concentration was determined as a per cent of the total hemoglobin absorption at 556 nm on acid-fixed, unstained gels. A total of 60 patient samples were examined by IEF, and, for 35 samples, both column chromatography and IEF determination were obtained, revealing excellent correlation between these two methods.


Assuntos
Diabetes Mellitus/sangue , Hemoglobina A/análise , Hemoglobinas/análise , Eletroforese das Proteínas Sanguíneas , Cromatografia por Troca Iônica , Densitometria/métodos , Humanos , Focalização Isoelétrica , Métodos
14.
J Leukoc Biol ; 62(6): 837-44, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9400825

RESUMO

Priming of polymorphonuclear neutrophils (PMN) in whole blood (by tumor necrosis factor alpha and interleukin-8 for enhancement of luminol-dependent chemiluminescence induced by human complement-opsonized zymosan) was stable for 120 min. In contrast, priming of isolated PMN in plasma-free suspension for responses to opsonized zymosan, formyl-methionyl-leucyl-phenylalanine, and phorbol myristate acetate was markedly less stable. Decay of priming was not due to irreversible inactivation of the terminal CL production machinery because PMN could be reprimed by platelet-activating factor or leukotriene B4. The tumor necrosis factor-alpha-primed state of isolated PMN was stabilized by host plasma in a concentration-dependent fashion. We conclude that PMN priming results in a dynamic state that is reversible. Our findings suggest the existence of blood-borne components that may act to stabilize or modify PMN priming.


Assuntos
Neutrófilos/metabolismo , Explosão Respiratória , Regulação para Baixo , Humanos , Interleucina-8/farmacologia , Medições Luminescentes , Neutrófilos/efeitos dos fármacos , Fator de Necrose Tumoral alfa/farmacologia
15.
J Ocul Pharmacol Ther ; 21(3): 223-35, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15969640

RESUMO

OBJECTIVE: To discourage fibrosis of the filtering bleb, 5 fluorouracil (5-FU) may be injected after trabeculectomy. 5-FU is an antimetabolite that also can damage extraocular tissues at concentrations as low as 0.5%. This study ascertained whether repeated injection of 5-FU has toxic effects on intraocular structures. METHODS: After unilateral trabeculectomy in anesthetized New Zealand rabbits, 5-FU (5.0 mg/0.1 mL) was injected at the trabeculectomy site every 5 days for 15 days. Evaluation included slit-lamp examination, confocal microscopy, and intraocular pressure (IOP). After sacrifice, aqueous humor (AH) was drawn and eyes excised for scanning electron microscopy (SEM) and light microscopy. RESULTS: The 5-FU injection not decrease IOP beyond trabeculectomy alone. Bleb height remained constant, thickness increased, and vascularity decreased. No changes in cornea or anterior segment were observed. No inflammation was observed in the bleb or surrounding tissues by slit-lamp or histologic examination. Protein in AH increased from 0.6 +/- 0.5 microg/mL at baseline to 19.8 +/- 4.4 microg/mL after trabeculectomy but only to 0.9 +/- 0.6 microg/mL after trabeculectomy plus 5-FU. Both in vivo confocal microscopy and SEM revealed deleterious effects on corneal epithelial and endothelial cells with a minor shift toward smaller cells. CONCLUSIONS: In this study 5-FU did not provoke an intraocular inflammatory response and had minimal effect on extraocular structures. Changes in corneal epithelium and endothelium detectable by confocal microscopy suggest a small toxic effect. These in vivo measurements by confocal microscopy were confirmed by SEM. Repeated administration did not cause additional cumulative toxic effects in the anterior segment. Therefore, multiple injections of 5- FU into the filtering bleb pose minimal risk to intraocular structures.


Assuntos
Segmento Anterior do Olho/efeitos dos fármacos , Antimetabólitos/toxicidade , Fluoruracila/toxicidade , Pressão Intraocular/efeitos dos fármacos , Trabeculectomia , Animais , Segmento Anterior do Olho/metabolismo , Segmento Anterior do Olho/ultraestrutura , Antimetabólitos/administração & dosagem , Antimetabólitos/farmacocinética , Antimetabólitos/uso terapêutico , Humor Aquoso/metabolismo , Feminino , Fluoruracila/administração & dosagem , Fluoruracila/farmacocinética , Fluoruracila/uso terapêutico , Injeções Intralesionais , Microscopia Confocal , Microscopia Eletrônica de Varredura , Proteínas/análise , Coelhos , Cicatrização/efeitos dos fármacos
16.
Mol Immunol ; 25(8): 771-84, 1988 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-2460759

RESUMO

Joining or J region sequences of rearranging immunoglobulins and T-cell receptors show considerable sequence homology, particularly in their C-terminal portion corresponding to the fourth framework region of immunoglobulin variable regions. In order to test the question of whether serological cross-reactions between immunoglobulin variable regions and T-cell receptors were due to antigenic similarities in their J regions, we synthesized synthetic peptides corresponding to immunoglobulin J regions and to J regions predicted from gene sequence of the T-cell receptor beta chain. We found that antibodies produced against a synthetic 16-mer J beta sequence reacted with T-cell receptor chains and also with immunoglobulin light chains. The cross-reactivity was dependent upon the J signature sequence FG()GT(R or K)L where the presence of a positively charged lysyl or arginyl residue was essential for cross-reactivity. We were able to classify J region determinants into two distinct antigenic sets; one corresponding to JH and the other corresponding to J kappa, J lambda, J beta and J alpha. Although considerable homology occurs between JH and JL (or J beta) sequences, little cross-reactivity was observed between these two J subsets. Antibodies raised against polyclonal murine IgG immunoglobulins contained antibody subpopulations specifically reactive with either JH or J beta peptides. The serological data derived here using antipeptide antibodies are consistent with computer modeling studies that indicate that the conformations of T-cell receptor variable regions resemble those of classical immunoglobulins. Our data comparing cross-reactivities restricted to the J region indicate that the expression of the J region by intact T-cell receptor beta chains is probably more similar to that of light chains than it is to the corresponding region of heavy chains.


Assuntos
Epitopos/análise , Região de Junção de Imunoglobulinas/imunologia , Cadeias Leves de Imunoglobulina/imunologia , Receptores de Antígenos de Linfócitos T/imunologia , Animais , Especificidade de Anticorpos , Reações Cruzadas , Eletroforese em Gel de Poliacrilamida , Cadeias Pesadas de Imunoglobulinas/imunologia , Região Variável de Imunoglobulina/imunologia , Peptídeos/síntese química , Coelhos
17.
Diabetes Care ; 3(2): 270-3, 1980.
Artigo em Inglês | MEDLINE | ID: mdl-6993139

RESUMO

Prehepatic insulin production can be determined from analysis of connecting-peptide behavior in the plasma. In the present study, we have determined prehepatic insulin production in six normal men throughout a day that included three typical 750-cal meals. Total insulin secretion for the 24 h was 45.4 U, secreted as 10.6 U with breakfast, 13.4 U with lunch, and 13.8 U with dinner. The remaining 7.6 U was secreted during the 9 h night at a rate of 0.85 U/h. At least 50% of the newly secreted insulin is known to be extracted by the liver during the initial transhepatic passage, so that total peripheral delivery can be estimated as approximately 22 U/day. Consequently, portal vein insulin levels are in excess of those seen in peripheral blood by at least 20 +/- 8 microU/ml in the fasted state, and by as much as 115 +/- 15 microU/ml in the 2-h postabsorptive state. The data suggest that insulinization of the liver, without peripheral hyperinsulinemia, may be a goal of artificial insulin delivery.


Assuntos
Insulina/metabolismo , Órgãos Artificiais , Humanos , Insulina/administração & dosagem , Secreção de Insulina , Masculino , Valores de Referência
18.
Diabetes Care ; 4(2): 299-304, 1981.
Artigo em Inglês | MEDLINE | ID: mdl-7011748

RESUMO

This report describes two patients with diabetes mellitus, presenting with insulin resistance and depression of erythrocyte insulin receptor binding to less than one-third of normal. Scatchard analysis of the data was consistent with a depletion in insulin receptors in these poorly controlled diabetic patients. Therapy with tolbutamide and reduced insulin administration resulted in restoration of erythrocyte receptor binding, clinical resolution of the insulin resistance, and amelioration of hyperglycemia. These data suggest a role for transient depletion and/or dysfunction of cellular receptors of insulin activity in the evolution of insulin resistance in diabetes.


Assuntos
Diabetes Mellitus/sangue , Eritrócitos/metabolismo , Resistência à Insulina , Receptor de Insulina/metabolismo , Tolbutamida/uso terapêutico , Adulto , Idoso , Glicemia/metabolismo , Peptídeo C/sangue , Diabetes Mellitus/tratamento farmacológico , Humanos , Insulina/sangue , Anticorpos Anti-Insulina , Cinética , Masculino , Valores de Referência
19.
J Clin Endocrinol Metab ; 56(6): 1294-300, 1983 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-6341392

RESUMO

The hepatic extraction of insulin in normal man was evaluated by kinetic analysis of peripheral insulin behavior in the plasma following stimulation of endogenous insulin secretion. Prehepatic insulin production was determined by deconvolution of plasma connecting peptide behavior (C-peptide) and hepatic extraction of the secreted insulin determined with a three-compartment model for hepatic, vascular, and extravascular plasma spaces. Three dosages of oral glucose (10, 25, and 100 g) administered to normal volunteers resulted in 1.8 +/- 0.5, 2.7 +/- 1.1, and 7.2 +/- 1.6 U endogenous insulin secretion, respectively. Total hepatic exposure to insulin exceeded the endogenous secretion due to recycling to the liver from the systemic circulation. Decreasing insulin extraction by the liver (67-53-42%) in the presence of increasing insulin exposure (2.6-4.4-13.2 U) was observed during the dose-response to glucose. The rates of hepatic insulin extraction observed with arginine (58 +/- 9% with 3.2 U), and a normal meal (50 +/- 9% with 7.6 U) were intermediate between the extremes seen with the 10- and 100-g glucose challenge. These results quantitate hepatic exposure of insulin in man during differing stimuli of endogenous insulin secretion, and demonstrate reduced fractional hepatic extraction with increasing insulin exposure.


Assuntos
Glucose/farmacologia , Insulina/metabolismo , Fígado/metabolismo , Adulto , Arginina/farmacologia , Glicemia/análise , Carboidratos da Dieta/administração & dosagem , Relação Dose-Resposta a Droga , Ingestão de Energia , Jejum , Glucose/administração & dosagem , Humanos , Infusões Parenterais , Insulina/sangue , Cinética , Masculino
20.
J Clin Endocrinol Metab ; 58(3): 555-9, 1984 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-6363442

RESUMO

To evaluate the in vivo participation of insulin receptors in both hepatic and extrahepatic removal of insulin, compartmental kinetic analysis of insulin behavior was performed in a patient with blocked receptors due to endogenous antiinsulin receptor antibodies. Using the standard three-compartment simulation of insulin behavior, the responses to both a 5-U injection of exogenous insulin and a 4.2-U secretion of endogenous insulin subsequent to tolbutamide injection were examined. In response to both exogenous and endogenous insulin, hepatic removal of insulin was reduced to less than 18% of the insulin exposure (normal, 40-60%). The metabolic clearance of insulin was reduced from the normal level of 520 ml/min to less than 120 ml/min, consistent with a reduction in receptor-mediated removal of insulin from the blood. These studies propose quantitative parameters for insulin receptor function in hepatic and extrahepatic removal of insulin in man.


Assuntos
Insulina/metabolismo , Fígado/metabolismo , Receptor de Insulina/fisiologia , Adulto , Feminino , Humanos , Cinética , Taxa de Depuração Metabólica , Tolbutamida/farmacologia
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