RESUMO
69 patients with metabolic syndrome (MS) and type 2 diabetes mellitus (DM) have been examined. It is certain that activation of the cytokines system plays important part in formation of the insulin resistance syndrome. The results of our studies testify that insulin resistance in patients with MS and type 2 DM is associated by the decrease in the level of adiponectin and increase in the level of resistin. Lower level of adiponectin and higher level of resistin in blood serum can be examined as markers of the metabolic syndrome. Content of adiponectin in blood serum negatively correlates with an insulin resistance index HOMA IR, the level of TSH, proinflammatory cytokines-tumor necrosis factor alpha (TNFa) and cortisol. The author showed direct correlations between the TSH level and proinflammatory cytokines--TNFalpha, IL-6, CRP and negative correlations between HOMA IR indexes and iodinuria. It indicates on the connection of insulin resistance with the iodine deficiency in biosphere.
Assuntos
Adipocinas/sangue , Diabetes Mellitus Tipo 2/sangue , Iodo/deficiência , Síndrome Metabólica/sangue , Biomarcadores/sangue , Interpretação Estatística de Dados , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/imunologia , Hemoglobinas Glicadas/análise , Humanos , Resistência à Insulina , Iodo/sangue , Síndrome Metabólica/complicações , Síndrome Metabólica/imunologia , Tireotropina/sangue , UcrâniaRESUMO
Pancreatic beta cells are the source of insulin, which directly lowers blood glucose levels in the body. Our analyses of alpha(1D) gene-knockout (alpha(1D)(-/-)) mice show that the L-type calcium channel, alpha(1D), is required for proper beta cell generation in the postnatal pancreas. Knockout mice were characteristically slightly smaller than their littermates and exhibited hypoinsulinemia and glucose intolerance. However, isolated alpha(1D)(-/-) islets persisted in glucose sensing and insulin secretion, with compensatory overexpression of another L-type channel gene, alpha(1C). Histologically, newborn alpha(1D)(-/-) mice had an equivalent number of islets to wild-type mice. In contrast, adult alpha(1D)(-/-) mice showed a decrease in the number and size of islets, compared with littermate wild-type mice due to a decrease in beta cell generation. TUNEL staining showed that there was no increase in cell death in alpha(1D)(-/-) islets, and a 5-bromo-2' deoxyuridine-labeling (BrdU-labeling) assay illustrated significant reduction in the proliferation rate of beta cells in alpha(1D)(-/-) islets.
Assuntos
Canais de Cálcio Tipo L/metabolismo , Ilhotas Pancreáticas/citologia , Animais , Constituição Corporal , Canais de Cálcio Tipo L/genética , Canais de Cálcio Tipo L/fisiologia , Divisão Celular , Surdez/etiologia , Surdez/metabolismo , Expressão Gênica , Intolerância à Glucose/etiologia , Intolerância à Glucose/metabolismo , Hiperinsulinismo/etiologia , Hiperinsulinismo/metabolismo , Camundongos , Camundongos Endogâmicos C57BL , Camundongos KnockoutRESUMO
In comparison to the well characterized role of the principal subunit of voltage-gated Ca2+ channels, the pore-forming, antagonist-binding alpha1 subunit, considerably less is understood about how beta subunits contribute to neuronal Ca2+ channel function. We studied the role of the Ca2+ channel beta3 subunit, the major Ca2+ channel beta subunit in neurons, by using a gene-targeting strategy. The beta3 deficient (beta3-/-) animals were indistinguishable from the wild type (wt) with no gross morphological or histological differences. However, in sympathetic beta3-/- neurons, the L- and N-type current was significantly reduced relative to wt. Voltage-dependent activation of P/Q-type Ca2+ channels was described by two Boltzmann components with different voltage dependence, analogous to the "reluctant" and "willing" states reported for N-type channels. The absence of the beta3 subunit was associated with a hyperpolarizing shift of the "reluctant" component of activation. Norepinephrine inhibited wt and beta3-/- neurons similarly but the voltage sensitive component was greater for N-type than P/Q-type Ca2+ channels. The reduction in the expression of N-type Ca2+ channels in the beta3-/- mice may be expected to impair Ca2+ entry and therefore synaptic transmission in these animals. This effect may be reversed, at least in part, by the increase in the proportion of P/Q channels activated at less depolarized voltage levels.