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Development and consequences of insulin resistance: Lessons from animals with hyperinsulinaemia
Shafrir, E
通讯作者Shafrir, E
会议名称Symposium Honouring the 75th Anniversary of the Discovery of Insulin - Towards the Discovery of Insulin
会议日期MAY 17-18, 1995
会议地点KAYSERI, TURKEY
英文摘要

Studies involving genetically acid nutritionally induced diabetes in animals indicate that early hyperinsulinaemia is the causative factor of tissue insulin resistance, leading to compensatory insulin over-secretion and pancreatic beta-cell dysfunction. The models for this syndrome, which occurs in association with obesity (thus termed ''diabesity'' here), concern either species with a sturdy pancreas, capable of long-lasting oversecretion, or those with labile beta cells which cannot sustain the initial oversecretion due to genomic modifiers enhancing gluco- or lipotoxicity. Examples of the latter are db/db mice mutants and desert gerbils susceptible to overnutrition, i.e. Psammomys obesus (sand rats). The latter also comprise spiny mice (Acomys cahirinus) which do not manifest resistance. They are low insulin secretors and accumulate insulin in beta cells which may disintegrate, producing insulin-deficiency. P. obesus is characterised by low insulin-receptor density. On a high energy diet, the capacity of insulin to activate receptor tyrosine kinase (TK) is reduced, concomitant with hyperinsulinaemia. With subsequent hyperglycaemia, a vicious circle of insulinaemia-glycaemia accentuates TK activation failure. This is attributable to multisite phosphorylation, including serine and threonine on the receptor b-subunit, which are inhibitory to TK activity. The compromised TK activation is reversible by diet restriction and normoinsulinaemia restoration. Similar receptor TK malfunction is seen in other animal species with diabesity. Hyperinsulinaemia has also been shown to cause a variety of detrimental effects in vitro and in vivo. The beta-cell response to long-lasting stimulation and the receptor malfunction in diabesity have implications for a similar etiology in human insulin-resistance syndrome and non-insulin-dependent diabetes mellitus, particularly in populations emerging into nutritional abundance. It is postulated that the ''thrifty gene'' is focused on receptor TK, whose reduced function is the primary phenotypic expression of protracted hyperinsulinaemia.


英文关键词Psammomys obesus (sand rat) db/db mice spiny mice insulin resistance insulin receptor tyrosine kinase non-insulin-dependent diabetes nutrition
来源出版物DIABETES & METABOLISM
ISSN0338-1684
出版年1996
卷号22
期号2
页码122-131
出版者MASSON EDITEUR
类型Article;Proceedings Paper
语种英语
收录类别CPCI-S ; SCI-E
WOS记录号WOS:A1996UD18900005
WOS关键词TYROSINE KINASE-ACTIVITY ; DIABETIC MUTANT MOUSE ; PANCREATIC ISLETS ; ACOMYS-CAHIRINUS ; PSAMMOMYS-OBESUS ; DB/DB MICE ; EXPRESSION ; OBESITY ; CELLS ; RATS
WOS类目Endocrinology & Metabolism
WOS研究方向Endocrinology & Metabolism
资源类型会议论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/291466
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Shafrir, E. Development and consequences of insulin resistance: Lessons from animals with hyperinsulinaemia[C]:MASSON EDITEUR,1996:122-131.
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