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熊曼琪,林安钟,朱章志,蔡文就,郑高飞,钟春宁,陈芝喜,贾可亮,沈穗婷,何敏.加味桃核承气汤对Ⅱ型糖尿病大鼠胰岛素抵抗的影响[J].,1997,(3):165-168
加味桃核承气汤对Ⅱ型糖尿病大鼠胰岛素抵抗的影响
Effects of Supplemented Taohe Chengqi Decoction in Treating Insulin Resistance in Rats with NonInsulin Dependent Diabetes Mellitus XIONG
  
DOI:
中文关键词:  桃核承气汤  Ⅱ型糖尿病  胰岛素抵抗  胰岛素介体  葡萄糖代谢  胰岛素敏感性
英文关键词:Supplemented Taohe Chengqi Decoction  non-insulin dependent diabetes mellitus  insulin resistance  insulin mediator  glucose metabolism  insulin sensitivity
基金项目:国家中医药管理局科研基金
Author NameAffiliation
熊曼琪  
林安钟  
朱章志  
蔡文就  
郑高飞  
钟春宁  
陈芝喜  
贾可亮  
沈穗婷  
何敏  
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中文摘要:
      目的:观察加味桃核承气汤对Ⅱ型糖尿病(NIDDM)的影响。方法:采用链脲佐菌素和高热量饲料的方法模拟NIDDM大鼠模型,研究加味桃核承气汤对NIDDM大鼠肝细胞膜胰岛素介体释放、脂肪细胞葡萄糖氧化和胰岛素敏感性指数的影响。结果:加味桃核承气汤可明显降低空腹血糖、胰岛素、摄食量和饮水量(P<0.05~0.01),提高胰岛素敏感性(P<0.05),增加肝细胞膜释放的抑制腺苷酸环化酶活力的胰岛素介体量(P<0.05),提高基础的和胰岛素刺激的大鼠脂肪细胞葡萄糖氧化能力(P<0.05)。结论:加味桃核承气汤治疗可提高NIDDM大鼠靶细胞对胰岛素的敏感性和反应性,即可使受体和受体后胰岛素抵抗减轻,但不能使之完全逆转。
英文摘要:
      To investigate the effect of Supplemented Taohe Chengqi Decoction (STHCQD) in treating non-insulin dependent diabetes mellitus (NIDDM). Methods: The model of rats with NIDDM was formed with injection of streptozotocin and fed on high calorie diet to study the effects of STHCQD on the release of insulin mediator from liver cell membranes, the glucose oxidation in adipocytes as well as the insulin sensitivity. Results: (1 ) Fasting serum glucose, serum insulin, intake of food and water were significantly decreased (P<0. 05~0. 01 ) in STHCQD-treated diabetic rats as compared with untreated diabetic rats, while the insulin sensitivity was significantly increased (P<0. 05 ). (2) The liver cell membranes from STHCQD-treated diabetic rats released the quantity of insulin receptor which inhibited adenylate cyclase activity , but this effect was blunted in untreated diabetic rats(P<0. 05). (3)A significantly increased glucose oxidation in adipocyte of STHCQD-treated diabetic rats was found as compared with those of untreated diabetic rats(P<0. 05). Conclusions:STHCQD therapy increased sensitivity and responsiveness of target cells to insulin, i. e, it might decrease insulin resistance at receptor sites and postreceptor sites in rats with NIDDM, but could not reverse the insulin resistance.
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