期刊文献+

雌激素在低雄激素雄性大鼠发生胰岛素抵抗中的作用

Effect of estrogen on insulin resistance in male rats with low serum testosterone levels
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摘要 目的:观察芳香化酶抑制剂来曲唑抑制正常及低雄激素雄性大鼠体内雌激素后血糖和胰岛素的变化,探讨雌激素在低雄激素雄性大鼠胰岛素抵抗发生中的作用。方法:成年雄性大鼠32只均分为四组:对照组、睾丸切除组、来曲唑组、睾丸切除加来曲唑组。采用来曲唑或双蒸水处理4周后,测量大鼠体重,空腹12小时取血检测总睾酮(TTs)、雌二醇(E2)、空腹血糖(FBG)、空腹胰岛素(FINS),计算稳态模型胰岛素抵抗指数(HOMA-IR)。结果:四组大鼠体重无显著差异。与对照组比较,睾丸切除组及睾丸切除加来曲唑组血清TTs水平明显降低(P<0.05~<0.01),FBG、FINS、HOMA-IR水平显著升高(P<0.05)。睾丸切除加来曲唑组较睾丸切除组E2、雌激素/睾丸酮(E2/T)比值显著降低(P<0.05),FBG、HOMA-IR水平显著升高(P<0.05),FINS水平无显著差异。结论:雄激素水平降低致雄性大鼠空腹血糖和胰岛素水平升高,胰岛素抵抗;在低雄激素水平的基础上,雄性大鼠体内雌激素水平降低,可导致胰岛素抵抗指数进一步升高。提示雌激素也参与了雄激素缺乏大鼠代谢综合征的发病过程。 Objective: To determine whether insulin resistance in male rats with low serum testosterone level related to low serum estrogen level. Methods: A total of 32 adult male rats were divided into 4 groups equally. Orchiectomy was performed on rats of group B an D. Rats of group C and D were given the aromatase inhibiton letrozole (5mg/kg · d) by intragastric administration daily for 4 weeks. Group A and 13 received distilled water as control. After 4 weeks, body weight and serum levels of total testosterone (TTs), estradiol (E2), fasting glucose (FBG), fasting insulin (FINS) were measured, and the homeostasis model assessment for insulin resistance (HOMA-IR) was calcu lated. Results: No significant difference was observed on the body weight among the four groups (P〉0. 05). The serum levels of TTs decreased and FBG, FINS, HOMA-IR levels increased significantly in group B and D compared with group A (P〈0.05). The E2 and E2/T levels significantly decreased (P〈0.05-0. 01) in group D, compared with group B. There were higher FBG, HOMA-IR levels in group D compared with group B (P〈0. 05), but no change was observed on FBG between these two groups. Conclusion: Low serum testosterone levels may induce insulin resistance in male rats. Such disorder should be more severe by cutting down the estrogen level in male rats with low level of testosterone. These data indicate that insufficient estrogen may contribute to the pathogenesis of metabolic syndrome in rats with low serum testosterone Levels.
出处 《心血管康复医学杂志》 CAS 2008年第3期214-216,共3页 Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词 来曲唑 性腺甾类激素 血糖 胰岛素 大鼠 Letrozole Sexual gland steriod hormone Blood glucose Insulin Rat
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  • 1殷樱,陈庆伟.代谢综合征与冠状动脉粥样硬化性心脏病[J].心血管康复医学杂志,2006,15(1):92-94. 被引量:19
  • 2沈玄霖,刘遂心.代谢综合征的综合治疗[J].心血管康复医学杂志,2007,16(4):415-417. 被引量:10
  • 3Sinha S, Kaseta J, Santner SJ, et al. Effect of CGS 20267 on ovarian aromatase and gonadotropin levels in the rat [J]. Breast Cancer Res Treat, 1998, 48 (1): 45-51.
  • 4李江源,李小鹰,李明,张高魁,马芳玲,刘志明,张南雁,孟萍.年龄依赖性胰岛素抵抗与睾酮水平的相关性[J].中华老年医学杂志,2007,26(2):104-106. 被引量:8
  • 5Kapoor D, Goodwin E, Channer KS, et al. Testosterone replacement therapy improves insulin resistance, glycaemic control, visceral adiposity and hypercholesterolaemia in hypogonadal men with type 2 diabetes [J]. Eur J Endocrinol, 2006. 154 (6): 899-906.
  • 6Jones ME, Mclnnes K J, Boon WC, et al. Estrogen and adiposity-utilizing models of aromatase deficiency to explore the relationship [J]. J Steroid Biochem Mol Biol, 2007,106( 1-5):3-7.
  • 7Maffei L, Rochira V, Zirilli L, et al. A novel compound heterozygous mutation of the aromatase gene in an adult man: reinforced evidence on the relationship between congenital oestrogen deficiency, adiposity and the metabolic syndrome [J]. Clin Endocrinol, 2007, 67 (2): 218-224.

二级参考文献50

  • 1杨华章,陈亮.噻唑烷二酮类药物治疗糖耐量减低的循证医学研究与评价[J].中国实用内科杂志,2005,25(4):300-301. 被引量:11
  • 2辛沈,林朝胜,贺顺川,刘桂荣,刘荟芹,焦明,刘丹阳.老年2型糖尿病患者血液流变学检测的临床意义[J].心血管康复医学杂志,2005,14(3):260-261. 被引量:8
  • 3Reaven GM. Metabolic syndrome, Pathophysiology and implications for the management of cardiovascular disease [J]. Circulation, 2002, 106: 286-288.
  • 4Reaven GM. Banting lecture 1988: role of insulin resistance in human disease [J]. Diabetes, 1988, 37: 1595-1607.
  • 5Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus: provisional report of a WHO consultation [J]. Diabet Med, 1998, 15: 539-553.
  • 6Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment PanelⅡ ) Final report [J], Circulation, 2002, 106:3143-3421.
  • 7Isomaa B, Almgren P, Tuomi T, et al. Cardiovascular morbidity and mortality associated with the metabolic syndrome [J], Diabetes Care, 2001, 24 (4): 683-689.
  • 8Hanna-Maaria Lakka, David E, Laaksonen, et al. The metabolic syndrome and total and cardiovascular disease mortality in middie-aged men [J], JAMA, 2002, 288:2709-2716.
  • 9Timothy R, hristopher B, Marian B, et al. Relationship of physical fitness vs body mass index with coronary artery disease and cardiovascular events in women [J]. JAMA, 2004, 292:1179.
  • 10Seeman TE, McEwen BS, Rowe JW, et al, Allostatic load as a marker of cumulative biological risk : MacArthur studies of suceessful aging [J]. Proc Natl Acad Sci USA, 2001, 98 (8):4770.

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