期刊
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION
卷 42, 期 6, 页码 637-648出版社
WILEY-BLACKWELL
DOI: 10.1111/j.1365-2362.2011.02630.x
关键词
a-Lipoic acid; beta cell dysfunction; chronic hepatic inflammation; oxidative stress; portal endotoxaemia
资金
- National Science Council of the R.O.C. [NSC98-2320-B-016-011 MY3, CMNDMC 99-05, TSGH-C99-011-12-S02, TSGH-C100-011-015-S03]
- National Science Council of the Republic of China [NSC98-2320-B-016-011-MY3]
- Chi-Mei Medical Center [CMNDMC 99-05]
- Tri-Service General Hospital [TSGH-C100-011-015-S03]
Eur J Clin Invest 2012; 42 (6): 637648 Abstract Background This study was undertaken to evaluate the preventive effect of a-lipoic acid (LA) on chronic mild portal endotoxaemia-mediated subacute hepatic inflammation and pancreatic beta cell dysfunction in rats. Materials and methods Male SpragueDawley rats were randomly assigned into four groups: those with intraportal vehicle (saline) or low-dose lipopolysaccharide (LPS) (0.42 ng/kg/min) infusion, combined with oral administration of vehicle or LA, a potent antioxidant (60 mg/kg/day) for 4 weeks. The hyperglycaemic clamp and euglycaemic clamp techniques were used to access the glucose-stimulated insulin secretion and systemic insulin sensitivity in vivo. Results Body weight, fasting plasma glucose and insulin were not different among groups. In rats with chronic intraportal LPS infusion, plasma C-reactive protein, amylase, superoxide levels, the contents of thiobarbituric acid-reactive substance, tumour necrosis factor a and interleukin 6 in liver and pancreas and also the gene expression of Toll-like receptor 4 in liver were significantly increased as compared with those with LA cotreatment. The histopathological examination showed that inflammatory changes were clearly visible in liver and pancreatic islets of LPS-infused rats and rarely observed in those cotreated with LA. In addition, low-dose intraportal LPS infusion also significantly impaired glucose-stimulated insulin secretion but not affect the systemic insulin sensitivity and metabolic clearance rate of insulin. LA administration markedly reversed LPS-induced beta cell dysfunction. Conclusions a-Lipoic acid cotreatment could significantly prevent mild portal endotoxaemia-induced chronic hepatic inflammation and impaired pancreatic insulin secretion in absence of changing systemic insulin resistance.
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