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Diabetologia:α-glucosidase抑制剂的降糖效果需要胆汁酸信号?

2020-07-20 MedSci原创 MedSci原创

胆汁酸代谢体内平衡(BA)信号是至关重要的,最近发现该信号可调解降糖治疗的疗效,包括α-glucosidase抑制剂(AGI)。然而,相关的具体机制尚待澄清。

胆汁酸代谢体内平衡(BA)信号是至关重要的,最近发现该信号可调解降糖治疗的疗效,包括α-glucosidase抑制剂(AGI)。然而,相关的具体机制尚待澄清。我们假设,对于AGI的降糖效果和代谢益处,可能BA信号是必需的。 本研究用AGI处理瘦素受体(Lepr)敲除(KO) db/db小鼠和高脂肪高蔗糖(HFHS)喂养的Fxr(也称为Nr1h4) KO小鼠。对包括肝脏、内脏和内分泌胰腺在内的不同部位的代谢表型和BA信号进行了评估。用质谱法分析了BA。通过RNA测序分析胰岛转录谱,16S核糖体RNA基因测序检测肠道微生物组。 AGI降低了体内不同体区BA池中的微生物BA水平,并通过改变肠道微生物组,增加了db/db和hhbs喂养小鼠模型中肠道BA的再吸收。AGI引起的BA信号的变化(包括肝脏中farnesoid X受体[FXR]的激活增加和回肠中FXR的抑制)与不同器官中BA池大小和组成的变化相呼应。在Fxr-KO小鼠中,AGI的降糖和降脂作用部分被取消,可能是由于AGI对fxr的依赖作用,减缓细胞复制,减轻胰岛素分泌,改善肝脏脂质和葡萄糖代谢。 研究结果表明,通过调节微生物BA的新陈代

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    2020-10-14 jklm09
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  6. [GetPortalCommentsPageByObjectIdResponse(id=1951209, encodeId=a9221951209e8, content=<a href='/topic/show?id=e6fa981e4df' target=_blank style='color:#2F92EE;'>#降糖效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98174, encryptionId=e6fa981e4df, topicName=降糖效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=827b160, createdName=cnxcy, createdTime=Thu Mar 04 22:17:33 CST 2021, time=2021-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1639528, encodeId=166d163952823, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Wed Nov 25 10:17:33 CST 2020, time=2020-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852440, encodeId=ff11185244009, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Wed Oct 14 19:17:33 CST 2020, time=2020-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1761452, encodeId=c5541e6145256, content=<a href='/topic/show?id=9bea33520d' target=_blank style='color:#2F92EE;'>#BET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3352, encryptionId=9bea33520d, topicName=BET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a1a37427546, createdName=ms5439512287675881, createdTime=Sun Jun 20 07:17:33 CST 2021, time=2021-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1579237, encodeId=178c15e923786, content=<a href='/topic/show?id=372b834e673' target=_blank style='color:#2F92EE;'>#胆汁#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83476, encryptionId=372b834e673, topicName=胆汁)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2a0616505872, createdName=108807375_62823132, createdTime=Wed Jul 22 05:17:33 CST 2020, time=2020-07-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1047120, encodeId=777c104e1205c, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Mon Jul 20 17:17:33 CST 2020, time=2020-07-20, status=1, ipAttribution=)]
    2020-07-20 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

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