胰岛素对骨骼肌微血管的调节作用

被引:4
作者
胡晓琳
娄宁
董振华
许大帅
胡苏
王文汇
机构
[1] 山东大学附属济南市中心医院内分泌科
关键词
骨骼肌; 胰岛素; 微血管灌注; 胰岛素抵抗;
D O I
暂无
中图分类号
R587.1 [糖尿病];
学科分类号
100201 [内科学];
摘要
骨骼肌血管系统有丰富的分支网状结构,近年来人们多采用测定1-甲基黄嘌呤(1-MX)的代谢情况、对比增强超声成像(CEU)、激光多普勒超声仪(LDF)和实时对比超声等方法检测骨骼肌微血管的灌注情况。研究发现,胰岛素在未改变骨骼肌大动脉血流量的情况下,就可以引起骨骼肌微循环灌注的增加,而且这一作用具有剂量依赖性;而存在胰岛素抵抗时,胰岛素对阻力动脉的调节作用受损。胰岛素对血管的调节作用与其介导的一氧化氮和内皮素-1的表达密切相关,胰岛素抵抗时二者的表达失衡。
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