内分泌
词汇介绍
拓展阅读
解析
Insulin 英 /'ɪnsjʊlɪn/ 美 /'ɪnsəlɪn/
释 义 n. [生化][药] 胰岛素
例 句 Check your blood sugar level before and after any activity, especially if you take insulin. 在运动前和后检查你的血糖水平,尤其是,如果你服用了胰岛素。
概述
概述
在胰腺内部,激素胰岛素是在β细胞中产生的,β细胞是朗格汉斯岛的一部分。这些胰岛也具有α细胞,其产生胰高血糖素以及δ细胞。每餐中,β细胞释放胰岛素,帮助身体使用或储存从食物中获取的血糖。胰岛素不能作为一种药丸,因为它会在消化过程中像食物中的蛋白质一样被分解。它必须注入皮肤下的脂肪,才能进入血液。在一些罕见的情况下,胰岛素可导致注射部位的过敏反应。
类型
快速胰岛素;在注射后约15分钟开始起作用,在约1小时内达到峰值,并继续工作2至4小时。
常规或短效胰岛素:通常在注射后30分钟内到达血流,在注射后2至3小时内达到峰值,并且有效约3至6小时。
中效胰岛素:通常在注射后约2至4小时到达血流,在4至12小时后达到峰值,并且有效约12至18小时。
长效胰岛素:在注射后数小时到达血液,并且倾向于将葡萄糖水平降低至24小时或更长时间。
超长效胰岛素:在6小时内到达血流,不会达到峰值,持续约36小时。
特征
发作:是胰岛素到达血流并开始降低血糖之前的时间长度。
峰值:时间是胰岛素在降低血糖方面达到最大强度的时间。
持续时间:是胰岛素持续降低血糖的时间。
适应症
胰岛素用于治疗产生很少或不产生胰岛素的1型糖尿病患者。如果使用其他类型的药物,胰岛素水平仍然很低,它也可以用于治疗2型糖尿病,尽管大多数患有2型糖尿病的人在疾病的早期阶段不需要胰岛素。胰岛素也可以用于在怀孕期间患有妊娠糖尿病的孕妇。
不良反应
胰岛素最常见的副作用之一是低血糖。症状包括头痛,出汗,颤抖,焦虑,精神错乱,烦躁,呼吸急促或心跳加快。患有低血糖症的人也可能是昏厥和严重的低血糖,未经治疗可能是致命的。其他常见的副作用包括:注射部位周围肿胀,瘙痒,发红或肿块、体重增加、电解质紊乱(包括低钾和低镁水平),视力模糊(通常是暂时的)。
Insulin-induced lipid body accumulation is accompanied by lipid remodelling in model mast cells复制标题
胰岛素诱导的脂质体蓄积伴随着模型肥大细胞的脂质重塑
发表时间:2019-12-01
影响指数:3.5
作者: Johnny T Aldan
期刊:Adipocyte
Metabolic syndrome is associated with a chronic state of hyperinsulinemia, prior to the onset of Type 2 Diabetes mellitus. Chronic insulin elevation has functional consequences for numerous cells, tissues and organs in the body, including those of the immune system. We have previously shown that chronic insulin elevation alters mast cell functional phenotypes in vitro, and there is in vivo and clinical evidence that altered levels of insulin affect the outcomes of allergic and anaphylactic inflammatory responses. Chronic insulin exposure quantitatively alters the lipid content of mast cells, causes a steatosis-like accumulation of lipid bodies similar to that observed in neutrophils and macrophages under conditions of infection. However, qualitative changes in the cellular profiles of bioactive lipids and their precursors have not been extensively explored. This is an important question arising from the marked effects that lipid remodelling has upon the net pro-and anti-inflammatory capacity of cells such as mast cells. Most lipid mediators that been shown to regulate inflammation are derived from omega-6 (n-6) or omega3 (n-3) fatty acids. These mediators include arachidonic acid (AA; 20:4n-6), linoleic acid (LA; 18:2n6), eicosapentaenoic acid (EPA; 20:5n-3), and docosahexaenoic acid (DHA; 22:6n-3). Oxidation catalyzed by cyclooxygenases, lipoxygenases, or cytochrome P450 forms the bioactive metabolite from these precursors. Acute changes in cellular status have been shown to remodel key lipid populations in mast cells and other immune cells, changing the outcome of mast cell activation and in some cases switching the cell between a pro-inflammation and a pro-resolution phenotype. Several studies have evaluated the location of the bioactive lipid precursor AA in mast cells, evaluating distribution between membrane phospholipid (phosphatidylcholine (PC), phosphatidylethanolamine (PE) and phosphatidylserine (PS)) and free fatty acid (FFA) forms of AA. The distribution within these pools changes in response to mast cell activation in response to both calcium ionophore and FcεRI stimulation. These changes are functionally important as the location of the AA changes its proximity and availability to phospholipases that are concomitantly activated and catalyse pathways leading to synthesis of prostaglandins, leukotrienes, thromboxanes, HETEs, resolvins and endocannabinoids. Similarly, functional importance is ascribed to the ratios between omega-3 and omega-6-fatty acids and the abundance of DHA and EPA pools. These are precursors for inflammation resolving factors (protectins, resolvins, and maresins). Since n-6 and n-3 fatty acids are generally regarded as pro-inflammatory, and anti-inflammatory, respectively, the cellular abundance of these forms in mast cells has consequences for tissue inflammatory responses.
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