Glucose transport in human peripheral blood lymphocytes influenced by type 2 diabetes mellitus

Introduction: The objective of this study was to evaluate glucose transport into lymphocytes in healthy subjects and patients with type 2 diabetes mellitus (DM) treated either with diet only or with insulin and to propose peripheral blood lymphocytes as a convenient model for cellular glucose transport studies. Materials and Methods: Sixty subjects with type 2 DM, 30 treated with diet only and 30 with insulin, were investigated. Thirty healthy subjects matched for age, weight, and sex served as a control group. Deoxy-D-glucose, 2-[³H(G)] transport was studied in isolated peripheral blood lymphocytes. Expression of glucose transporters was ascertained by immunocytochemical identification and by Western blotting. Results: In lymphocytes from the control group, deoxy-D-glucose uptake increased gradually with the duration of the experiment. In diabetics treated with insulin, the maximal increase in deoxy-D-glucose uptake was observed after 30 min of the investigation, followed by a plateau phase. In diabetics treated with diet, deoxy-D-glucose uptake increased slowly during the first 30 min. The presence of GLUT1 and GLUT3 in lymphocytes was confirmed in this study. Conclusions: Glucose transport into lymphocytes is altered in type 2 DM. In lymphocytes from diabetics, the dynamics of deoxy-D-glucose uptake significantly differed from that in healthy subjects. There was also a significant difference between the diabetic groups, representing different modes of therapy and stages of the disease. Glucose transport into lymphocytes is apparently influenced by DM as well as by the mode of therapy. We suggest that peripheral blood lymphocytes may become a promising model for studies on glucose transport in diabetes.     

Protein deficiency and performance of pigeons on a multiple schedule of reinforcement

Pigeons reared from 2 pairs of healthy pigeons were fed on diets of either adequate (18%), medium (11%), or low (8%) protein for the first 30 days of life. The subjects were then placed on the 18% diet from 30 days of age until training and testing which was begun at 60 ± 3 days of age. Performance on a MULT FR30 FI60 was evaluated and the differences in the time necessary for the medium and low groups to stabilize were found to be statistically significant. Massed extinction trials to the FI were then begun followed by a schedule of MULT FR EXT. Differences between the adequate and inadequate protein groups were again found in both conditions. Other qualitative differences were found among the goups which suggested an analog of emotional lability and retardation.     

Are beliefs elicited biased by question order? A theory of planned behaviour belief elicitation study about walking in the UK general population

Objectives. To elicit salient beliefs about walking for an average of 30 minutes per day, with the aims of investigating whether the order of Theory of Planned Behaviour (TPB) belief elicitation questions affects the number and types of beliefs elicited and whether affective and instrumental questions elicit different beliefs. Design. A 3 × 2×2 × 2 mixed factorial design was employed, with order of behavioural, normative and control questions, and affective and instrumental questions as between‐subjects variables, and affective/instrumental and positive/negative questions as within‐subjects variables. Method. Quota sampling with regards to age and gender (N = 180) was employed to obtain a sample that was broadly representative of the adult general population. Results. The order in which behavioural, normative and control beliefs were asked had little impact on the number or type of beliefs elicited. The affective/instrumental attitude distinction was supported. Few differences were apparent between older and younger respondents and between men and women. Conclusion. TPB belief elicitation studies are not biased by order effects. Interventions to promote walking should consider targeting affective beliefs, e.g. stress relief, in addition to beliefs about health, which is the traditional focus of health campaigns. Given the similarities in beliefs across demographic groups, ‘one size fits all’ interventions to promote walking are appropriate.     

The combination of L-arginine and ischaemic post-conditioning at the onset of reperfusion limits myocardial injury in the pig

Aim: To investigate whether ischaemic post‐conditioning (IPoC) combined with i.v. infusion of the nitric oxide (NO) substrate l ‐arginine at the onset of reperfusion exerts cardioprotective effect that is superior to either treatment given separately. Methods: Twenty‐six anesthetized pigs were subjected to coronary artery (left anterior descending artery, LAD) ligation for 40 min followed by 4 h reperfusion. The pigs were randomized into five different groups receiving either i.v. vehicle, i.v. l ‐arginine, IPoC 4 × 60 s together with i.v. vehicle or IPoC together with i.v. l ‐arginine and a group with IPoC 8 × 30 s. All infusions were started 10 min before reperfusion. Results: The infarct size of the vehicle group was 82 ± 4% of the area at risk. l ‐Arginine alone (79 ± 8%), IPoC 4 × 60 s vehicle (86 ± 3%) or IPoC 8 × 30 s vehicle (94 ± 7%) did not affect infarct size. l ‐Arginine together with IPoC significantly reduced infarct size to 59 ± 4% (P < 0.01). Except for higher LAD flow during early reperfusion in the IPoC l ‐arginine group, haemodynamic parameters did not differ between the four main groups. Heart rate and rate pressure product were lower during ischaemia and reperfusion in the IPoC 8 × 30 s vehicle group. In comparison with the vehicle group, there were no changes in the expression of Akt, phosphorylated Akt Ser⁴⁷³, inducible NO synthase, endothelial NO synthase (eNOS) or phosphorylated eNOS Ser¹¹⁷⁷ in the ischaemic/reperfused myocardium. Conclusion: l ‐Arginine given systemically at the onset of reperfusion protects the pig heart against ischaemia and reperfusion injury only when combined with IPoC. These results indicate that the combination of the two treatment strategies exerts cardioprotection.     

Maternal malnutrition in the rat: Effects on food intake and body weight

The effects of dietary protein level on food intake and body weight were examined in adult female rats during a 35-day pre-mating period and during gestation and lactation. During the pre-mating period, no differences in daily food intake were observed among rats fed a 6% casein, 8% casein or 25% casein diet. However, during this period, rats fed the 6% casein diet gained significantly less weight than those with ad lib access to the 8% or 25% casein diets or than rats pair-fed the 25% casein diet in amounts equivalent to that consumed by rats in the 6% or 8% casein groups. Additionally, rats fed the 6% casein diet displayed decreased efficiency of energy utilization, calculated as weight gain per 100 kilocalories consumed, relative to rats fed the 8% or 25% casein diets. No differences in food intake were observed among the groups during gestation. However, rats fed the 6% casein diet gained less weight than rats fed the 8% or 25% casein diets. During lactation rats fed either the 6% or 8% casein diet consumed significantly less food than animals given the 25% casein diet ad lib. During the second week of lactation, rats receiving ad lib access to the 25% casein diet gained weight while those receiving the 6% or 8% casein diets continued to lose weight. At parturition, body weights of pups did not differ as a function of dietary condition. However, by day 12 of life, pups whose dams had ad lib access to the 25% casein diet weighed significantly more than pups whose dams consumed the 6% or 8% casein diet or whose dams were pair-fed the 25% casein diet in amounts equivalent to those consumed by rats fed the 6% or 8% casein diet.     

The metabolic syndrome of fructose-fed rats: effects of long-chain polyunsaturated ω3 and ω6 fatty acids. II. Time course of changes in food intake, body weight, plasma glucose and insulin concentrations and insulin resistance

The time course for changes in food intake, body weight, plasma glucose and insulin concentrations and HOMA index was monitored over a period of 8 weeks in rats exposed from the 8th week after birth to diets containing either starch or fructose and sunflower oil. In two further groups of rats exposed to the fructose-rich diet part of the sunflower oil was substituted by either salmon oil rich in long-chain polyunsaturated ω3 fatty acids or safflower oil rich in long-chain polyunsaturated ω6 fatty acids. Despite lower food intake, the gain in body weight was higher in fructose-fed rats than in starch-fed rats. The supplementation of the fructose-rich diet by either ω3 or ω6 fatty acids lowered both food intake and body weight gain. The measurements of plasma glucose and insulin concentrations, HOMA index and insulinogenic index performed after overnight starvation were in fair agreement with those recorded at the occasion of an intraperitoneal glucose tolerance test, with higher values for plasma glucose concentration and HOMA index in the fructose-fed rats exposed to the sunflower oil (with or without enrichment with ω6 fatty acids) than in the starch-fed rats exposed to the sunflower oil or fructose-fed rats exposed to a diet enriched with ω3 fatty acids. Such was also the case for the measurements of glycated albumin at sacrifice. Moreover, the insulinogenic index was lower in the fructose-fed rats with or without dietary enrichment in ω6 fatty acids than in the fructose-fed rats with dietary enrichment in ω3 fatty acids. The elucidation of the biochemical determinants of the later difference requires further investigations in isolated pancreatic islets.     

Muscular reflex stimuli to the cardiovascular system during isometric contractions of muscle groups of different mass.

1. The cardiovascular responses to voluntary isometric contractions performed by human subjects are determined by the proportion of maximal tension achieved by the muscles contracting, and not by the mass of the contracting muscles, nor by the absolute tension achieved (Lind & McNicol, 1967; confirmed here). When two or more muscle groups contract simultaneously at different relative tensions, the increments in heart rate and blood pressure are the same as when the muscle group at the higher relative tension contracts alone at that tension (Lind & McNicol, 1967). It is known that there are both central and reflex stimuli to the cardiovascular system in exercise, and the present study examines whether the muscular reflex stimuli are related to the proportion of maximal tension achieved or to the mass of contracting muscle. 2. Isometric hind-limb contractions were induced in anaesthetized dogs and cats by stimulation of spinal ventral roots. Pressor responses to contraction of both hind limbs were greater than responses to contractions of either hind limb alone. No differences were observed between heart rate responses to single or combined hind-limb contractions. 3. When human subjects perform isometric contractions, a pressor response can be maintained beyond the conclusion of the exercise by occluding muscle blood flow. This response is generally attributed to a reflex set up in the muscle by the action of chemical factors on afferent nerves. When comparable pressor responses were evoked by comparable proportional efforts with either the whole hand or the little finger, it was found here that the pressor responses remaining during the period of post-exercise occlusion were greater when the greater mass of muscle had been exercised. 4. It is concluded that the muscular reflex drive in isometric exercise is related to the bulk of contracting muscle.     

Dietary fat content affects energy intake and weight gain independent of diet caloric density in rats

Recent considerations of high-fat diet hyperphagia have focused on fat's relatively high energy density as the critical variable which promotes overeating. However, a high-fat (HF) diet has been shown to enhance intake and weight gain relative to a high-carbohydrate (HC) diet when both energy density and palatability are equated [Am. J. Physiol. 269 (1995) R30]. The present studies investigated the generality of this finding across manipulations of diet caloric density, diet physical form, and chow availability. Separate groups of male rats were fed HF or HC at either 2.3 or 1.15 kcal/ml for 16 days; HF feeding enhanced weight gain relative to HC across both levels of energy density. HF hyperphagia also occurred when diets were presented in semisolid (gelled) form, and when chow was available in addition to liquid diet. These findings are consistent with previous observations that an HF diet can enhance daily kilocalorie intake and weight gain at least partly via a mechanism that is unrelated to caloric density.     

Efficacy of a self-management intervention for weight control in overweight and obese adults: a randomized controlled trial

Brief self-management interventions to engender successful weight maintenance are seldom tested in obese and overweight populations without diabetes. To test the efficacy of the intervention, aimed at improving proactive coping, in obese and overweight adults at risk for diabetes. Participants (N = 255) were randomly assigned to two experimental groups (N = 185) and a control group (N = 70). Experimental groups received the same intervention in week 1–8 (initial phase) and booster sessions with different content (“standard” vs. “relapse prevention”) during week 9–24 (continuance phase). Primary outcomes were proactive coping, diet and Body Mass Index (BMI) at four time points (1 year between first and last measurement). Experimental groups improved in proactive coping during the initial phase and BMI during the continuance phase, whereas the control group did not. No differences emerged in diet. Brief self-management interventions can play a preventive role in chronic illnesses associated with obesity.     

Cold-induced vasodilatation in the foot is not homogenous or trainable over repeated cold exposure

Cold-induced vasodilatation (CIVD) is proposed to be a protective response to preserve tissue integrity in the extremities during cold exposure, but little research exists on either the trainability or the spatial pattern of CIVD response in the foot. We investigated the thermal response across the foot with repeated cold exposure. Ten healthy subjects immersed their left foot to the ankle in 8°C water for 30 min 5 days/week for 3 weeks. Skin temperature was recorded on the medial side of the nail bed of the 5 toes and the dorsum of the foot. The presence of CIVD, defined as an increase of 1°C at any time during cooling, was rare with our protocol. While a CIVD response was observed at least once in 8 of the 10 subjects, only 122 instances of CIVD were observed out of a total of 900 possible observations (10 subjects × 6 sites × 15 trials). Furthermore, thermal habituation was not evident, with toe temperatures at the end of each immersion (8–11°C) remaining near water temperature throughout the 15 sessions. Even within the two subjects exhibiting the most incidence of CIVD, high variability existed in the occurrence, magnitude, and/or onset times. Synchronicity was often observed where more than one toe exhibited CIVD, though the magnitude varied greatly (range 1–9°C). We conclude that, under realistic conditions of whole-foot immersion in cold water, CIVD is not a common or trainable response.     

小檗碱改善高脂饮食大鼠的胰岛素抵抗

目的:观察小檗碱是否能改善高脂饮食诱导的胰岛素抵抗,以探讨小檗碱干预糖耐量受损(IGT)的可能性。方法:8周龄雄性SD大鼠29只,分为正常组(NC,n=9)和高脂组(HF,n=20)。高脂饲料喂养14周后高脂组分为二组,10只大鼠继续喂养高脂饮食,另一小檗碱组(HF B,n=10)每天灌胃小檗碱150mg/kg体重,治疗6周后进行口服葡萄糖耐量试验和胰岛素耐量试验(ITT),评估小檗碱对胰岛素敏感性的影响。结果:HF组大鼠体重、肝重和附睾脂肪重量均明显高于HF B和NC组(均P<0.01),HF B组空腹血糖和葡萄糖负荷后2h血糖明显低于HF组(分别为5.70±0.52mmol/Lvs6.66±0.51mmol/L和7.88±0.46mmol/Lvs8.85±1.01mmol/L),空腹和葡萄糖负荷后2h胰岛素HF B组也显著低于HF组(分别为0.63±0.25ng/mlvs1.64±0.68ng/ml和1.20±0.21ng/mlvs3.60±0.36ng/ml)。各时间点血糖和胰岛素HF组均显著高于NC组(均P<0.01)。Homa胰岛素抵抗指数HF组明显高于HF B组(P<0.01)。ITT腹腔注射胰岛素后各时间点血糖下降幅度HF B组均高于HF组,15min时HF B组血糖下降23%,而HF组仅下降7%。结论:长期高脂饮食可导致大鼠胰岛素抵抗,小檗碱明显降低高脂大鼠的高胰岛素血症,改善胰岛素抵抗,因此适合于IGT的干预。     

高脂饮食诱发血糖升高的动物模型中瘦素与胰岛素变化的关系

高脂饲料喂养大鼠,诱发胰岛素抵抗形成血糖升高,以研究瘦素与糖尿病的关系。将大鼠分为正常和高脂饲料喂养组,于喂养前及喂养30、60d时测血糖、瘦素与胰岛素水平,行高胰岛素正常血糖钳夹试验,最后分离分离脂肪称重。结果：高脂饮食组具有明显的胰岛素抵抗,有50％血糖升至8．3mmol/L以上;形成糖尿病的大鼠体重与对照组无明显区别;高脂饮食组瘦素与胰岛素水平与对照组比较有明显差异;所有大鼠瘦素水平与体重、胰岛素、血糖均呈正相关。结论：（1）高脂饮食是导致胰岛素抵抗形成糖尿病的诱因之一;（2）体脂含量与糖尿病正相关;（3）瘦素抵抗与胰岛素抵抗形成糖尿病的发病机制可能有关;（4）瘦素水平随着鼠龄的增加而增高,且参与体重的调节。     

Contributions of visual and proprioceptive information to travelled distance estimation during changing sensory congruencies

Recent research has provided evidence that visual and body-based cues (vestibular, proprioceptive and efference copy) are integrated using a weighted linear sum during walking and passive transport. However, little is known about the specific weighting of visual information when combined with proprioceptive inputs alone, in the absence of vestibular information about forward self-motion. Therefore, in this study, participants walked in place on a stationary treadmill while dynamic visual information was updated in real time via a head-mounted display. The task required participants to travel a predefined distance and subsequently match this distance by adjusting an egocentric, in-depth target using a game controller. Travelled distance information was provided either through visual cues alone, proprioceptive cues alone or both cues combined. In the combined cue condition, the relationship between the two cues was manipulated by either changing the visual gain across trials (0.7×, 1.0×, 1.4×; Exp. 1) or the proprioceptive gain across trials (0.7×, 1.0×, 1.4×; Exp. 2). Results demonstrated an overall higher weighting of proprioception over vision. These weights were scaled, however, as a function of which sensory input provided more stable information across trials. Specifically, when visual gain was constantly manipulated, proprioceptive weights were higher than when proprioceptive gain was constantly manipulated. These results therefore reveal interesting characteristics of cue-weighting within the context of unfolding spatio-temporal cue dynamics.     

Effects of Instructions and Contingency of Reinforcement on the Operant Conditioning of Human Phasic Heart Rate Change

The aim of these studies was to determine the effects of instructions and reinforcement contingency on phasic heart rate (HR) change. In Exp. I, 36 human subjects were given 20 conditioning trials with a muscletensing task which produced a phasic HR acceleration. The experimental manipulation produced an elevated baseline and allowed for the observation of instructed HR change during exercise. A 2 × 2 between subject design varied instructions (to increase or decrease the phasic tension-induced HR acceleration) and contingency (whether the verbal reinforcement was contingent on or unrelated to HR change) as factors. There was a significant instructional effect at the end of conditioning, with increase subjects producing more HR acceleration and decrease subjects less acceleration relative to pretrials. The instructional effect developed over trials and decrease subjects significantly improved with practice. There was no difference between contingent and non-contingent groups in either of the two conditions in ability to change HR in the instructed direction. This study shows the usefulness of the elevated baseline technique for cardiac research. A second experiment demonstrated that, in subjects not instructed to attempt HR change, the phasic HR response did not change in magnitude over conditioning. The results of these studies indicate that subjects are able to control phasic HR during physical-stress induced tension but biofeedback is not relevant for the production of such HR changes.     

Phentolamine stimulates insulin release and glucose clearance and suppresses food ingestion

In Experiment One, phentolamine (PTA), an alpha-adrenergic blocker, was injected in rats at doses of 0, 50, 100, 200, and 300 micrograms/kg following a 4-hr fast. Measurement of food intake 1-hr postinjection revealed that 300 micrograms/kg PTA reduced food intake. Experiment Two evaluated the potential aversiveness of 300 micrograms/kg PTA. Four-hour fasted rats were adapted to a milk diet as the only food source during a 1-hr intake measurement period. After the 15-day adaptation period, three separate groups of animals (n = 8 per group) received the milk with cherry flavoring added and infections of either 1% body weight 0.9 NaCl, isosmotic LiCl or 300 micrograms/kg PTA. Only those subjects that had received LiCl injections developed a reliable aversion to the cherry-flavored milk. The final experiments subdivided the 1-hr feeding period into three 20-min segments and, in separate animals, food intake or plasma insulin and glucose changes were assessed. The animals were assigned to one of two groups receiving either 300 micrograms/kg PTA or equivolume 0.9% NaCl. PTA-injected subjects showed an immediate modest enhancement of insulin release during the first 20-min feeding segment following injection, compared to controls, while blood glucose levels decreased but never differed reliably between groups. Food intake was reliably suppressed in the second and third 20-min segments for the PTA-injected rats. We advance that PTA by enhancing glucose clearance may be reducing ingestion.     

Lysine deficiency reduces transcription activity and concentration of chromatin proteins reversibly in rat liver

The reversible effect of dietary lysine deficiency was studied in young adult rats. During 6 days on a lysine deficient diet the rats maintained the same body weight. During 2 days of recovery body weight gain was that of the controls. Liver nuclei were isolated, incubated with micrococcus nuclease and chromatin fractionated into a 2000 ×g pellet. 102 000 ×g pellet and supernatant fraction. Chromatin-bound RNA polymerase I plus III activity decreased by 15% per mg of fractional and nuclear DNA and by 30% per total liver. The corresponding decrease of RNA polymerase II activity was 30% and 40%. Recovery from lysine deficiency was complete after 2 days of refeeding the amino acid. Chromatin proteins of the 102000 ×g pellet were characterized by polyacrylamide gel electrophoresis in sodium dodecylsulfate and by 2-dimensional gel electrophoresis. Quantitative but no qualitative differences between the proteins of the dietary groups were observed. Relative to DNA the non-histone proteins decreased in the lysine deficient group by 43% and histones by 10%. It is concluded that RNA synthesis is restored to its original level within 2 days of refeeding lysine after 6 days of lysine deficiency.     

Hepatic vagotomy disrupts somatotropin-induced protein selection

Rats treated with somatotropin (STH) and allowed to self-select between diets varying in protein content will consume more of the high-protein diet. The objective of this study was to determine the role of the hepatic vagus nerve in this ability to select protein. Female Sprague-Dawley rats (n=40) received a hepatic vagotomy (HVAGX) or a sham surgery. Postsurgery, the rats were maintained on pelleted diets for 2 weeks, after which the rats were adapted to selecting between powdered diets with 5% casein and 30% casein. After a 7-day adaptation to diet selection, rats in each surgical treatment group were treated with STH (4 mg/day) or physiological saline for 14 days. Body weight and intake were recorded daily. STH treatment increased growth rate to a similar degree in both sham and HVAGX groups. Despite causing an increase in total food intake, there was no effect of HVAGX alone on body weight. Relative to the sham-saline group, sham-STH in treated rats had greater total food intake that was accounted for entirely by increased consumption of the 30% protein diet and no change in intake of the 5% diet. In contrast, HVAGX+STH rats exhibited 20-30% increases in consumption of both the 5% and 30% protein diets. Thus, the HVAGX+STH rats recognized an increased need for protein, but were unable to distinguish between the high- and low-protein diets and selected more of both. The data suggest that the ability to alter diet selection in response to a stimulation of protein accretion is at least partially mediated through the liver and hepatic branch of the vagus nerve.     

The effects of creatine supplementation on high-intensity exercise performance in elite performers

The aim of this research was to determine whether creatine supplementation at a dose of 20?g?· day^?1, given in 4?×?6-g doses (5?g creatine monohydrate and 1?g glucose) for 5 days, was effective in improving kayak ergometer performances of different durations. Sixteen male subjects with the following characteristics [mean (SEM)]: age 21 (1.2) years, height 170.2 (1.7) cm, weight 75.3 (2.3) kg, Σ8 skinfolds 59.3 (2.6) mm, and maximal oxygen consumption 67.1?±?(4.3) ml?·?kg?· min^?1, undertook three maximal kayak ergometer tests of 90, 150 and 300?s duration on a wind-braked kayak ergometer (CON). Two groups were then randomly formed, with one group taking the supplement (SUP) while the other took a placebo (PLAC). No pre-test differences existed between the SUP and the PLAC groups in any of the variables measured. After supplementation each group then repeated the same kayak ergometer tests as performed previously and after a 4-week “washout period” the groups took either the PLAC or SUP for another 5 days and then completed the final tests. The SUP group completed significantly more work than either the CON or PLAC groups in all of the tests (90 s, P?P?P?P?相似文献   

二甲双胍对非典型抗精神病药物所致代谢综合症的影响

目的:研究二甲双胍对非典型抗精神病药物所致的代谢综合征的治疗效果,为临床干预提供依据。方法:调取2013-2015年我院收治的100例非典型抗精神病药物所致代谢综合征患者为研究对象,根据干预方式的不同分为药物组和非药物组,药物组给予盐酸二甲双胍治疗,非药物组给予运动加食疗,比较两组患者持续治疗3个月后的腰围、体质指数、血压、血糖及血脂。结果:两组患者相比治疗前的各项指标均有所改善,药物组患者经二甲双胍治疗3个月后相比非药物组的腰围、体质指数、舒张压、收缩压、空腹血糖、饭后2h血糖、血清甘油三酯指标比较差异均有显著性意义(t=-7.46,P0.001;t=-7.28,P0.001;t=-3.48,P0.001;t=-2.10,P0.05;t=-5.75,P0.001;t=-7.05,P0.001;t=-7.24,P0.001),仅高密度脂蛋白胆固醇改善不显著。结论 :二甲双胍治疗非典型抗精神病药物所致代谢综合征效果满意,可有效控制患者的血糖、血脂、血压水平,同时纠正其体重增加与糖代谢紊乱的情况。