用户名: 密码: 验证码:
壳寡糖及其配合物对糖尿病的作用研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
糖尿病(Diabetes mellitus,DM)是一种常见的内分泌代谢病,具有遗传倾向,是由于胰岛素绝对或相对不足所致的血糖及尿糖增高为主要特征的并导致糖、蛋白和脂肪代谢障碍全身慢性代谢异常综合症,可引发心脑血管、肾、眼及神经等多种并发症,危害性大。据WHO报告,糖尿病已成为世界上继恶性肿瘤、心脑血管病后第3位严重威胁人类健康的慢性非传染性疾病。
     壳寡糖(chitooligosaccharides,COS)是壳聚糖的降解产物,分子量小,溶于水,可被人体、动物及植物机体吸收利用。研究发现,壳寡糖和壳聚糖不仅具有一些相似的性质,而且一些生理活性或功能性质更加显著,如作为功能性食品具有提高机体免疫、抗肿瘤、调节血脂、抗感染、防治病原生物感染、促进双歧杆菌生长等功能,尤其是在糖尿病的防治研究方面有潜在的应用价值。
     本论文首先在均相条件下,以醋酸酐为乙酰化试剂对壳聚糖〔脱乙酰度90%)进行N-乙酰化反应,制备出脱乙酰度50%和70%左右的壳聚糖。通过壳聚糖酶降解壳聚糖制备出水溶性不同分子量和不同脱乙酰度的系列壳寡糖。并以壳寡糖为原料,制备出了含有铬、钒、硒的壳寡糖配合物,并通过紫外光谱(UV)、红外光谱(FT/IR)、元素分析(EA〕和铬、钒、硒的含量测定分析,确证了壳寡糖与元素的结合形式。
     在细胞水平上,通过形态学观察、MTT比色法、放射免疫等方法进行不同分子量、不同脱乙酰度的系列壳寡糖及其配合物对大鼠原代培养的胰岛细胞和胰岛β细胞系NIT-1细胞的增殖及促胰岛素分泌作用的试验,以及对其细胞毒性的影响;通过形态学观察、MTT比色法、DNA凝胶电泳、彗星电泳等方法研究不同分子量、不同脱乙酰度的系列壳寡糖及其配合物对链脲佐菌素损伤胰岛β细胞的保护和抑制细胞凋亡的作用。
     实验结果表明,不同分子量以及不同脱乙酰度的系列壳寡糖及其配合物均能明显促进大鼠胰岛β细胞的生长。低分子量高脱乙酰度的壳寡糖在一代生长期内能显著促进胰岛β细胞的生长,在刺激大鼠胰岛β细胞胰岛素的释放方面也效果显著。另外,以STZ处理的NIT-1细胞符合细胞凋亡的形态学特征, DNA发生了断裂,形成凋亡细胞特有的DNA改变;低分子量、高脱乙酰度的壳寡糖可以抑制链脲佐菌素诱导的胰岛β细胞凋亡,对受损的胰岛β细胞有显著的保护作用。细胞毒性实验结果表明,壳寡糖及其配合物是安全可靠的生物制品,为今后壳寡糖及其配合物应用于糖尿病的研究提供了理论依据。
     采用一次性腹腔内注射(ip)STZ制备糖尿病大鼠模型,随机分成糖尿病治疗组、糖尿病对照组、正常对照组。治疗组分高、中、低剂量三组分别按每日250、500、1500 mg·kg-1灌胃壳寡糖水溶液,糖尿病对照组、正常组灌胃同体积的水连续60d,每10d测一次血糖值。60d后:①做糖耐量试验,按2.5g·kg-1体重灌胃(ig)葡萄糖水溶液,测定各组大鼠0h、0.5h、1h、2h血糖值;②对DM大鼠血清中抗氧化、血脂、肝功能及肾功能等指标进行测定;③对胰、肝、脾、肾、胸腺等脏器称重,计算器官系数;④对胰腺、肝、肾脏、骨骼肌做病理组织学检查;⑤测定肝、肌糖原含量;⑥对大鼠肠道菌群培养,鉴定,计算B/E值。
     实验结果表明,不同剂量的壳寡糖均能不同程度的改善糖尿病大鼠的体重减轻、多饮、多食症状;降低2h血糖值和尿糖;改善葡萄糖耐量。中剂量组餐后2h血糖值降至16.14mmol·L-1,降糖率达到47.48%,糖耐量曲线下面积(AUC)为68.69%与正常组比较有极显著差异(P<0.01)。壳寡糖各剂量组对总抗氧化能力,SOD活力均有显著改善,MDA浓度越少。中剂量组载脂蛋白B质量浓度和载脂A1/载脂B值与阴性对照组比较有显著差异;中、高剂量组可以显著降低血清中尿素氮、谷丙转氨酶、谷草转氨酶、总胆红素、间接胆红素、N-乙酰氨基葡萄糖苷酶及尿液中尿素氮/肌酐、总蛋白/肌酐、N-乙酰氨基葡萄糖苷酶/肌酐的水平,并提高血清中总蛋白、白蛋白、球蛋白、白球比、谷草/谷丙比值;不同剂量的壳寡糖对胰腺、肝、肾脏均有保护作用,可以增加胰腺指数,降低肝、肾脏指数。病理学组织检查表明壳寡糖组均能不同程度地减轻胰岛萎缩、数量减少、胰岛细胞丢失、核固缩等胰岛细胞退行性改变症状。PAS染色显示,壳寡糖各组肝索排列整齐,脂变程度低,骨骼肌和肝组织糖原比模型组明显增多。壳寡糖组可以使大肠肝菌和肠球菌数量下降,乳酸杆菌和双歧杆菌的数量上升, B/E值升高。
     结论:壳寡糖能改善糖尿病大鼠的体重减轻、多饮、多食等症状,降低2h血糖值和尿糖,改善葡萄糖耐量;调节糖尿病大鼠血脂和提高其机体抗氧化能力;对胰腺、肝脏、肾脏均有保护作用;对肠道微生态均有调节作用;降低骨骼肌和肝组织的糖原输出性的作用可能是其降血糖机制之一。
The diabetes mellitus (DM) is a kind of endocrine metabolism disease, having the heredity tendency caused by absolute or opposite hyposecretion of insulin. The high plasma glucose and urine glucose are it’s main characteristics, which usually leads to the metabolize obstacle of sugar, protein and fat, also many organ systems have significant long-term complications in such things as, cardiovascular, cerebrovascular, retinopathy, nephropathy and neuropathy, result in the very big bane. Diabetes mellitus is a disease with high prevalence all over the world that grows almost at epidemic rates. The long-term tissue complications that affect small and large blood vessels are directly connected with the time that the patients suffer of hyperglycemia. Diabetes has become the third chronic uncontagious disease, which threatens the human health seriously after malignancy, cardiovascular and cerebrovascular problems. Chitooligosaccharides(COS) can be obtained by degradation of chitosan, which has the less molecular weight than a chitosan, it dissolves easily in water so it can be absorbed and utilized by the human body, animals and plant organisms. It has been found through research, that the chitooligosaccharides not only has familiar characteristics with chitosan,but also has the other physiology activities and pharmacological effects, such as improving the organism’s immunity, regulating plasma liquid and the effects of antitumor etc. COS possess various biological activities and have a considerable potential to be utilized in diabetes mellitus applications.
     Being treated with acetic anhydride under homogeneous conditions,chitosan(D.D.=90%)can be used to prepare 50%、70% degree of deacetylation chitosan by controlled partial N-acetylationmethod.Then soluble chitooligosaccharides were prepared by enzymatic hydrolysis of chitosan with the chitosanase. one had the different molecular weight, and the other had the same molecular weight but different degree of deacetylation.What’s more the preparations of COS-Cr,COS-VO,COS-Se had been studied. The characterization results of UV ,FT/IR, EA indicated that Cr3+、VO2+、SeO32- are attached to C2 amino and C6 hydroxyl hydroxyl group of chitooligosaccharides.
     In vitro,the effect of varying molecular and degree of deacetylation COS and COS-Cr,COS-VO,COS-Se on the proliferation of pancreatic islet cells and the release of insulin were detected with optical microscope、MTT colorimetric assay、radioimmunoassay methods respectively. In addition to, we studied the cytotoxicity of different samples. What’s more ,the protective effect of varying molecular and degree of deacetylation COS and COS-Cr,COS-VO,COS-Se on the DNA damage of pancreasticβcells induced by streptozotocin were detected with optical microscope、MTT colorimetric assay、DNA gel electrophoresis and Comet assay methods respectively.
     The results manifest that varying molecular and degree of deacetylation COS and COS-Cr,COS-VO,COS-Se can stimulate the growth of islet cell which has outstanding molecular-dependence. These different molecular and degree of deacetylation samples all can stimulate the isletβcell release insulin. Our study indicate that lower molecular weight and 90% degree of deacetylation COS ,can improve the overgrowth of pancreatic isletβcells very much ,and which also leads to a increase in insulin secretion of pancreatic cells.The cytotoxicity experiment demonstrates that COS and COS-Cr,COS-VO,COS-Se is security.
     The results show that long time exposure to STZ is capable of causing a significant increase in DNA damage levels. Conversely, no induction of DNA damage was observed in lower molecular weight and 90% degree of deacetylation COS treated group(500 mg·L-1) in vitro treatment of NIT-1 cell lines. Similar differences in DNA damage between other COS groups and positive control group were observed after treatments with STZ ,2mM . The results indicate that the lower molecular weight and 90% degree of deacetylation COS has prominent protective effect on the NIT-1 cells induced by STZ and can prohibit the apoptosis of NIT-1 cells.
     The diabetic model of Wistar rats was duplicated with STZ once intraperitoneally(65mg·kg-1), then divided into diabetes treating groups ,diabetes control groups and normol groups randomly. The diabetes treating groups were administered (ig) chitooligosaccharides at dose of 250、500、1500 mg·kg-1 daily for successive 60d. Each group measured the plasma glucose every 10 days. after 60 days feeding study:①oral glucose tolerance test was examined;②the effects of COS on regulating plasma lipid and antioxidant ability of DM mouse were measured ,the index about the function of kidney、liver in plasma and urine were evaluated;③weight of pancreas、thymus、spleen、liver、kidney were measured and calculated the coefficient of organs;④pancreas、liver、kidney and muscle were examined by pathlogic methods;⑤The hepatic and muscular glycogen levels were detected by anthrone;⑥the intestinal flora were cultured、calculated and identified,the counts of B/E were also calculated.
     All dose of chitooligosaccharides have effective effects on the general clinical symptom of DM rats,decrease the 2hPG and urine glucose, normalize the disorders of glucose tolerance.Chitooligosaccharides of 500 mg·kg-1 daily decrease the plasma glucose to 16.14mmol·L-1,the decrease rate is 47.48%,and the AUC (Areu Under Curve) in oral glucose tolerance is merely 68.69%, compare with DM group have significant difference(P<0.01).All dose of chitooligosaccharides improve the capability of T-AOC and activity of SOD,decrease the content of MDA drastically, and have significant difference(P<0.01)compare with DM group. All dose of chitooligosaccharides decrease the level of TG,ApoB and A/B, have significant difference compare with DM group. High and middle dose of chitooligosaccharides decrease the level of BUN、ALT、AST、TBIL、IBIL、NAG in plasma and BUN/Cr、TP/Cr、NAG/Cr in urine,increase the level of TP、ALB、GLO、A/G、AST/ALT, compare with DM group have significant difference. All dose of chitooligosaccharides have protective effects on the pancreastic islet、kidney、liver,increase the coefficient of pancreas and decrease the coefficient of kidney and liver. Morphological investigation on pancreas show different dose of chitooligo saccharides had different effects on the reduction of islets,loss of pancreastic cells,nuclear pyknosis of pancreastic cells,etc. The normal liver structure and abundant glycogen are observed in the treatment group .There are obvious liver fatty degeneration and little or no glycogen in diabetes group. After administration with chitooligo- saccharides,the numbers of Bifidobacteria and Lactobacillus increase significantly,but the numbers of pathogenetic E.coli and Enterococcus decrease significantly, compare with DM group.The counts of B/E also increase significantly accordingly.
     In conclusion, chitooligosaccharides has effective effects on the general clinical symptom, 2hPG and urine glucose, disorders of glucose tolerance, regulating plasma lipid and improving antioxidant ability , normalize the index about the function of kidney and liver in plasma and urine, protecting the pancreastic islet、kidney and liver of DM rats. The effects of increase the glycogen storage of liver and muscle, maybe one of the mechanism about chitooligosaccharides’effects on decreasing the plasma glucose.
引文
〔1〕Shorr RI,Ray WA,Daughterty,et al.Incidence and risk factors for serious hypogly cemia in older persons using insulin or sulfonylureas.Arch Intern Med,1997,157(15):1681-1686
    〔2〕应素芬.老年糖尿病患者口服降糖药物致低血糖15例.浙江医学,1995,17(6):366- 366
    〔3〕刘振平,陆菊明.老年人糖尿病.中华老年医学杂志,1997,16(4):249-252
    〔4〕闻芝梅,陈君石,主译.现代营养学.第7版.北京:人民卫生出版社,1998.424
    〔5〕李斌.老年性糖原病.国外医学老年医学分册,1997,18(6):268
    〔6〕王燕燕,陈家伟.磺脲类药物对心血管系统影响的进一步探讨.中华内分泌代谢杂志,2002,18(1):76-77
    〔7〕王维力.老年人糖尿病的综合临床防治.中华老年医学杂志,1999,18(2):71-72
    〔8〕Singh I,Marshall MC Jr,Diabetes mellitus in the elderly. Endocrinol Metab Clin North Am,1995,24(2):255-272
    〔9〕李宝瑗.格列酮类口服胰岛素增敏剂的研究进展.天津药学,2002,14(1):2-5
    〔10〕傅祖植,王佑民.Ⅱ型糖尿病的综合治疗.中华内分泌代谢杂志,2000,16 (6):389- 391
    〔11〕胡继飞.甲壳质及其衍生物的开发利用.生物技术,1994,(4):45-47
    〔12〕张立彦,曾庆孝.酶法在低聚壳聚糖制备上的研究现状及展望.湛江海洋大学学报,2000,20(4):72-77
    〔13〕蒋挺大.壳聚糖.第一版.北京:化学工业出版社,2001.7-18
    〔14〕竺国芳,赵鲁杭.几顶寡糖和壳寡糖的研究进展.中国海洋药物,2000,73(1):43-46
    〔15〕Ouchi T,Banba T,Matsumoto T,et al.Synthesis and antitumor activity of conjugates of 5 - fluorouracil and chito-oligosaccharides involving a hexamethylene spacer group and carbamoyl bonds.Drug Des Delv,1990,6(4):281-287
    〔16〕Suzuki K,Tokoro A,Okawa Y,et al.Effect of N -acetylchito-oligosaccharides on activation of phagocytes.Microbiol Immunol,1986,30(8):777-787
    〔17〕Tokor A ,Suzuki K, Matsumoto T,et al.Chemotactic response of human neutrophils to N - acetyl chitohexaose in vitro.Microbiol Immunol,1998,32(4): 387-395
    〔18〕王中和,陆顺娟,胡海生,等.低分子壳多糖对癌症放疗患者免疫功能的影响.首都医科大学学报,1997,18(1):80
    〔19〕Sugano M,Watanabe S,Kishi A,et al.Hypocholesterolemic Action of Chitosans with Different Viscosity in Rats.Lipids,1988,23(3):187-191
    〔20〕Ito M,Ban A,Ishihara M.Anti-ulcer effects of chitin and chitosan, healthyfoods, in rats.Jpn J Pharmacol,2000,82(3):218-225
    〔21〕Savard T,Beaulieu C,Boucher I,Champagne CP.Antimicrobial action of hydrolyzed chitosan against spoilage yeasts and lactic acid bacteria of fermented vegetables. J Food Prot,2002,65(5):828-833
    〔22〕Tsai GJ,Wu ZY,Su WH.Antibacterial activity of a chitooligosaccharide mixture prepared by cellulase digestion of shrimp chitosan and its application to milk preservation.J Food Prot,2000,63(6):747-752
    〔23〕夏文水,张帆,何新益.甲壳低聚糖抗菌作用及其在食品保藏中的应用.无锡轻工大学学报,1998,17(4):10-14
    〔24〕陈西广,王真,刘万顺,等.6-O-羧甲基壳多糖的细胞毒性效应研究.青岛海洋大学学报,2000,430(2)Ⅱ:221-224
    〔25〕李亦文,薛淼,等.智能水凝胶薄膜的制备及体外细胞相容性研究.上海第二医科大学学报,1997,17(4):293-295
    〔26〕保健食品检验与评价技术规范.中华人民共和国卫生部,2003.177-180
    〔27〕中药新药研究指南(药学、药理、毒理学).中华人民共和国卫生部药政管理局, 1994.203-215
    〔28〕纪云晶.实用毒理学手册.北京:中国环境科学出版社,1991.58
    〔29〕苗明三.实验动物与动物实验技术.北京:中国中医药出版社,1997
    〔30〕袁伯俊,王治乔.新药临床前安全评价与实验.北京:军事医学科学出版社,1997.23
    〔31〕新药临床前研究指导原则汇编.中华人民共和国卫生部药政司.北京:卫生部药政管理局,1993.198
    〔32〕中药新药研究指南.中药新药毒理学研究指南.原中华人民共和国卫生部药政管理局, 1994.203
    〔33〕新药审批办法《有关中药部份的修订和补充规定》.卫生部.1992
    〔34〕新药审批办法.卫生部药政处.1991.18
    〔35〕新药审批办法及有关法规汇编(一).卫生部药品审评办公室,1992.213-215
    〔36〕刘万顺,陈西广,等.羧甲基壳多糖毒理学研究.中国海洋药物,1997,3:17-19
    〔37〕Hellerstrom C, Andersson A,et al .Respiration of the pancreatic B-cell: effects of glucose and 2-aminonorbornane-2-carboxylic acid.Horm Metab Res Suppl 1980,Suppl(10):37-43
    〔38〕Tajiri Y,Grill VE.Interactions between vitamin E and glucose on B-cell function in the rat: an in vivo and in vitro study.Pancreas,1999,18(3):274-281
    〔39〕Lambillotte C,Gilon P,et al.Direct glucocorticoid inhibition of insulin secretion. An in vitro study of dexamethasone effects in mouse islets.J Clin Invest 1997,99(3):414-423
    〔40〕Kawai M,Kishi K.In vitro studies of the stimulation of insulin secretion and B-cell proliferation by rat placental lactogen-Ⅱduring pregnancy in rats. J Reprod Fertil,1997,109(1):145-152
    〔41〕Sandler S,Andersson A,et al.Tissue culture of human fetal pancreas: growth hormone stimulates the formation and insulin production of islet-like cell clusters. J Clin Endocrinol Metab,1987,65(6):1154-1158
    〔42〕Crepaldi-Alves SC,Carneiro EM,et al.Synergistic effect of glucose and prolation on GLUT2 expression in cultured neonatal islet.Braz J Med Biol Res 1997,30(2):359-361
    〔43〕董维平,张洪德,王煜非,等.胰岛移植物质量鉴定方法的研究.中华器官移植杂志,1998,19(4):205-207
    〔44〕Latif ZA,Noel J,Alejandro R.A simple method of staining fresh and cultured islets.Transplantation,1988,45(4):827-829
    〔45〕Singh NP,McCoy MT,Tice RR,et al.A simple technique for low levels of DNA damage in individual cells.ExpCellRes,1988,175:184-191
    〔46〕沈守祥,董砚虎,逢力男,等.SD大鼠胰岛细胞培养技术的研究.中华器官移植杂志,1995,16(4):158-160
    〔47〕Jahr H,Pfeiffer G,Hering BJ,et al.Endotoxin-mediated activation of cytolcine production in human PBMCs by collagenase and Ficoll.J Mol Med,1999,77:118-120
    〔48〕Salvalaggio PR,Deng S,Ariyan CE,et al.Islet filtration: a simple and rapid new purification procedure thatavoids ficoll and improves islet mass and function.Transplantation,2002,74(6):877-879
    〔49〕张梅,刘超,杨涛,董凌燕.大鼠胰岛制备用于同种异体移植的初步研究.南京医科大学学报(自然科学版),2003,23(4):322-324
    〔50〕Pettpher CC,Ledoux SP,VA,et al.Pepair of Alkalilabile sites within the mitochondrial DNA of RINr 38 cells after exposure to the nitrosourea streptozotocin.J Bio Chem,1991,266(3):113
    〔51〕Papaccio G,Frascatore S,Esposito V,et al.Early macrophage infiltration in mice treated with low-dose streptozotocin decreases islet superoxide dismutase levels:Prevention by silica pretreatment.Acta Anat,1991,142(2):141
    〔52〕Takasa N,Komiya I,Asawa T,et al.Streptozotocin-and Alloxan-induced H202 generation and DNA fragmentation in pancreatic islets.Diabetes,1991,40(9):1141
    〔53〕Kaneto H.Apoptotic cell Death Triggered by Nitric Oxide in Pancreaticβ-cells.Diabetes,1995,44:733
    〔54〕陈道瑾,徐菊芬.狗全胰切除制作实验性糖尿病模型.中华实验外科杂志,1992,9(1):30-31
    〔55〕Pettepher CC,Ledoux SP,Bohr VA,et al.Repair of Alkali-labile sites within the mitochondrial DNA of RINr 38 cells after exposure to the nitrosourea streptozotocin.J Bio Chem,1991,266(5):3113-3117
    〔56〕于德民,袁咏.实验性链脲佐菌素糖尿病动物模型的研究.中国糖尿病杂志,1995,3(2):105-109
    〔57〕Papaccio G, Frascatore S , Esposito V , et al. Early macrophage infiltration in mice treated with low - dose streptozotocin decreases islet superoxide dismutase levels : Prevention by silica pretreatment.Acta Anat,1991,142(2): 141-146
    〔58〕Takasu N ,Komiya I ,Asawa T,et al. Streptozotocin - and Alloxan- induced H202 generation and DNA fragmentation in pancreatic islets.Diabetes,1991 ,40(9):1141-1145
    〔59〕郑里翔.STZ和Alloxan联合使用复制实验性糖尿病大鼠模型.中国病理生理杂志,1999,15(8):758-759
    〔60〕刘学政,郭凤芸,萧鸿,等.实验性糖尿病大鼠视网膜毛细血管变化规律的血管铺片形态学观察.锦州医学院学报,1999,20(1):8
    〔61〕刘健,王克模.大鼠糖尿病痛过敏模型的建立.西安医科大学学报,1996,17(2):136-139
    〔62〕孙子林,葛祖恺.糖尿病动物模型及其进展.中国糖尿病杂志,1999,7(4):227-229
    〔63〕Andre I,Gonzalez A,Wang B,et al.Checkpoints in the progression of autoimmune disease:lessons from diabetes models.Proc Natl Acad Sci USA,1996,93(6):2260-2263
    〔64〕Moller DE.Transgenic approaches to the pathogenesis of NIDDM.Diabetes,1994,43(12):1394-1401
    〔65〕Ormrod DJ,Holmes CC,Miller TE.Dietary chitosan inhibits hyper- cholesterolaemia and atherogenesis in the apolipoprotein E-deficient mouse model of athexosclexosis. Athexosclexosis,1998,138(2):329-334
    〔66〕乔新惠,宋岚,李邦良,等.甲壳低聚糖对糖尿病NOD小鼠的治疗作用.湖南中医药导报,2003,9(2):53-54
    〔67〕乔新惠,宋岚,李邦良.甲壳低聚糖对非肥胖性糖尿病小鼠胰岛细胞生长及胰岛素分泌量的影响.医学临床研究,2003,20(4):259-263
    〔68〕乔新惠,李邦良,宋岚.甲壳低聚糖对NOD小鼠降血糖作用观察,南华大学学报版,2003,31(3):260-261,271
    〔69〕任林,李邦良,高仕瑛,等.甲壳低聚糖对糖尿病小鼠血糖和肠道菌群的影响.中国生化药物杂志,2001,5:227-229
    〔70〕李光伟,潘孝仁,LilliojaS,等.检测人群胰岛素敏感性的一项新指数.中华内科杂志,1993,32:656-660
    〔71〕卫生部卫生监督司.保健食品管理法规汇编.第2版.吉林:吉林科学技术出版社,1998.139-149
    〔72〕韩文瑜,何昭阳,刘玉斌.病原细菌检验技术.长春:吉林科学技术出版社,1992.2553,438-439
    〔73〕何晓青.卫生防疫细菌检验.南京:新华出版社,1989.287-290,364-365
    〔74〕郝士海,舒浚,米竹君,等译.肠杆菌科的鉴定.第3版.南昌:新华出版社,1978.43-59
    〔75〕甘肃农业大学.兽医微生物学实验指导.北京:农业出版社,1991
    〔76〕肖干雄.微生物学与微生物检验.天津:天津科技出版社,1991.481
    〔77〕李影林.临床微生物学及检验.北京:人民卫生出版社.1995.83
    〔78〕杨洁彬,郭兴华.乳酸菌.北京:中国轻工业出版社,1996
    〔79〕R. E.布坎南.伯杰细菌鉴定手册(第八版).北京:科学出版社,1984
    〔80〕何道生.厌氧菌临床与实验室检查.解放军304医院,1987.139-184
    〔81〕Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus.Diabetes care,1997,20(7):1183-1197
    〔82〕Finch CF,Zimmet PZ,Alberti KG.Determining Diabete Prevalence: a Rational Basis for the Use of Fasting Plasma Glucose Concentrations? Diabet Med,1990,7(7):603-610
    〔83〕陆小平,陆菊明.单一测定空腹血糖在诊断糖尿病和糖耐量减低中的局限性.中国糖尿病杂志,1996,4(3)∶135-138
    〔84〕李竞,高凌,鞠海兵,等.空腹血糖在糖尿病诊断中的价值.临床内科杂志.1999,16(4):199-121
    〔85〕Modan M, Harris MI.Fasting Plasm a Glucose in Screening for NIDDM in the U. S.and Israel.Diabetes Care,1994,17(5):436-439
    〔86〕李雪莉,姜亚云,张景玲,等.WHO与美国糖尿病学会糖尿病诊断标准异同的探讨.中华内分泌代谢杂志,2000,16(2):87
    〔87〕史虹莉,方京冲.糖耐量试验中空腹血糖和2小时血糖关系的研究.中国实用诊断学,1998,2(1):24-26
    〔88〕Metcalf PA,Scragg RK. Comparison of WHO and ADA criteria for diagnosis of glucose status in adults.Diab Res Clin Prac,2000,49(2-3):169-180
    〔89〕朱晓康.可食性纤维素——人体第六生命要素.山东食品发酵,1997,(3):46-51
    〔90〕吕仁和.糖尿病及其并发症中西医诊治学.北京人民出版社,1997
    〔91〕Wu G.Nitric oxide synthetase and the effect of aminoguanidine and NG-monomethyl- L-arginine on the onset of diabetes in the sponteneously BB rat.Diabetes,1995,44(3):360-364
    〔92〕罗照田,等.糖尿病血清过氧化肪质测定的临床意义.中华内科杂志,1986,25,344
    〔93〕李启,吕文偿.NIDDM愿者血中自由基及血过氧化质及维生策E水平的观察.中华内分泌代谢杂志,1990,6:215
    〔94〕尹学琼,林强,张歧,等.低聚壳聚糖及其金属配合物的抗O2-活性研究.应用化学,2002,19(4):325-329
    〔95〕武雪芬,孙德梅,瞿建波,等.甲壳质对人体生理生化功能的调节作用.河南中医,1998,18(4):244-245
    〔96〕徐桂云,崔庆荣.甲壳低聚糖清除羟自由基性能的研究.山东轻工业学院学报,2001,15(2):39-43
    〔97〕文质君熊静宇李红.壳聚糖对运动训练大鼠血浆自由基代谢的影响.中国康复医学杂志,2003,18(3)156-157
    〔98〕黄文聪.壳聚糖对运动过氧化损伤的康复作用研究.现代康复,2001,5(2):138-139
    〔99〕熊静宇,文质君,李红.壳聚糖对运动训练大鼠骨骼肌和肝脏线粒体自由基代谢的影晌.体育学刊,2003,10(6):53-54
    〔100〕李红,童钟杭.糖尿病和自由基.国外医学内分泌分册,1990,10(2):90
    〔101〕郑小丽,王风玲,范洪,等.检测Ⅱ型糖尿病患者总抗氧化能力的临床床意义.现代诊断与治疗,1999,10(3):1
    〔102〕刘珊林,施冬云,姚诗凯,等.大鼠及兔抗氧自由基的代偿效应观察.上海第二医科大学学报,1996,16(3):201-203
    〔103〕Agullo E,Ramos V,Varillas M A.Chitosan:Its Use in a Low-Fat food Product.Anales de La Asociacion Quimica Argentina,1998,86(1-2):13-18
    〔104〕Junod A,Lamber AE,Orci L,et al.Studies of the diabetogenic action of streptozotocin .Proc Soc Exp Biol Med,1967,126(1):201-205
    〔105〕Ledoux SP,Wilson GL.Effects of streptozotocin on a clonal isolate of rat insulinoma cells.Biochim Biophys Acta,1984,804(4):387-392
    〔106〕Pettepher CC,LeDoux S P.Repair of Alkali-lahile site within the mitochondrial DNA of RINr38 cells after exposure to the nitrosourea streptozotocin.J Bio Chem,1991,266(5):3113-3117
    〔107〕赵明.超氧化物歧化酶对链佐菌素诱发糖尿病自由基代谢的影响.中国糖尿病杂志,1995,3:44
    〔108〕Kaneto H,Fujii J,Seo HG,et al.Apoptotic cell Death Triggered by Nitric Oxide in Pancreatic beta-cells.Diabetes,1995,44(7):733-738
    〔109〕蒋莉,戚晓红,吴翠贞,等.壳聚糖对大鼠实验性脂肪肝的防治作用.中国海洋药物,2001,1:28-32
    〔110〕戚晓红,蒋莉,李晓宇,等.壳聚糖对实验性脂肪肝大鼠肝及线粒体的体视学分析.中国生化药物杂志,2001,22(1):8-11
    〔111〕夏铁安,赵进荣.血清NAG测定在肝病诊断中的应用.临床检验杂志,1993,11(3):139-140
    〔112〕贾莉乔文涛.血清N-乙酰-β-D-氨基葡萄糖苷酶在肝病诊断中的应用.1999,13(3):167-170
    〔113〕任德,邓健,易枫,等.血清N-乙酰-β-D氨基葡萄糖苷酶与肝硬变关系探讨.衡阳医学院学报,1999,27(3):269-270
    〔114〕段勇,王玉明.血清NAG活性测定及其在病毒性肝炎诊断中的初步探讨.陕西医学检验杂志,1996,11(1):8-9
    〔115〕McMillan DE.Deterioration of the microcirculation in diabetes.Diabetes, 1975,24(10):944-957
    〔116〕施曼珠.糖尿病肾病.中华肾脏病杂志,l993,9(5):297-299
    〔117〕Ha H,Kim KH.Role of oxidative stress in the development of diabetic nephropathy. Kidney Int Suppl,1995,51:S18-21
    〔118〕Brownlee M.Glycation and diabetic complications.Diabetes,1994,43:836
    〔119〕Herman WH.Eye disease and nephropathy in NIDDM.Diabetes Care,1990,13(suppl2):224
    〔120〕Baynes JW.Role of oxidative stress in development of complications in diabetes. Diabetes,1991,40(4):405-412
    〔121〕杨俊伟,黎磊石,张真,等.大黄治疗糖尿病肾病的实验研究.中华内分泌代谢杂志,1993,9(4):222-224
    〔122〕熊旭明.尿视黄醇蛋白与糖尿病肾病.中华肾脏病杂志,1997,13(4):215-216
    〔123〕陆菊明,潘长玉,蔡程华.早期胰岛素依赖型糖尿病患者的肾小球滤过率.中华内分泌代谢杂志,1987,3(2):89-91
    〔124〕Mogensen CE. Prediction of clinical diabetic nephropathy in IDDM patients. Diabetes,1990,39(7):761-767
    〔125〕Mitsuoka T.Significance of dietary modulation of intestinal flora and intestinal environment.Bioscience Microflora,2000,19:15-25
    〔126〕姚君厘,杨永年,付华,等.糖尿病并发感染及其危险因素分析.中华医院感染杂志,1998,8(4):216-218
    〔127〕陈超群,任林,吴移谋,等.壳聚糖对小鼠肠道菌群的影响.实用预防医学,2000,7(6):413-414
    〔128〕任林,李邦良,高仕瑛,等.甲壳低聚糖对抗生素脱污染小鼠肠道菌群的影响.实用预防医学,2001,8(1):21-22
    〔129〕高仕瑛,任林,刘碧源.甲壳低聚糖的微生态学效应.中国微生态学杂志,2002,14(3):132-134
    〔130〕任林,李邦良,高仕瑛,等.甲壳低聚糖对糖尿病小鼠血糖和肠道菌群的影响.中国生化药物杂志,2001,22(5):227-229
    〔131〕任林,陈超群,李邦良.甲壳低聚糖对小鼠肠道正常菌群的影响.南华大学学报医学版,2001,29(1):4-5
    〔132〕杜昱光,白雪芳,虞星炬,等.寡聚糖类物质生理活性的研究.中国生化药物杂志,1997,18(5):268
    〔133〕周中凯,等.饲料用低聚糖的研究与认识.饲料研究,1999(3):3-6
    〔134〕罗仓学,吕嘉枥,陈雪峰.壳聚糖对大肠杆菌抑制效果的研究.西北轻工业学院学报.2000,18(2):98-99
    〔135〕马淑霞,杨景云,施忠凯,等.黄芪复方制剂对实验性糖尿病大鼠及肠道菌群的影响.中国微生态学杂志,2000,12(2):69
    〔136〕赵晓华,李兴,宋征,等.加铬复合纤维对Ⅱ型糖尿病大鼠治疗作用观察[J].中国实验动物学杂志,2002,12:312-316
    〔137〕戴又坚,吴松华,项坤三.Ⅱ型糖尿病患者中TC,HDL与其脂质代谢指标比较的初步研究.中国糖尿病杂志,1998,6:5-8
    〔138〕赵明,杜宏,冯根宝,等.二甲双胍对糖尿病大鼠胰腺细胞磺脲类药物受体的影响.中华内分泌代谢杂志,2001,17:379-380
    〔139〕Meuillet EJ, Wiernsperger N, Mania-Farnell B,et al.Metformin modulates insulin receptor signaling in normal and cholesterol– treated human hepatoma cells ( HepG2).Eur J Pharmacol,1999,377(2-3):241-252
    〔140〕Solomon SS , Mishra SK,Cwik C, et al.Pioglitazone and metformin reverse insulin resistance induced by tumor necrosis factor - alpha in liver cells.Horm Metab Res,1997,29(8):379-382
    〔141〕Lin HZ,Yang SQ,Chuckaree C,et al.Metformin reverses fatty liver disease in obese ,leptin-deficient mice.Nat Med,2000,6(9):998-1003
    〔142〕Valensi P , Behar A, Cohen - Boulakia F, et al .In vivo kinetics of 123 iodine - labelled insulin in skeletal muscle cf patients with type 2 diabetes.Effect cf metformin.Diabetes Metab,2002,28(2):95-103
    〔143〕康有厚,池芝盛.胰岛素抵抗和非胰岛素依赖型糖尿病.中华内科杂志,1992,31:42-45
    〔144〕冼苏.糖尿病肝病的研究现状及进展.Guangxi Medical Journal,2004,26(7):918-920
    〔145〕Vidal J, Ferrer JP, Esmatjes E, et al. Diabetes mellitus in patients with liver cirrhosis. Diatetes Res Clin Pract,1994,25(1):19-25
    〔146〕韦敏怡.糖尿性病肝病的病理研究.广西医科大学学报,1995,12(4):492-495
    〔147〕Chatila R,West AB.Hepatomegaly and abnormal liver tests due to glycogenosis in adults with diabetes.Medicine(Baltimore),1996,75( 6):327-333
    〔148〕蒋莉,戚晓红,吴翠贞,等.壳聚糖对大鼠实验性脂肪肝的防治作用.中国海洋药物,2001,1:28-32
    〔149〕戚晓红,蒋莉,李晓宇,等.壳聚糖对实验性脂肪肝大鼠肝及线粒体的体视学分析.中国生化药物杂志,2001,22(1):8-11

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700